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HomeMy WebLinkAboutC08-261Form 15tt-t PAGE 1 OF 14 PAGES (April 2006) United States Department of the In terior 1. AGREEMENT NO. Bureau of Land Management 1422 CAA080100 FINANCIAL ASSISTANCE AGREEMENT NA ENDMENT NO. 3.TYPE OF AGREEMENT {Check one) NOTE: By signing this document, the recipient accepts this agreement an d agrees to perform in accordance with all the ^ GRANT enclosed terms, conditions, and documents attached hereto. ® COOPERATIVE AGREEMENT 4 NAME, ADDRESS AND PHONE NO. OF BLM'S 5. NAME, ADDRESS AND PHONE NO.OF RECIPIENT'S AUTHORIZED REPRESENTATIVE GRANTS MANAGEMENT OFFICER Ruth Ann Raisanen Bureau of Land Management Bruce Baumgartner Colorado State Office Eagle County 2850 Youngfield Street 500 Broadway Lakewood, Colorado Eagle, Colorado 81631 3031239-3605 ruth ann raisanen@blm. ov 6. NAME, ADDRESS & PHONE NO. OF BLM"S PROGRAM OFFICER 7 NAME, ADDRESS & PHONE NO.OF RECIPIENT"S PROJECT DIRECTORJPRINCIPAL Dereck Wilson INVESTIGATOR BLM Glenwood Springs Field Office Stephen Elzinga 2425 S. Grand Avenue Office A-103 Glenwood Springs, Colorado 81601 3289 Cooley Mesa Rd 9701947-2816 Gypsum, CO 81637 970-328-3544 8 PROGRAM STATUTORY AUTHORITY 9. ACTIONlOBL[GAT[ON DATE The Federal Noxious Weed Act, P.L. 93-629, Section 15 (SEE BLOCK N0.26) 10 PROJECT STARTING DATE 11. PROJECT ENDING DATE Jul 2008 Jul 31, 2013 12. TYPE OF RECIPIENT (Check one) 13. FUNDING INFORMATION ^ STATE ^STATE CONTROLLED INST. BLM RECIPIENT THIRD ppRTy TOTAL X COUNTY OF HIGHER LEARNING This $8 5~ ^ MUNICIPAL ^ PRIVATE UNIVERSITY Obli ation ^ TOWNSHIP ^ INDIAN TRIBE All Previous ^ ^ Obli ations INTERSTATE INDIVIDUAL ^ INTERMUNIC[PAL ^ PROF[TORGANIZATION Total Obli ations $8,500 ^ SPECIAL DISTRICT ^ OTHER Shaze Ratio % % % % ^ ^ INDEPENDENT SCHOOL NOT FOR PROFIT 14 DISTRICT ORGANIZATION . Recipient is not subject to Agency Payment Review. 15. ACCOUNTING AND APPROPRIATION DATA 16.DUNS No. 17.CFDA No. AND TITLE 18.PRINCIPLE PLACE OF PERFORMANCE (Project) 08402447 15.230 -Invasive and Noxious Plant Management Eagle County, Colorado. 19. PROJECT TITLE Noxious Weed Management 20 BRIEF SUMMARY OF THE PURPOSE AND OBJECTIVES OF THIS ACTION Noxious Weed Management in Eagle County. 21.NAME & TITLE OF RECIPIENT'S AUTHORIZED REPRESENTATIVE (Type or print) 24. NAME & TITLE OF BLM GRANTS MANAGEMENT OFFICER (T}pe or print) Ruth Ann Raisanen, Grants Mana ement Officer 22.RECIPIENT 23. onTe. stcNEn 25.UMTED STATES OF AMERICA 26. naTF, sicxt~ ~• ~~I D~ BY BY (S~gnature of Recipient's Aulhnnzed Representati ) (Signature of BLM's Grants Management O,Jlicer) CAA080100 Page 2 of 14 SECTION I. FUNDING OPPORTUNITY DESCRIPTION A. Legislative Authority: The Federal Noxious Weed Act, P.L. 93-629, Section 15, states "In general -Federal agencies, as appropriate, shall enter into cooperative agreements with State agencies to coordinate the management of undesirable plant species on Federal lands." The term "State Agency" means a State department of agriculture, or other State agency or political subdivision thereof, responsible for the administration or implementation of undesirable plants laws of a State. B. Project Background Information: The Bureau of Land Management (BLM), and various Counties throughout Colorado that have lands amid public lands have a long standing cooperative relationship in the management of noxious weeds. This cooperative working relationship has resulted in operational efficiencies in resource management when working with an intermingled ownership land base. C. Purpose/Project Objective: To work in conjunction with an established weed management program within Eagle County, to effectively control noxious/undesirable weeds, where private and public lands are in mixed ownership patterns. The objective is to control noxious weed infestations using integrated management techniques. Provide education to landowners and public lands users regarding the benefits of invasive species management. D. Benefits: The activities to be undertaken through this agreement are in furtherance of the recipient's and BLM mission by the providing the following benefits: 1. By controlling noxious/undesirable weeds, both private and public interests will experience economic, environmental and aesthetic benefits; and 2. This cooperative effort will allow crop and pasture land to be more productive, improve wildlife habitat, and enhance the natural landscape for recreation and aesthetic purposes. E. Statement of Joint Objectives/Project Management Plan: The recipient's proposal shall address any of the following: 1. The recipient's following documents are attached - "Attachment A -Disclosure of lobbying Activities", "Attachment B -Proposal", "Attachment C - SF-424" which address the following: a. Provide the equipment, pesticide, licenses personnel, and services necessary to carry out noxious/undesirable weed control measures as scheduling allows; ca~osoloo Page 3 of 14 a. Provide the equipment, pesticide, licenses personnel, and services necessary to carry out noxious/undesirable weed control measures as scheduling allows; b. Apply all pesticides in accordance with State and Federal laws; c. Provide any necessary supervision to complete pesticide applications. d. Assist with mapping noxious/undesirable weed infestations, as agreed to in a pre season meeting. e. Provide application records at the end of the field season. BLM role in this endeavor is: Complete all necessary, Pesticide Use Proposals, environmental documents, reviews, and clearance to comply with applicable federal laws, regulations and policies; 2. Identify locations and provide maps of noxious/undesirable weed infestations on BLM lands. 3. Conduct any monitoring necessary to ensure compliance with requirements identified through the environmental review and approval process. 4. Provide advance payments or reimbursements to Recipient in accordance with Payments section of agreement and applicable OMB and Treasury regulations. F. Term of Agreement This agreement shall become effective on the date of signature of the GMO. The BLM will consider continued funding for the project upon (a) the recipient showing progress satisfactory to the BLM toward program goals and the determination by the BLM that continuation of the program would be in the best interest of the Government or (b) the availability of funds. Funds obligated but not expended in one FY can be carried forward and expended in the subsequent FY. The total project period for this award will not exceed July 31, 2013. 2. This agreement may be terminated in accordance with the provisions of 43 CFR, Subpart C, Section 12.84 for State, local and Indian tribal governments or Subpart F, Section 12.961 for institutions of higher education, hospitals, other non-profit and all other organizations. 3. Maximum Obligations. The total obligations represent the NTE amount for which the BLM will be responsible under the terms of this agreement. The BLM shall not be responsible to pay for nor shall the recipient be responsible to perform any effort that will require the expenditure of Federal funds above the NTE amount. 4. Program income generated for this agreement shall be in accordance with 43 CFR, Subpart C, Section 12.65 for State, local and Indian tribal governments or Subpart F, Section 12.924 for institutions of higher education, hospitals, other non-profit and all other organizations. CAA080100 Page 4 of 14 SECTION VI. AWARD ADMINISTRATION INFORMATION A. Definitions: 1. Agreement: This grant or cooperative agreement. The term grant is defined as all Federal financial assistance that provides support or stimulation to accomplish a public purpose. Use of the term "grant" includes grants or cooperative agreements awarded by the Federal Government to eligible recipients. 2. Authorized Representative: The Authorized Representative is the recipient's individual who is authorized to act for the applicant and to assume the obligations imposed by the Federal laws, regulations, requirements, and conditions that apply to grant applications or grant awards. 3. Bureau of Land Management (BLM). May also be referred to as Bureau. 4. Eagle County (EC) May also be referred to as recipient. 5. Code of Federal Regulations (CFR). 6. Financial Status Report (FSR). 7. Fiscal Year (FY): The Federal fiscal year which begins on October 1 of one year and extends through September 30 of the following year. Grants Management Officer (GMO): The GMO is the only individual in BLM who is authorized to obligate funds, award, amend, terminate, and administer this agreement. 9. Not-to-Exceed (NTE) Amount: The maximum Federal funding amount available for reimbursement to the recipient. 10. Office of Management and Budget (OMB). All OMB Circulars and Standard Forms that apply to this agreement maybe found on the OMB website at: www. Whitehouse. gov/omb/grants/index.html. 11. Program Officer (PO): The PO is the BLM individual designated for the purpose of administering the technical aspect of this agreement. The PO will work closely with the Project Director/Principal Investigator (PD/PI) and is authorized to clarify technical requirements, review and approve work which is clearly within the scope of the work specified in this agreement. The PO will review FSRs, payments when the recipient is on agency review and performance reports and recommend approval to the GMO. The PO is not authorized to issue changes or in any other way amend this agreement or obligate the Government in any way. These actions can only be issued by the GMO with a written amendment. 12. Project Director/Principal Investigator (PD/PI): The PD/PI is the recipient's CAA080100 Page 5 of 14 technical leader, designated by the recipient, to direct the project or activity being supported by the grant. The PD/PI is responsible and accountable to the recipient and BLM for the proper conduct of the project or activity. 13. Data Shared and Exchanged: See Attachment 1, Management of Data Shared and Exchanged which is incorporated herein. B. Administrative and National Policy Requirements: 1. Office of Management and Budget (OMB) Circulars By accepting Federal assistance, your organization agrees to abide by the applicable OMB Circulars in the expenditure of Federal funds and performance under this program. OMB Circular A-87, "Cost Principles for State, Local and Indian Tribal Governments (05/10/2004)" http:/lwww.whitehouse. gov/omb/circulars/a021 /a21 2004.htm1 OMB Circular A-102, "Grants and Cooperative Agreements With State and Local Governments (10/07/1994) (further amended 08/29/1997)" http://www.whitehouse. Gov/omb/circulars/a021 /a21 2004.htm1 OMB Circular A -110, "Uniform Administrative Requirements for Grants and Other Agreements with Institutions of Higher Education, Hospitals, and Other Nonprofit Organizations" http://www. whitehouse. Gov/omb/circulars/a110/a110.htm1 OMB Circular A-122, "Cost Principles for Nonprofit Organizations" http://www.whitehouse.~ov/omb/circulars/a122 2004.htm1 OMB Circular A-133, "Audits of States, Local Governments, and Non-Profit Organizations." http://www.whitehouse.gov/omb/circulars/a133/a133.htm1 2. Standard Award Terms and Conditions This agreement incorporates the Standard Award Terms and Conditions found at the following Department of the Interior website as if they were given here: httb://www.doi.Gov/pam/TermsandConditions.html Upon request, the AO will provide the recipient a copy. Standard Award Terms and Conditions: Acceptance of a Federal Financial Assistance award from the Department of the Interior (DOI) carries with it the responsibility to be aware of and comply with the terms and conditions of award. Acceptance is defined as the start of work, drawing down funds, or accepting the award via electronic means. Awards are based on the application submitted to, and as approved by DOI and are subject to the terms and conditions incorporated either directly or by reference in the CAA080100 Page 6 of 14 following: • Program legislation~regulation. • Special terms and conditions. • Code of Federal Regulations/Regulatory Requirements, as applicable (Contact your program officer with any questions regarding the applicability of the following ): 43 CFR 12(A) Administrative and Audit Requirements and Cost Principles for Assistance Programs 43 CFR 12(E) Buy American Requirements for Assistance Programs 43 CFR 12(C) Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local 43 CFR 12(F) Uniform Administrative Requirements for Grants and Cooperative Agreements with Institutions of Higher Education, Hospitals, other Non-Profit and Commercial Organizations 43 CFR 43 Governmentwide Requirements for aDrug-Free Workplace 43 CFR 42 Governmentwide Debarment and Suspension (Nonprocurement) 43 CFR 18 New Restrictions on Lobbying 3. Compliance With Buy American Act. a. Notice: Pursuant to sec. 307 of the Omnibus Consolidated Appropriations Act of 1997, Public Law 104-208, 110 Stat. 3009, please be advised of the following: In the case of any equipment or product that maybe authorized to be purchased with financial assistance provided using funds made available in this act, it is the sense of the Congress that entities receiving the assistance should, in expending the assistance, purchase only American-made equipment and products. b. Recipient agrees to follow the requirements in 43 CFR Part 12, Subpart E, Buy American Requirements for Assistance Programs. 4. Opposition to Any Legislation. In accordance with the Department of the Interior, Environment, and Related Agencies Act, 2006, Title IV, Section 402, no part of any appropriation contained in this Act shall be available for any activity or the publication or distribution of literature that in any way tends to promote public support or opposition to any legislative proposal on which Congressional action is not complete other than to communicate to Members of Congress as described in 18 U.S.C. 1913. CAA080100 Page 7 of 14 5. Endorsements. Recipient shall not publicize or otherwise circulate, promotional material (such as advertisements, sales brochures, press releases, speeches, still and motion pictures, articles, manuscripts or other publications) which states or implies governmental, Departmental, bureau, or government employee endorsement of a product, service, or position which the recipient represents. No release of information relating to this award may state or imply that the Government approves of the recipient's work products, or considers the recipient's work product to be superior to other products or services. All information submitted for publication or other public releases of information regarding this project shall carry the following disclaimer: The views and conclusions contained in this document are those of the authors and should not be interpreted as representing the opinions or policies of the U.S. Government. Mention of trade names or commercial products does not constitute their endorsement by the U.S. Government. Recipient must obtain prior Government approval for any public information releases concerning this award which refer to the Department of the Interior or any bureau or employee (byname or title). The specific text, layout photographs, etc. of the proposed release must be submitted with the request for approval. A recipient further agrees to include this provision in a subaward to subrecipient, except for a subaward to a State government, a local government, or to a federally recognized Indian tribal government. 6. Retention and Access Requirements for Records. All recipient financial and programmatic records, supporting documents, statistical records, and other grants- related records shall be maintained and available for access in accordance with 43 CFR Subpart C, Section 12.82 for State, local and Indian tribal governments or Subpart F, Section 12.953 for institutions of higher education, hospitals, other non-profit organizations or entities all other organizations. 7. Increasing Seat Belt Use. Recipients of grants/cooperative agreements and/or sub-awards are encouraged to adopt and enforce on-the job seat belt use policies and programs for their employees when operating company-owned, rented, or personally owned vehicles. These measures include, but are not limited to, conducting education, awareness, and other appropriate programs for their employees about the importance of wearing seat belts and the consequences of not wearing them. 8. Special Terms and Conditions. a. Order of Precedence. Any inconsistency in the agreement shall be resolved by giving precedence in the following order: (a) Any national policy requirements and administrative management standards; (b) 43 CFR Part 12; (c) requirements of the applicable OMB Circulars and Treasury regulations; (d) special terms and conditions; and (e) all agreement sections, documents, CAA080100 Page 8 of 14 exhibits, and attachments; (f) and the recipient's project proposal. b. Amendments. The agreement maybe amended by written agreement signed by both the recipient's Authorized Representative and the AO. Administrative changes (i.e. AO name change, deobligation of excess funds at the end of the agreement, etc.) which do not change the project management plan, NTE amount, etc. or otherwise affect the recipient maybe signed unilaterally by the AO. Additionally, a unilateral amendment may be utilized if it should become necessary to suspend or terminate the agreement in accordance with 43 CFR, Subpart C, Section 12.83 for State, local and Indian tribal governments or Subpart F, Section 12.961 for institutions of higher education, hospitals, other non-profit organizations or entities and all other organizations. All other changes shall be made by means of a bilateral amendment to the agreement. No oral statement made by any person, or written statement by any person other than the AO, shall be allowed in any manner or degree to amend or otherwise effect the terms of the agreement. All requests for amendment of the agreement shall be made in writing, provide a full description of the reason for the request, and be sent to the attention of the AO. Any request for project extension shall be made at least 30 days prior to the expiration date of the agreement or the expiration date of any extension period that may have been previously granted. Any determination to extend the period of performance or to provide follow-on funding for continuation of a project is solely at the discretion of the BLM. c. Budget and Program Plan Revision. The budget plan is the financial expression of the project or program as approved during the award process. Recipients are required to report deviations from budget and program plans and request prior approval for budget and program plan revisions. Recipients are not required to request prior approval for deviations among approved direct cost categories when the cumulative amount of the transfer is less than 10 percent of that cost category. However, the recipient must report any deviation to the AO and Program Officer (PO). d. Audit Requirements. Non-Federal entities that expend $500,000 or more during a year in Federal awards shall have a single orprogram-specific audit conducted for that year in accordance with the Single Audit Act Amendments of 1996 (31 U.S.C. 7501-7507) and revised OMB Circular A-133, which is available at http:f/www.Whitehouse.gov/omblgrantslgrants_circulars.html. Federal awards are defined as Federal financial assistance and Federal cost- reimbursement contracts that non-Federal entities receive directly from Federal awarding agencies or indirectly from pass-through entities. They do not include procurement contracts, under grants or contracts, used to buy goods or services from vendors. Non-Federal entities that expend less than $500,000 for a fiscal year in Federal awards are exempt from Federal audit requirements for that year, except as noted in A-133, § 215(a), but records must be available for review or audit by appropriate officials of the Federal c~osolo0 Page 9 of 14 agency, pass-through entity, and General Accounting Office (GAO). Audits shall be made by an independent auditor in accordance with generally accepted government auditing standards covering financial audits. Additional audit requirements applicable to this agreement are found at 43 CFR 12.66 or 43 CFR 12.926, as applicable. General guidance on the single audit process is included in a pamphlet titled, Highlights of the Single Audit Process" which is available on the Internet at http://www.dot.gov/ost/m60/grant/sincontact.html. Additional information on single audits is available from the Federal Audit Clearinghouse at http://harvester.census. ova /sac/ . e. Metric Conversion. All performance and final reports, other reports, or publications, produced under this agreement, shall employ the metric system of measurements to the maximum extent practicable. Both metric and inch- pound units (dual units) may be used if necessary during and transition period(s). However, the recipient may use non-metric measurements to the extent the recipient has supporting documentation that the use of metric measurements is impracticable or is likely to cause significant inefficiencies or loss of markets to the recipient, such as when foreign competitors are producing competing products in non-metric units. f. Officials Not to Benefit. No member of or delegate to Congress, or resident commissioner, shall be admitted to any share of this agreement, or to any benefit arising from it. However, this clause does not apply to this agreement to the extent that this agreement is made for a corporation's general benefit. g. Deposit of Publications. In addition to any requirements listed in the Project Management Plan, two (2) copies of each applicable publication produced under this agreement shall be sent to the Natural Resources Library with a transmittal that identifies the sender and the publication, and states that the publication is intended for deposit in the Natural Resources Library. Publications shall be sent to the following address: U.S. Department of the Interior Natural Resources Library Interior Service Center Gifts and Exchanges Section 1849 C Street, N.W. Washington, D.C. 20240 h. Reimbursable Costs and Limitations. The recipient shall not incur costs or obligate funds for any purpose pertaining to operation of the program or activities beyond the expiration date stated in the agreement. The only costs which are authorized for a period of up to 90 days following the award expiration date are those strictly associated with closeout activities and preparation of the final report. CAA080100 Page 10 of 14 The BLM's financial participation is limited. The BLM will only fund up to its share of those amounts requested in the project proposal and as are subsequently approved and funded in the agreement. The recipient shall not be obligated to continue performance under the agreement or to incur costs in excess of the costs set forth in the proposal and subsequent agreement. However, if the recipient chooses to expend funds in excess of the approved project budget, the recipient will be responsible to fund the excess without funding participation by the Bureau. i. Inspection. The BLM has the right to inspect and evaluate the work performed or being performed under this agreement, and the premises where the work is being performed, at all reasonable times and in a manner that will not unduly delay the work. If BLM performs inspection or evaluation on the premises of the recipient or a subrecipient, the recipient shall furnish and shall require sub-recipients to furnish all reasonable facilities and assistance for the safe and convenient performance of these duties. j. Copyrights. 1. For recipients subject to the administrative standards set forth in OMB Circular A-110, the following copyright provision, as implemented by 43 CFR 12.936(a), shall apply: "The recipient may copyright any work that is subject to copyright and was developed, or for which ownership was purchased, under an award. The Federal awarding agency(ies) reserves aroyalty-free, nonexclusive and irrevocable right to reproduce, publish, or otherwise use the work for Federal purposes, and to authorize others to do so." 2. For recipients subject to the administrative standards set forth in OMB Circular A-102 and the Grants Management Common Rule, the following copyright provision, as implemented by 43 CFR 12.74, shall apply: "The Federal awarding agency reserves aroyalty-free, nonexclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for Federal Government purposes: (a) The copyright in any work developed under a grant, subgrant, or contract under a grant or subgrant; and (b) Any rights of copyright to which a grantee, subgrantee or a contractor purchases ownership with grant support." k. Rights to Data. For recipients subject to the administrative standards set forth in OMB Circular A-110, the following provision, as implemented by 43 CFR 12.936(c), shall apply: "The Federal Government has the right to: CAA080100 Page 11 of 14 1. Obtain, reproduce, publish or otherwise use the data first produced under an award; and 2. Authorize others to receive, reproduce, publish, or otherwise use such data for Federal purposes." 9. Central Contractor Registration (CCR). Prior to award the Recipient shall register and maintain their own information with Dun & Bradstreet and the Central Contractor Registration System. Obtain a valid Dun & Bradstreet Number (D&B) from Dun & Bradstreet @ http://www.dnb.com/or by calling them at 800-333-0505. Register on the Central Contractor Registration System (CCR) @ http://www.ccr.gov 10. Payments a. Payments will be made by the United States Department of Treasury, Automated Standard Application for Payment (ASAP) System. ASAP is a recipient-initiated, on-line payment and information system for Financial Assistance Agreements that is recipient initiated. The recipient will request federal funds that are due directly from the Federal Reserve Bank on a reimbursable basis. The ASAP Requestor ID, furnished by the Department of Treasury, will be used to access the account to request reimbursement payments. The BLM AO will create an ASAP Account ID unique to this agreement. The first nine characters will be the agreement number (reference block 1 of agreement cover page, BLM Form 1511-1). The remaining three characters will identify BLM funding line items. Drawdown of funds will betaken from specific lines on this agreement. An amendment will indicate the appropriate line number for the drawdown. b. Electronic Funds Transfer Payments Payments shall be governed by the provisions of 43 CFR, Subpart C, Section 12.61 and 12.81 for State, local and Indian tribal governments or Subpart F, Section 12.922 and 12.952 for institutions of higher education, hospitals, other non-profit organizations or entities and all other organizations. If advance payments are made the recipient must submit a SF 269A, Financial Status Report (Short Form), (Down load the form at: http://www.whitehouse.govlOMB/ ants/~rants_forms.html to the AO within 30 working days following the end of each quarter. c. Drawdowns. Treasury Circular 1075 (31 CFR 205) requires that "cash advances to a recipient organization shall be limited to the minimum amounts CAA080100 Page 12 of 14 needed and shall be timed to be in accord only with the actual, immediate cash requirements of the recipient organization in carrying out the purpose of the approved program or project. The timing and amount of cash advances shall be as close as is administratively feasible to the actual disbursements by the recipient organization for direct program costs and the proportionate share of any allowable indirect costs if allowable." 11. Property Management and Disposition. Any BLM property used or other property acquired under this agreement, including intangible property such as copyrights and patents shall be governed by the provisions of 43 CFR, Subpart C, Section 12.84 through 12.74 for State, local and Indian tribal governments or Subpart F, Section 12.930 through 12.937 for institutions of higher education, hospitals, other non-profit organizations or entities and all other organizations. The BLM assumes no liability for any actions or activities conducted under this agreement except to the extent that recourse or remedies are provided by Congress under the Federal Tort Claims Act [28 U.S.C. 1346(b), 2401(b), 2671 - 2680, as amended by P.L. 89-506, 80 Stat. 306]". C. Reporting. 1. For ASAP Recipients: Financial Status Reports: Reports of expenditures are required as documentation of the financial status of awards according to the official accounting records of the recipient's organization. The recipient shall submit a completed original and one copy of the quarterly FSR, the SF 269A, Financial Status Report (Short Form), (Down load the form at: http://www.whitehouse.~ov/OMB/giants/giants forms.html to report the status of funds for this agreement. In addition, include separately, detailed information of costs, by budget categories that reflects the approved SF 424A, Budget Information. The quarterly report(s) shall be sent to the AO and due 30 calendar days after the end of the quarterly reporting period. The recipient will report program outlays and program income on a cash basis. An original and one copy of the final FSR is due to the AO no later than 90 calendar days after the expiration or termination of this agreement. Recipients who are placed on agency review, shall submit an original and one completed copy of the SF 269A, Financial Status Report (Short Form), (Down load the form at: http://www.whitehouse.gov/OMB/ ants/ ants forms.html to report the status of funds for each payment requested before reimbursement payments are made. In addition, include separately, detailed information of costs, by budget categories that reflects the approved SF 424A, Budget Information. This does not relieve the recipient of the quarterly FSR requirement unless reimbursement is only requested on a quarterly basis. The AO may review the report for patterns of cash expenditures, including accelerated or delayed drawdowns, and to assess whether performance or CAA080100 Page 13 of 14 financial management problems exist. Before submitting FSRs to the AO, grantees must ensure that the information submitted is accurate, complete, and consistent with the grantee's accounting system. The recipient's Authorized Certifying Official's signature on the FSR certifies that the information in the FSR is correct and complete and that all outlays and obligations are for the purposes set forth in agreement documents, and represents a claim to the Federal government. Filing a false claim may result in the imposition of civil or criminal penalties. 2. Performance Reports: Recipient shall submit an original and one copy of the quarterly performance report(s) to the AO within 30 days after the end of the quarterly reporting period. The performance report must be prepared in accordance with 43 CFR, Subpart C, Section 12.80 for State, local and Indian tribal governments or Subpart F, Section 12.951 for institutions of higher education, hospitals, other non-profit organizations or entities and all other organizations. The performance report shall include a narrative summary, both of completed activities and activities in progress, a calculation of percent of completed work based on work identified in the Project Management Plan, the reason for slippage if objectives or milestones are not met, a prediction of future activities and how they will be accomplished, and a discussion of issues and problems which may impact the ability to complete the work on time. Recommendations to overcome problems shall also be provided. In lieu of the fourth quarter performance report, an annual program performance report shall be submitted at the end of each calendar year of the agreement. An original and one copy shall be submitted to the AO no later than 90 days following the end of each year of the agreement. Copies of this report maybe required to be included with any application for continuing support of the agreement An original and one copy of the final program performance report shall be submitted no later than 90 days following the expiration or termination of the agreement. 3. Non-compliance: Failure to comply with the reporting requirements contained in this agreement maybe considered a material non-compliance with the terms and conditions of the award. Non-compliance may result in withholding of future payments, suspension or termination of the agreement, recovery of funds paid under the agreement, and withholding of future awards. caaosoloo Page 14 of 14 SECTION VII. AGENCY CONTACTS For administrative questions contact: Bureau of Land Management, Ruth Ann Raisanen, Assistance Agreement Officer (AO), 2850 Youngfield Street, Lakewood, Colorado 80215-7093, Phone: (303) 239-3605 or FAX (303) 239-3699 e-mail: ruth ann raisanen@blm.gov Alternate: Bureau of Land Management, Mary E. Skole, Procurement Analyst, 2850 Youngfield Street, Lakewood, Colorado 80215-7093, Phone: (303) 239-3674 or FAX (303) 239-3699. e-mail: mary_skole@blm.gov For technical questions contact: Bureau of Land Management, BLM Glenwood Springs Field Office, Dereck Wilson, 2425 S. Grand Avenue, Glenwood Springs, Colorado 81601 Phone: (970) 947-2816 e-mail: derek Wilson@blm.gov ~~~~ lNwuauxowwrplNBn US Department of Interior Bureau of Land Management NOTICE OF INTENT TO AWARD This Funding Announcement is not a request for apulications. This announcement is to provide public notice of the Bureau of Land Management (BLM), intention to fund the following project activities without full and open competition. Funding CO-NOI08-0017 Announcement Pro'ect Title Ea le Count Colorado, Noxious Weed Treatment Pro'ect. Reci Tent Ea le Count Weed Pro am Total Anticipated $28,500 Award Amount Cost Share To be Identified in the application process Anticipated Length of 5 years A reement Anticipated Period of 3une 2008 -June 2013 Performance Award Instrument Coo erative A Bement Statutory Authority Federal Noxious Weed Act of 1974, 7 U.S.C. 2814, as amended, P.L. 93- 629. CFDA # and Title 15.231 -Fish, Wildlife and Plant Conservation Resource Mana ement. Single Source Continuation -The activity to be funded is necessary to the satisfactory Justification Criteria completion of, or is a continuation of an activity presently being funded, Cited and for which competition would have a significant adverse effect on the continuit or com letion of the activit ; Point of Contact Ruth Ann Raisanen BLM Colorado State Office 2850 Youngfield Street Lakewood, CO 80215-7093 Office Phone: 303/239-3605 FAX: 303/239-3699 OVERVIEW The recipient and BLM will work together with private and non-federal landowners to prevent, contain and control the spread of noxious weeds. Because these plants move rapidly from one owner's land to another, joint efforts to eradicate, contain or control noxious weeds will reduce adverse impacts on public and private lands and reduce costs to both BLM and other owners. To provide education to landowners and public lands users regarding the benefits of invasive species management. STATEMENT OF JOINT OBJECTIVES/PROJECT MANAGEMENT PLAN The Recipient will foster cooperation and consultation between BLM and other partners for the purposes of developing and implementing projects that foster consultation and cooperation among stakeholders, interested parties, and the public. In addition, the Recipient will organize, finalize, and implement projects to carry out the public purposes and project objectives spelled out in the cooperative agreement award document on public, private and state lands in Eagle County, Colorado. The objective of this agreement is to provide for economical and efficient treatment of leafy spurge in the project area in order to conserve and improve natural resources such as soil, water, vegetation and wildlife so they contribute most to the continued livelihood and enjoyment of those who reside in or visit the county. RECIPENT INVOLVEMENT Provide or contract for equipment, chemical and qualified personnel to perform the needed work. Herbicide application will commence after the date mutually agreed upon by the BLM and the Eagle County Weed Program. Provide all daily supervision necessary to complete the herbicide application. Apply all pesticides in accordance with state and federal law and in accordance with all mitigation as stated in applicable NEPA documents completed by BLM. Provide a completed copy of the Pesticide Application Record to the BLM Project Officer (PO). Not incur any expenses unless authorized under the agreement. The recipient shall be entitled to reimbursement of expenses, of cost related to application of herbicides on BLM public lands completed according plan of work. The recipient shall keep all purchase orders, receipts, invoices, work hour records, and other records to document costs incurred under this agreement. The recipient shall complete pesticide application records within 24 hours of the application. BUREAU OF LAND MANAGEMENT INVOLVEMENT Assign a fully qualified and experienced Project Officer (PO), to provide guidance and technical direction. The recipient and BLM will agree on an annual plan of work; (a) Prioritize and target undesirable plant species or group of species to be controlled or contained within a specific geographic area; (b) Describe the integrated management system to be used to control or contain the targeted undesirable plant species or group of species; and (c) Detail the means of implementing the integrated management system, define the duties of the BLM and the recipient in prosecuting that method, and establish a timeframe for the initiation and completion of the tasks specified in the integrated management system. They will also meet to determine if the county's treatment actions are decreasing noxious weeds in these areas. SINGLE-SOURCE JUSTIFICATION Department of the Interior Policy (505 DM 2) requires a written justification which explains why competition is not practicable for each single-source award. The justification must address one or more of the following criteria as well as discussion of the program legislative history, unique capabilities of the proposed recipient, and cost- sharing contribution offered by the proposed recipient, as applicable. ' In order for an assistance award to be made without competition, the award must satisfy one or more of the following criteria: (1) Unsolicited Proposal -The proposed award is the result of an unsolicited assistance application which represents a unique or innovative idea, method, or approach which is not the subject of a current or planned contract or assistance award, but which is deemed advantageous to the program objectives; (2) Continuation -The activity to be funded is necessary to the satisfactory completion of, or is a continuation of an activity presently being funded, and for which competition would have a significant adverse effect on the continuity or completion of the activity; (3) Legislative intent -The language in the applicable authorizing legislation or legislative history clearly indicates Congress' intent to restrict the award to a particular recipient of purpose; (4) Unique Qualifications -The applicant is uniquely qualified to perform the activity based upon a variety of demonstrable factors such as location, property ownership, voluntary support capacity, cost-sharing ability if applicable, technical expertise, or other such unique qualifications; (5) Emergencies - Program/award where there is insufficient time available (due to a compelling and unusual urgency, or substantial danger to health or safety) for adequate competitive procedures to be followed. BLM did not solicit full and open competition for this award based the following criteria (2) Continuation of an activity aresently being funded. The Bureau of Land Management (BLM), and the Eagle County that have co-mingled public lands have a long standing cooperative relationship in the management of noxious weeds. This cooperative working relationship has resulted in operational efficiencies in resource management when working with an intermingled ownership land. UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT APPLICATION PACKAGE FOR CO-NOI08-0021 Attachment A - US Department of the Interior Bureau of Land Management Certification for Federal Assistance Attachment B -Proposal Submission Format Attachment C -Budget SECTION I. APPLICATION AND SUBMISSION INFORMATION A. Address to Request Application Package: riT OF ~. +-i Itr _ '~eP This package contains all information required to submit your application. If you need to request a paper copy, please submit your request in writing to: Bureau of Land Management, Attn: Ruth Ann Raisanen, 2850 Youngfield Street, Lakewood, Colorado 80215-7093, Phone: (303) 239-3605 or FAX to: (303) 239-3699. B. Content and Form of Application: All proposals shall include the following documents in the order listed. Forms are available in the application package or on-line (downloadable from grants.gov). 1. US Department of the Interior Bureau of Land Management Certification for Federal Assistance. (Attachment A) 2. Proposal Submission Format (Attachment B) can be used as an example when submitting your proposal. The Proposal's technical text must be no longer than 10 pages. The 10-page limit includes all text, figures, references, and vitae. (The Budget, Attachment C, is not included in the 10-page limit.) The text should include the following: a. Introduction, Purpose, Objectives, and Relevance - (a) Describe why the project is needed; (b) Describe the applicant's objectives; (c) Describe how the applicant's objectives support their mission and how this project will benefit the public. b. Technical Approach -Describe how the applicant proposes to conduct and achieve the project in accordance with the Statement of Joint Objectives. The project design must contain enough detail to show the development of the project and the relationships between the partners, tasks, milestones, and objectives. The Work Plan must be clear, suitable, and feasible with respect to the following; (a) Describe the techniques, procedures, and methodologies to be used; (b) Describe data collection, analysis, and means of relationship interpretation; (c) Describe expected results or outcomes; and (d) Describe the procedures for evaluating project efficacy, including fixed performance indices with probabilities for obtaining them. Explain how the applicant will meet the milestones identified. c. Qualifications, Experience, and Past Performance -Describe who will carry out the Project Activities. List all project personnel, including consultants. Describe their responsibilities and the amount of time each will dedicate to the project. Briefly describe how their experience and qualifications are appropriate to successfully achieve the stated objectives. 3. Budget (Attachment C). Please include a description of the cost share (cash vs. in kind). The budget should contain the following: a. Salaries and Wages. Include all employees and their titles working on the project. b. Fringe Benefits. Propose your rates/amounts. If rates are audit approved, include a copy of the audit agreement and/or the name of the audit agency. If more than one rate is used, list each rate and the wage or salary base. c. Consultant/Contracting Fees. Include payments for professional and technical consultants and contractors participating in the project. d. Travel and Per Diem. For each trip, indicate the number of persons traveling, the total days they will be in travel status, and the total subsistence and transportation costs for that trip. Per diem rates shall not exceed maximum Federal rates. To view current Federal per diem rates, visit: http://www.gsa. gov/Portal/gsalep/contentView.do?contentId=17943 &content Type=GSA BASIC and follow the links to per diem information. e. Supplies and Materials. Include consumable supplies and materials to be used in the project, listing each item and quantity individually. Include items of expendable equipment, i.e., equipment costing less than $500 or with an estimated useful life of less than two years. Equipment costing more than that should be listed in the Other Costs category (Category G, below). f. Services. This should include the cost of duplication and printing, long distance telephone calls, equipment rental, postage, and other services not previously listed. g. Other Costs. List equipment items in excess of $500 and other items not previously listed. Note that equipment items worth less than $500 or that have a useful life of less than 2 years must be listed in the Supplies and Materials category. h. Indirect Charges. If indirect costs will be charged to the cooperative agreement, complete the table with your current approved indirect cost rate and the direct costs it will be applied to. A copy of your most recent indirect cost rate must be attached if indirect costs will be requested. 4. Standard Form 424, Application for Federal Assistance. The person who signs the SF- 424 in Block 18 must have the authority to bind the applicant to the terms of the assistance award. (download) 5. SF-424A Budget. (download) - -2 6. SF-424B Assurances -Non-Construction Programs (download) 7. Disclosure of Lobbying Activities (download) 8. Indirect Charges. Most states, universities and larger non profit organizations have a negotiated indirect cost rate agreement with the Federal Government. A copy of the current rate agreement must be submitted with each proposed project. Smaller organizations may not have an agreement with the Federal Government. In these cases the indirect cost rate must be accompanied by a determination from an independent auditing firm. This determination will include the indirect cost rate, the calculations of the indirect cost rate including the base and indirect cost pools and the associated dollar figures for both. Proposals that fail to document their indirect costs will have those costs disallowed. C. Submission Dates and Times: Applicants are held responsible for their proposals being submitted to the locations below by August 1, 2008, @4:00 p.m. Mountain Standard Time. The Electronic submission into Grants.Gov is due by August 1, 2008, @ 4:00 p.m. Mountain Standard Time. A proposal received after the closing date and time will not be considered for award. If it is determined that a proposal will not be considered due to lateness, the applicant will be notified immediately. All packages entering the BLM facility are subject to inspection and/or x-ray. Proposal packages maybe delivered by hand to the address shown in below The BLM - Colorado State Office will accept hand delivered proposals daily, between the hours of 8:00 a.m. and 4:00 p.m., Mountain Standard Time, except Saturdays, Sundays, and Federal holidays. All proposals will be required to be submitted in hard cony and electronically through Grants.Gov. Most of the required attached forms can be prepared online. Any form that is not available online maybe submitted as attachments at the end of the proposal. If you have not registered in Grants.Gov, go to visit the website www.~rants.gov and start the registration process. Once at the website, choose "Get Started" and work through the first 5 steps. In order to complete the SF 424 forms, everyone will have to download the free software "pure edge viewer" which is step #2. If you have any questions or problems with the registration process, please contact the Grants.Gov help desk at 1-800-518-4726. If not submitting electronically through Grants.Gov, please submit ONE stapled original proposal and ONE stapled copy including attachments to the following address: Physical and Mailing Address: Bureau of Land Management Colorado State Office Attn: Ruth Ann Raisanen 2850 Youngfield Street Lakewood, Colorado 80215-7093 Phone Number: (303) 239-3605 Fax Number: (303) 239-3699 - -3 ATTCHMENT A U.S. DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT CERTIFICATION FOR FEDERAL ASSISTANCE Certification Regarding Lobbying -Certification for Contracts, Grants, Loans, and Cooperative Agreements. Applies to recipients of awards exceeding $100,000. This certification is required by Section 1352, Title 31, U.S. Code, entitled "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions." The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, 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 subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify 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. As the authorized certifying official, I hereby certify that the above specified certifications are true. Signature & Typed name and title Applicant/Recipient 4 - -4 ATTACHMENT B PROPOSAL SUBMISSION FORMAT Please read the announcement carefully before completing this information. SECTION 1. PURPOSE, OBJECTIVES, AND RELEVANCE A. Describe why the project is needed by the applicant. B. Describe the applicant's objectives. C. Describe how the applicant's objectives support their mission and how this project will improve or enhance conditions to restoring and maintaining the ecosystem health and natural functions of the land. A. The Eagle County Noxious Weed Management Program is in charge of noxious weed control in Eagle County. Through the use of chemicals and bio-control, the undesirable weeds are controlled in accordance with federal, state, county regulations. B. The objective of Eagle County is to implement an Integrated Weed Management Plan (IWMP) to stop the spread of noxious weeds, which pose threats to the local environmental economic health. The IWMP includes, but is not limited to, the use of pesticides and bio-control as methods to control noxious weeds. C. Through the implementation of the Eagle County Integrated Weed Management Plan which includes the use of chemical and bio-control treatment methods, Eagle County carries out its mission. The undesirable plants treated are foreign to Eagle County. SECTION II. TECHNICAL APPROACH Describe how the applicant proposes to conduct and achieve the project in accordance with the Statement of Joint Objectives. The project design must contain enough detail to show the development of the project and the relationship between the partners, milestones, and objectives. The work plan must be clear, suitable, and feasible with respect to the following; (a) Describe the techniques, procedures, and methodologies to be used; (b) Describe data collection, analysis, and means of interpretation; (c) Describe expected results or outcomes; and (d) Describe the procedures for evaluating project effectiveness, including fixed performance indices with probabilities for obtaining them. A. In order to achieve the project of controlling undesirable plants through chemical and bio- control treatment, Eagle County will: Spray the undesirable plants with a BLM approved mix of pesticides; pay county personnel to administer the treatment with a combination of vehicles and pesticide application equipment, which include apick-up truck with a 500 gallon tank; and dispensed pesticides through either a hand sprayer, boom, or radi-arc. The radi-arc is attached to the front of the truck and performs afan-spray. Bio-control will also be used when available. B. Data is collected during the administering of the pesticides. Amount of pesticides used, 5 - -S how it was dispensed, and personnel hours are recorded and used to determine cost. Cost is determined through the sum of personnel hours and percent of pesticide used. C. The expected results are that any invasive/noxious plants on BLM ground in Eagle County will be controlled or eradicated through chemical and bio-control treatment. D. To evaluate project effectiveness, treated areas will be observed to find effects of the pesticide or bio-control. Signs such as browning, wilting, and brittle leaves indicate successful treatment. SECTION III. QUALIFICATIONS, EXPERIENCE, PAST PERFORMANCE Describe who will carry out the Project Activities. List all project personnel, including consultants. Describe their responsibilities and the amount of time each will dedicate to the project. Briefly describe how their experience and qualifications are appropriate to successfully achieve the stated objectives. Eagle County weed personnel will carry out the Project Activities. They will administer treatment to undesirable weeds on BLM grounds in Eagle County. They will spend as much time as needed to accomplish their tasks. Time will be spent on treatment, labor and paperwork. - -6 ATTACHMENT C. BUDGET This is a suggested format for the applicant to use for the detailed budget costs breakdown. Each cost item should clearly show how the total charge for that item was determined. All major costs should be listed in budget categories similar to those listed below, and all cost items should be explained in the Budget Summary and Justification (Section 4). A. SALARIES AND WALES. Provide the names and/or tlties of Key protect personnel. ~ Full Time % FTE oM ns nt Match / Cost Share Third Party Share (if Name/Title of Position Monthly Salary Grant Funds (if any) any) Total Stephen $ $5100 $ $ $5100 Elzinga/Eagle County Weed Supervisor $ $ $ $ $ $ $5100 $ $ $5100 Subtotal B. FRINGE BENEFITS. If more than one rate is used, list each rate and the wage or salary base. Match /Cost Third Party Rate Salary or Wage Base Grant Funds Share cif any) Share (if any) Total $ $ $ $ $ $ $ $ ~ $ $ $ $ $ $ $ $ $ $ $ Subtotal $ $ $ $ C. CONSULTANT/CONTRACTING FEES. This should Include payments for professional and technical consultants participating in the protect. Name and type of # of Daily Rate of Match /Cost Third Party Consultant Days Compensation Grant Funds Share (if any) Share (if any) Total $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Subtotal $ $ - -7 D. Tizavl=_l. aND Pelt DIEM. For each trip, indicate the number of persons traveling, the total days they will be in travel status, and the total subsistence and transportation costs for that trip. Per diem rates shall not exceed maximum Federal rates. To view current Federal per diem rates, visit htta://www.asa.aov/Portal/asa/eo/channelView do?gaaeTvpeld-8203&channelld--15943 and follow the links to per diem information. From/TO No. of No. of Per diem Total per diem Transportati Total Grant Funds Match /Cost Third Party Total Peopl Travel (lodging and (lodging and on costs transportation Share cif any) Share cif any) e Days meals) per meals) for this (airfare and costs (airfare person per trip mileage) der and mileage) daY eo rson for this tri Subtotal $ ~ ~ ~ - -8 E. SUPPLIESAND MATERIALS. Include consumable supplies and materials to be used in the protect, listing each item and quantity individually. Include items of expendable equipment, i.e., equipment costing less than $500 or with an estimated useful life of less than two years. Equipment costing more than that should be listed in the Other Costs category (Category G, below). Item # of Cost Grant Funds Match /Cost Third Party Share cif any) Total items Share cif any) Supplies $1700 $ $ $1700 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Subtotal $1700 $ $ $1700 F. SERVICES. This should include the cost of duplication and printing, long distance telephone calls, equipment rental, postage, and other services not previously listed. Item Method of Computation Grant Funds Match /Cost Third Party Share (if any) Total Share (if any) Equipment $1700 $ $ $1700 $ $ $ $ $ $ $ $ $ $ $ $ Subtotal $1700 $ $ $1700 G. OTHER COSTS. list equipment items in excess of $500, and other items not previously listed. Note that equipment items worth less than $500 or that have a useful life of less than 2 years must be listed in the Supplies and Materials category. Item Cost Grant Funds Match /Cost Third Party Share (if any) Total Share cif an) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Subtotal $ $ $ $ - -1 H. INDIRECT COSTS. If indirect costs will be charged to the grant, complete the table below with your current approved indirect cost rate and the direct costs it will be applied to. A copy of your most recent indirect cost rate must be attached if indirect costs will be requested. * The Direct Costs from items 1 -- 6 to which the indirect cost rate applies Current Approved Indirect Cost Rate Percentage (%) Indirect Cost Rate Amount Budget Justification. Provide a brief narrative justification of all cost items, including matching funds, listed in the budget. Be specific and explain why these items are necessary to accomplish the grant objectives. If the project involves travel costs, include a brief summary of each trip (for example, Project Director and two students will fly from Hometown to Someplace and stay three days to examine Someplace Museum's collection). Note: Travel is limited to this project only. If purchasing or renting computer equipment or other large budget items follow the procedures in 43CFR, Subpart C, Section 12.76 for State, local and Indian tribal governments or Subpart F, Section 12.940 through 12.948 for institutions of higher education, hospitals, other non-profit and all other organizations, as applicable. All costs involved are directly related to the treatment of identified noxious weeds on BLM administered land in Eagle County either by chemical or bio-control methods. - -2 ia) Version 7/03 APPLICATION FOR FEDERAL ASSISTANCE 2. DATE SUBMITTED 9/5/2008 Applicant Identifier 1. TYPE OF SUBMISSION: A l 3. DATE RECEIVED BY STATE State Application Identifier pp ication ^ Construction ® Non-Construction Preapplication ^ Construction ^Non-Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier 5. APPLICANT INFORMATIO N Legal Name: Or anizational Unit: Eagle County Department: Vegetation Management organizational DUNS. 084024447 Division: Addf eSS: Name and telephone number of person to be contacted on matters l i i thi i li i d Street: Office A-103 v nvo ng s app cat on (g ve area co e) 3289 Cooley Mesa Road Prefix: First Name: Stephen City: Gypsum Middie Name: County: Eagle Last Name: Elzinga State: Colorado Zip Code: 81637 Suffix: Country : United States Email: Stephen.ElzingaC~eaglecounty.us 6. EMPLOYER IDENTIFICATION NUMBER EIIVj: 8 4- 6 0 0 0 7 6 2 Phone number (give area code): 970-328-3544 FAX number (give area code): 970-328-3546 8. TYPE OF APPLICATION: ® New ^ Continuation ^ Revision li Revision, enter appropriate letter(s) in box(es): 7. TYPE OF APPLICANT: (See back of form for Application Types) Other (specify) (See back of form for description of letters) (a ~) Other s eci 9. NAME OF FEDERAL AGENCY Bureau of Land Management 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER 1 5- 2 3 0 TITLE: 11 ~ SCRIPTIVE TITLE OF APPLICANTS PROJECT: County Noxious Weed Treatment Assistance Agreement AREAS AFFECTED BY PROJECT (cities, counties, states, etc.): ~'~Ie~~I.Count ,Colorado 13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF Start Date June 2008 Ending Date June 2013 a. Applicant b. Protect Colorado District 3 Colorado District 3 15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal $ 8500 a. Yes. ^ THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 b. Applicant $ PROCESS FOR REVIEW ON c. State $ DATE: d. Local $ b. No. ® PROGRAM IS NOT COVERED BY E. O. 12372 e. Other $ ^ OR PROGRAM NAS NOT BEEN SELECTED BY STATE FOR REVIEW f. Program income $ 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g. TOTAL $ 8500 ^Yes If "Yes" attach an explanation ® No 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATIOWPREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a. Authorized Re resentative Prefix First Name Middle Name Last Name Suffix b. Title c. Telephone number (give area code) d. Signature of Authorized Representati a .Date Signed ~~ y _ „_ J -1 Previous Editions Not Usable Standard Form 424 (Rev.9-2003) Authorized for Local Reproduction Prescribed by OMB Circular A-102 INSTRUCTIONS FOR THE SF 424 Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This is a standard form used by applicants as required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have seiectea the program to oe Incluaea in tnelr process, nave peen given an opponunlry to review the appucanrs suomission. Item Entry: Item Entry: 1. Select Type of Submission. 11. Enter a brief descriptive title of the project. If more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g. construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. 2. Date application submitted to Federal agency (or State if 12. List only the largest political entities affected (e.g., State, counties, applicable) & applicant's control number (ff applicable). cities). 3. State use only (if applicable) 13. Enter the proposed start date and end date of the project. 4. Enter Date Received by Federal Agency 14. Federal identifier number: If this application is a continuation or revision to an existing award, enter the present Federal Identifier number. If for a new project, leave blank. 5. Enter legal name of applicant, name of primary organizational 15. unit (including division, if applicable), which will undertake the assistance activity, enter the organization's DUNS number (received from Dun and Bradstreet), enter the complete address of the applicant (including country), and name, telephone number, a-mail, and fax of the person to contact on matters related to this application. 6. Enter Employer Identrfication Number (EIN) as assigned by the 16. Internal Revenue Service. 7. Enter the appropriate letter in the space provided. I. A. State B. County C. Municipal ~• D. Township K• E. Interstate L• F. Intermunicipal M• G. Special District N• H. Independent School O• District 8. Select type from the following list: 9. 10. State Controlled Institution of Higher Learning Private University Indian Tribe Individual Profit Organization Other (Specify) Not for Profit Organization • "New" means a new assistance award. • "Continuation" means an extension for an additional funding/budget period for a project with a projected completion date. • "Revision" means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. If a revision enter the appropriate letter: A. Increase Award B. Decrease Award C. Increase Duration D. Decrease Duration Name of Federal agency from which assistance is being requested with this application. Use the Catalog of Federal Domestic Assistance number and List the applicant's Congressional District and any District(s) affected by the program or project. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in-kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate o~ the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For muRiple program funding, use totals and show breakdown using same categories as item 15. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) - -2 - -3 BUDGET INFARMOTIAN - Nnn-f_nnetrnn+inn Drnnr~.,,c nnnQ n.....,.....i ni,, noeo nnee _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ • M M , SECTION A -BUDGET SUMMARY Grant Program F i Catalog of Federal Estimated Unobligated Funds New or Revised Budget unct on or Activity (a) Domestic Assistance Number (b) Federal (c) Non-Federal (d) Federal (e) Non-Federal (f) Total (g) 1.Invasive and Noxious Plant Management 15-230 $8,500 $ $ $ $ g~500 2. 3. 4. 5. Totals $8,500 $ $ $ $ g~500 SECTION B -BUDGET CATEGORIES 6. Object Class Categories GRANT PROGRAM, FUNCTION OR ACTIVITY Total {1) {2) {3) (4) (5) a. Personnel $ 5,100 $ $ $ $ 5,100 b. Fringe Benefits c. Travel d. Equipment $1,700 $1,700 e. Supplies $1,700 $1,700 f. Contractual g. Construction h. Other $ $ I. Total Direct Charges (sum of 6a-6h) j. Indirect Charges $ $ k. TOTALS (sum of 6i and 6j) $ 8,500 $ $ $ $ 8,500 7. Program Income $ $ $ $ $ r ~cvwua ~uuwn vaav~c P1YV WIILCV IVI LVGi11 17CfJfVUVGlIVr1 'tangarq Form 424A (Rev. 7-97) Prescribed by OMB Circular A-102 - -4 SECTION C -NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS 8. $ $ $ $ 9. 10. 11. 12. TOTAL (sum of lines 8 -11) $ $ $ $ SECTION D -FORECASTED CASH NEEDS F 13 l d Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter e . era $8,500 $ $ $ $ 14. Non-Federal 15. TOTAL (sum of lines 13 and 14) $ 8,500 $ $ $ $ SECTION E -BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program FUTURE FUNDING PERIODS (Years) (b) First (c) Second (d) Third (e) Fourth 16. Invasive and Noxious Plant Management $ 8,500 $ $ $ 17. 18. 19. 20. TOTAL (sum of lines 16-i9) $ 8,500 $ $ $ SECTION F -OTHER BUDGET INFORMATION 21. Direct Charges: 22. Indirect Charges 23. Remarks: r+uanua~ca:u wa a-ucm nCpruuuauvn sianaara Form 4Z4 A (Hev. 7-97) Page 2 - -5 instructions for the SF-424A Public reporting burden for this collection of information is estimated to average 180 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0044), Washington, DC 20503 PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. General Instructions This form is designed so that application can be made for funds from one or more grant programs. In preparing the budget, adhere to any existing Federal grantor agency guidelines which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. For some programs, grantor agencies may require budgets to be separately shown by function or activity. For other programs, grantor agencies may require a breakdown by function or activity. Sections A, B, C, and D should include budget estimates for the whole project except when applying for assistance which requires Federal authorization in annual or other funding period increments. In the latter case, Sections A, B, C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in Lines a-k of Section B. Section A. Budget Summary Lines 1-4 Columns (a) and (b) For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the Catalog program title and the Catalog number in Column (b). For applications pertaining to a single program requiring budget amounts by multiple functions or activities, enter the name of each activity or function on each line in Column (a), and enter the Catalog number in Column (b). For applications pertaining to multiple programs where none of the programs require a breakdown by function or activity, enter the Catalog program title on each line in Column (a) and the respective Catalog number on each line in Column (b). For applications pertaining to multiple programs where one or more programs require a breakdown by function or activity, prepare a separate sheet for each program requiring the breakdown. Additional sheets should be used when one form does not provide adequate space for all breakdown of data required. However, when more than one sheet is used, the first page should provide the summary totals by programs. Lines 1-4, Columns s through (g) For new applications, leave Column 8 and (d) blank. For each line entry in Columns (a) and (b), enter in Columns (e}, (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year) For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns 8 and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and (f). For supplemental grants and changes to existing grants, do not use Columns 8 and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease of non- Federal funds. In Column (g) enter the new total budgeted amount (Federal and non-Federal) which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in Columns (e) and (f). The amount(s) in Column (g) should not equal the sum of amounts in Columns (e) and (f). Line 5 -Show the totals for all columns used. In the column headings (1) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1- 4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories. Line 6a-I -Show the totals of Lines 6a to 6h in each column. Line 6j -Show the amount of indirect cost. Line 6k -Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, Column (g), Line 5. For supplemental grants and changes to grants, the total amount of the increase or decrease as shown in Columns (1)-(4), Line 6k should be the same as the sum of the amounts in Section A, Columns (e) and (f) on Line 5. Line 7 -Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. SF-424A (Rev. 7-97) Page 3 - -27 - -28 Instructions for the SF-424A (continued) Show under the program narrative statement the nature Line 15 -Enter the totals of amounts on Lines 13 and 14. and source of income. The estimated amount of program income may be considered by the Federal grantor agency Section E. Budget Estimates of Federal Funds Needed in determining the total amount of the grant. for Balance of the Project Section C. Non-Federal Resources Lines 8-11 Enter amounts of non-Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. Column (a) -Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary. Lines 16-19 -Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. Column (b) -Enter the contribution to be made by the applicant. Column 8 -Enter the amount of the State=s cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d) -Enter the amount of cash and in-kind contributions to be made from all other sources. Column (e) -Enter totals of Columns (b) (c), and (d). Line 12 -Enter the total for each of Columns (b)-(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f), Section A. Section D. Forecasted Cash Needs Line 13 -Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14 -Enter the amount of cash from all other sources needed by quarter during the first year. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20 -Enter the total for each Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line. Section F. Other Budget Information Line 21 -Use this space to explain amounts for individual direct object class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22 -Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. line 23 -Provide any other explanations or comments deemed necessary. SF-424A (Rev. 7-97) Page 4 - -29 OMB Approval No. 0348-0040 ASSURANCES -NON-CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project cost) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination of the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 4. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the Previous Edition Usable Authorized for Local Reproduction Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally- assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. Standard Form 4248 (Rev 7-97) Prescribed by OMB Circular A-102 - -30 9. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 276a to 276a-7), the Copeland Act (40 U.S.C. 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333), regarding labor standards for federally-assisted construction subagreement. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in flood plains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) Related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance will Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) Pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.) Which prohibits the use of lead- based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non-Profit Organizations." 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. APPLICANT ORGANIZATION DATE SUBMITTED SIGNAT~F~EIOF AUTH9I~ED CERTIFYING OFFICIAL I TITLE 9.i~z~ Standard Form 4248 (Rev. 7-97) Back - -31