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HomeMy WebLinkAboutC19-329 USDA - White River National Forest Modification USDA Forest Service OMB 0596-0217 FS-1500-19 11. SIGNATURES AUTHORIZED REPRESENTATIVE: BY SIGNATURE BELOW, THE SIGNING PARTIES CERTIFY THAT THEY ARE THE OFFICIAL REPRESENTATIVES OF THEIR RESPECTIVE PARTIES AND AUTHORIZED TO ACT IN THEIR RESPECTIVE AREAS FOR MATTERS RELATED TO THE ABOVE- MODIFICATION OF GRANT OR AGREEMENT PAGE OF PAGES 1 13 1. U.S. FOREST SERVICE GRANT/AGREEMENT NUMBER: 18-PA-11021500-013 2. RECIPIENT/COOPERATOR GRANT or AGREEMENT NUMBER, IF ANY: 3. MODIFICATION NUMBER: 1 4. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING GRANT/AGREEMENT (unit name, street, city, state, and zip + 4): White River National Forest Program Contact: Liz Roberts, Forest Ecologist 900 Grand Ave Glenwood Springs, CO 81601 Telephone: 970 945-3257 FAX: 970 945-3266 Email: elizabeth.roberts@usda.gov 5. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING PROJECT/ACTIVITY (unit name, street, city, state, and zip + 4): White River National Forest Admin Contact: Clark M. Woolley, G&A Specialist White River National Forest 900 Grand Avenue Glenwood Springs, CO 81601 Telephone: 970-948-9803 Email: clark.woolley@usda.gov 6. NAME/ADDRESS OF RECIPIENT/COOPERATOR (street, city, state, and zip + 4, county): Eagle County Program Contact: Doug Riggins, Vegetation Management Lead Eagle County Vegetation Management 3289 Cooley Mesa Road Gypsum, CO 81637 PO Box 850 Eagle, CO 81631 Email: doug.riggins@eaglecounty.us FAX: 970-328-3546 7. RECIPIENT/COOPERATOR’S HHS SUB ACCOUNT NUMBER (For HHS payment use only): Eagle County Contact: Eagle County Attorney 500 Broadway PO Box 850 Eagle, CO 81631 Email: atty@eaglecounty.us FAX: 970-328-8699 8. PURPOSE OF MODIFICATION CHECK ALL THAT APPLY: This modification is issued pursuant to the modification provision in the grant/agreement referenced in item no. 1, above. CHANGE IN PERFORMANCE PERIOD: Remains the same. CHANGE IN FUNDING: Obligates an additional U.S. Forest Service funds in the amount of $5,000.00 for cooperative work and activities within the scope of the agreement. U.S. Forest Service funding beyond this fiscal year may be carried forward to the next fiscal year and will be available through the term of this agreement. ADMINISTRATIVE CHANGES: Incorporates Mandatory provisions. OTHER: Incorporates Modification No. 1 Operating Plan and Financial Plan to the agreement. Except as provided herein, all terms and conditions of the Grant/Agreement referenced in 1, above, remain unchanged and in full force and effect. 9. ADDITIONAL SPACE FOR DESCRIPTION OF MODIFICATION (add additional pages as needed): Modification No. 1 increases U.S. Forest Service funding within the scope of work and incorporates associated operating plan and financial plan to this Agreement. See attached documents. 10. ATTACHED DOCUMENTATION (Check all that apply): Scope of Work Financial Plan Other: Incorporates mandatory provisions. DocuSign Envelope ID: E59B4152-8978-40AC-AC43-9DB4FD173C3B USDA Forest Service OMB 0596-0217 FS-1500-19 REFERENCED GRANT/AGREEMENT. 11.A. EAGLE COUNTY SIGNATURE 11.B. DATE SIGNED 11.C. U.S. FOREST SERVICE SIGNATURE 11.D. DATE SIGNED (Signature of Signatory Official) (Signature of Signatory Official) 11.E. NAME (type or print): JEFF SHROLL 11.F. NAME (type or print): SCOTT G. FITZWILLIAMS 11.G. TITLE (type or print): County Manager Eagle County 11.H. TITLE (type or print): Forest Supervisor, White River National Forest 12. G&A REVIEW 12.A. The authority and format of this modification have been reviewed and approved for signature by: ______________________________________ CLARK M. WOOLLEY U.S. Forest Service, Grants & Agreements Specialist 12.B. DATE SIGNED Burden Statement According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0217. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer. DocuSign Envelope ID: E59B4152-8978-40AC-AC43-9DB4FD173C3B 9/26/2019 10/1/2019 10/1/2019 USDA Forest Service OMB 0596-0217 FS-1500-19 Modification No. 1 Operating Plan (2019-2020) Goal Control and eradication of noxious weeds and invasive plants on public and private lands, within Eagle County and on the White River National Forest. Objectives - Coordinate a cooperative weed management program for consistent management on a landscape scale. - Collaborate and treat Federal lands as well as county roads or county administered properties. - Conduct treatments on County administered lands, targeting areas and species which will be complementary to the County noxious weed control efforts. - Conduct inventories of roadside noxious weed infestations. Methods - Utilizing various ground pesticide application equipment (backpack, UTV, horse or truck mounted sprayers) treat all detected State of Colorado listed noxious weeds with Environmental Protection Agency approved herbicides and ensure their labels are strictly adhered to. - Evaluate/monitor treatment effectiveness. - Evaluate treatment effectiveness. Treatment Areas - The areas to be treated under this agreement will be identified in annual project planning meetings with the County Weed Program Manager. - Proposed project areas may include: o Forest Service Roads, Campgrounds and Trailheads within Eagle County o Backcountry weed infestations as identified in each annual project planning meeting o Other areas to be determined at the annual project planning meetings and as needed and identified during routine monitoring. - Acreage treated will be dependent upon the severity of the weed infestations. Reporting - A copy of the daily application records along with map locations of the weed infestations will be submitted to the Eagle County Weed Program Manager, no later than September 30th annually. Funding - Cost of programing shall not exceed the stated amount in this agreement. If Coordinator does not request the entire amount, any remaining funds may be carried forward to the next fiscal year and will be available through the terms of this Agreement. Identified Specific Projects Area to be treated Acres # Days Cost Per Day ($100/hr.) Cost Areas to be identified at the annual meeting TBD 6.25 Days 800 $5,000 Total Estimate: 6.25 Days $800 $5,000 DocuSign Envelope ID: E59B4152-8978-40AC-AC43-9DB4FD173C3B USDA Forest Service OMB 0596-0217 FS-1500-19 Expected Results and Environmental Compliance The results of this collaboration: 50-85% mortality of treated noxious weeds, resulting in each following year’s herbicide input to decline. Mortality will be dependent upon the weed species treated. All environmental compliance and permitting for the project have been completed. MANDATORY PROVISIONS PAYMENT/REIMBURSEMENT. The U.S. Forest Service shall reimburse the Cooperator for the U.S. Forest Service's share of actual expenses incurred, not to exceed $5,000.00 as shown in the Financial Plan. The U.S. Forest Service shall make payment upon receipt of the Cooperator’s quarterly invoice. Each invoice from the Cooperator shall display the total project costs for the billing period, separated by U.S. Forest Service and the Cooperator’s share. In-kind contributions must be displayed as a separate line item and must not be included in the total project costs available for reimbursement. The final invoice must display the Cooperator’s full match towards the project, as shown in the financial plan, and be submitted no later than 90 days from the expiration date. Each invoice must include, at a minimum: 1. Cooperator name, address, and telephone number. 2. U.S. Forest Service agreement number. 3. Invoice date. 4. Performance dates of the work completed (start & end). 5. Total invoice amount for the billing period, separated by Forest Service and Cooperator share with in-kind contributions displayed as a separate line item. 6. Display all costs, both cumulative and for the billing period, by separate cost element as shown on the financial plan. 7. Cumulative amount of Forest Service payments to date. 8. Statement that the invoice is a request for payment by “reimbursement.” 9. If using SF-270, a signature is required. 10. Invoice Number, if applicable. The invoice must be sent by one of three methods (email is preferred): EMAIL: SM.FS.asc_ga@usda.gov FAX: 877-687-4894 POSTAL: USDA Forest Service Albuquerque Service Center Payments – Grants & Agreements 101B Sun Ave NE Albuquerque, NM 87109 Send a copy to: elizabeth.roberts@usda.gov and stephen.elzinga@usda.gov AVAILABILITY OF FUNDS. U.S. Forest Service funds in the amount of $5,000.00 are currently available for performance of this instrument through the performance period of the agreement. The U.S. Forest Service's obligation for performance of this instrument beyond this date is contingent upon the availability of appropriated funds from which payment can be made. No legal liability on the part of the U.S. Forest Service for any payment DocuSign Envelope ID: E59B4152-8978-40AC-AC43-9DB4FD173C3B USDA Forest Service OMB 0596-0217 FS-1500-19 may arise for performance under this instrument beyond the performance period or until funds are made available to the U.S. Forest Service for performance and until the Cooperator receive(s) notice of availability to be confirmed in a written modification by the U.S. Forest Service. SYSTEM FOR AWARD MANAGEMENT REGISTRATION REQUIREMENT (SAM). The Cooperator shall maintain current information in the System for Award Management (SAM) until receipt of final payment. This requires review and update to the information at least annually after the initial registration, and more frequently if required by changes in information or agreement term(s). For purposes of this agreement, System for Award Management (SAM) means the Federal repository into which an entity must provide information required for the conduct of business as a Cooperative. Additional information about registration procedures may be found at the SAM Internet site (currently at https://www.sam.gov). PERFORMANCE REPORTING. The Cooperator shall monitor the performance of the agreement activities to ensure that performance goals are being achieved. Performance reports must contain information on the following: - A comparison of actual accomplishments to the goals established for the period. Where the output of the project can be readily expressed in numbers, a computation of the cost per unit of output may be required if that information is useful. - Reason(s) for delay if established goals were not met. - Additional pertinent information including, when appropriate, analysis and explanation of cost overruns or high unit costs. The Cooperator shall submit annual performance reports to the U.S. Forest Service Program Manager. These reports are due 90 days after the reporting period. The final performance report shall be submitted either with the Cooperator’s final payment request, or separately, but not later than 90 days from the expiration date of the agreement. PROHIBITION AGAINST INTERNAL CONFIDENTIAL AGREEMENTS. All non-Federal government entities working on this agreement will adhere to the below provisions found in the Consolidated Appropriations Act, 2016, Pub. L. 114-113, relating to reporting fraud, waste and abuse to authorities: a. The Cooperator may not require its employees, contractors, or sub recipients eking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting them from lawfully reporting that waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information. b. The Cooperator must notify its employees, contractors, or sub recipients that the prohibitions and restrictions of any internal confidentiality agreements inconsistent with paragraph (a) of this agreement provision are no longer in effect. c. The prohibition in paragraph (a) of this agreement provision does not contravene requirements applicable to any other form issued by a Federal department or agency governing the nondisclosure of classified information. d. If the Government determines that the Cooperator is not in compliance with this agreement provision, it: i. Will prohibit the Cooperator’s use of funds under this agreement, in accordance with sections 743, 744 of Division E of the Consolidated Appropriations Act, 2016, (Pub. L. 114-113) or any successor provision of law; and ii. May pursue other remedies available for the Cooperator's material failure to comply with agreement terms and conditions. DocuSign Envelope ID: E59B4152-8978-40AC-AC43-9DB4FD173C3B U.S. Forest Service OMB 0596-0217 FS-1500-17B Page 1 Attachment:Financial Plan USFS Agreement No.:Mod. No.:1 Cooperator Agreement No.: Financial Plan Matrix:Note: All columns may not be used. Use depends on source and type of contribution(s). (a) (b)(c)(d) Cash COST ELEMENTS Noncash to Noncash In-Kind Direct Costs Cooperator Salaries/Labor $9,995.00 $5,000.00 $8,430.00 $0.00 $23,425.00 Travel $1,100.00 $0.00 $2,750.00 $0.00 $3,850.00 Equipment $2,250.00 $0.00 $9,500.00 $0.00 $11,750.00 Supplies/Materials $3,000.00 $0.00 $3,000.00 $0.00 $6,000.00 Printing $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 Subtotal $16,345.00 $5,000.00 $23,680.00 $0.00 $45,025.00 Coop Indirect Costs $0.00 $0.00 $0.00 FS Overhead Costs $1,634.50 $1,634.50 Total $17,979.50 $5,000.00 $23,680.00 $0.00 $46,659.50 (a+b) ÷ (e) = (f) Total Cooperator Share (c+d) ÷ (e) = (g) Total (f+g) = (h) Total Project Value: (e) Total 50.75% Agreements Financial Plan (Short Form) 18-PA-11021500-013 Note: This Financial Plan may be used when: (1) No program income is expected and (2) The Cooperator is not giving cash to the FS and (3) There is no other Federal funding FOREST SERVICE CONTRIBUTIONS COOPERATOR CONTRIBUTIONS 100.00% (h) (g) Matching Costs Determination Total Forest Service Share =(f) 49.25% DocuSign Envelope ID: E59B4152-8978-40AC-AC43-9DB4FD173C3B