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HomeMy WebLinkAboutC21-282 USFSDocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA U�5 USDA Forest Service OMB 0596-0217 FS-1500-19 PAGE OF PAGES MODIFICATION OF GRANT OR AGREEMENT 1 1 13 1. U.S. FOREST SERVICE GRANT/AGREEMENT 2. RECIPIENT/COOPERATOR GRANT or 3. MODIFICATION NUMBER: NUMBER: AGREEMENT NUMBER, IF ANY: 3 18-PA-11021500-013 4. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING 5. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING GRANT/AGREEMENT (unit name, street, city, state, and zip + 4): PROJECT/ACTIVITY (unit name, street, city, state, and zip + 4): Rocky Mountain Region - Center of Excellence White River National Forest 900 Grand Avenue, Glenwood Springs, CO 81601 900 Grand Avenue, Glenwood Springs, CO 81601 6. NAME/ADDRESS OF RECIPIENT/COOPERATOR (street, city, state, and zip 7. RECIPIENT/COOPERATOR'S HHS SUB ACCOUNT NUMBER (For HHS + 4, county): payment use only): Eagle, County of 3289 Cooley Mesa, Gypsum, CO 81637 8. PURPOSE OF MODIFICATION CHECK ALL This modification is issued pursuant to the modification provision in the grant/agreement THAT APPLY: referenced in item no. 1, above. CHANGE IN PERFORMANCE PERIOD: CHANGE IN FUNDING: Obligates an additional U.S. Forest Service funds in the amount of $3,000.00 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: Update FS Admin Contact: Alex Specht 900 Grand Ave. Glenwood Springs, CO 81601. alex.s echt usda. ov OTHER: 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 3 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): ® Exhibit A — Operating Plan ® Exhibit B - Financial Plan ® Other: Incorporates mandatory provisions. C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA U�5 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 - REFERENCED GRANVAGREEMENT. I I.A. EAGLE, COUNTY OF SIGNATURE I I.B. DATE I I.C. U.S. FOREST SERVICE SIGNATURE I I.D. DATE DocuSigned by: SIGNED1-�(,4:F1]hWiWWMS DocuSigned by: SIGNED ti S�ra 8/25/2021 24/2021 �1 (Signature of Si i 328424 (SignatureofSi nat 2AFF9424... I I.E. NAME (type or print): JEFF SHROLL I I.F. NAME (type or print): SCOTT G. FITZWI)_,I,IAMS I I.G. TITLE (type or print): County Manager, Eagle, I I.H. TITLE (type or print): Forest Supervisor, County of 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: 12.B. DATE M Digitally signed by DAVID DAVI D GRAHAGRAHAM SIGNED Date: 2021.07.01 15:58:08-06'00' DAVE GRAHAM U.S. Forest Service, Grants & Agreements Specialist 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. C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA U�5 USDA Forest Service OMB 0596-0217 FS-1500-19 18-PA-11021500-013 Exhibit A Modification No. 3: Operating Plan 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. Method Utilize various ground pesticide application equipment (backpack, UTV, horse or truck mounted sprayers) to 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. 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 Days Cost Per Day Cost ($100/hr.) or See Map - dependent upon the severity of the $800 $3,000 weed infestations 3.75 Days Total Estimate: 3.75 Days $800 $3,000 C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA U�5 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 $3,000.00 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 120 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_gagusda.gov FAX: 877-687-4894 POSTAL: USDA Forest Service Albuquerque Service Center Payments — Grants & Agreements 101 B Sun Ave NE Albuquerque, NM 87109 Send a copy to: elizabeth.robertskusda.gov and stephen.elzingagusda.gov C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA U�5 USDA Forest Service OMB 0596-0217 FS-1500-19 LIMITATION OF FUNDS. U.S. Forest Service funds in the amount of $3,000.00 are currently available for performance of this instrument through the performance period of the agreement through December 31, 2021. 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 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. 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 120 days from the expiration date of the agreement. C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA co O O O LO N O Q 00 O Z a) E (D a) O Q U) LL CO Z) m L x w C a) E L U m C R CO O LL d O 3 � o O O t N 3 C O X :; w y L R y 0 IL m a o N C r0+ ate+ O E L LL sm— Q c N Im O y t () i ~ O t t GiZHH .r O Z ... 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U .I. � E F Fu LI C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA WORKSHEET FOR FS Non -Cash Contribution Cost Analysis, Column a Use this worksheet to perform the cost analysis that supports the lump sum figures provided in the matrix. NOTE: This worksheet auto populates the relevant and applicable matrix cells. Cost element sections may be deleted or lines may be hidden, if not applicable. Line items may be added or deleted as needed. The Standard Calculation sections provide a standardized formula for determining a line item's cost, e.g. cost/day x # of days=total, where the total is calculated automatically. The Non -Standard Calculation sections provide a write-in area for line items that require a calculation formula that is other than the standardized formulas, e.g. instead of salaries being calculated by cost/day x # of days, costs may be calculated simply by a contracted value that is not dependent on days worked, such as 1 employee x $1,200/contract= $1,200. Be sure to review your calculations when entering in a Non -Standard Calculation, and provide a brief explanation of units used to make calculation, e.g. '1 month contract,' on a line below the figures. Salaries/Labor Standard Calculation Job Description I Cost/Day 1# of Days I ITotal District Program Mgr. $290.00 10.00 $2,900.00 Range Technician(s) $150.00 10.00 $1,500.00 Forest Program Mgr. $395.00 1.00 $395.00 $0.00 $0.00 I Non -Standard Calculation I site survey/NEPA/Project Total Salaries/Labor Travel Standard Calculation Travel Expense Em Cost/Trip 1# of Trips otal $0.00 $3,000.00 $7,795.00 Gov. Vehicle 2.00 $27.50 20.00 $1,100.00 $0.00 Non -Standard Calculation Total Travel I 1 $1,100.00 Equipr Standard Calculation Piece of Equipment # of Units (Cost/Dav (Miles Total $0.00 $0.00 $0.00 $0.00 Non -Standard Calculation spray equipment/trailer 1.00 $100.00 22.50 $2,250.00 C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA Total Equipment $2,250.00 Supplies/Materials Standard Calculation Supplies/Materials 1# of Items Cost/Item ITotal Herbicide and spray supplies 1.00 $3,000.00 $3,000.00 $0.00 Non -Standard Calculation Total Supplies/Materials $3,000.00 Printing Standard Calculation Paper Material 1# of Units Cost/Unit I ITotal Non -Standard Calculation Total Printing $0.00 Other Expenses Standard Calculation Item 1# of Units Cost/Unit I ITotal Non -Standard Calculation Total Other $0.00 Subtotal Direct Costs 1 $14,145.00 Forest Service Overhead Costs Current Overhead Rate ISubtotal Direct Costs I I ITotal 12.00% $14,145.00 $1,697.40 Total FS Overhead Costs 1 1 $1,697.40 TOTAL COST 1 $155842.40 C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA WORKSHEET FOR FS Cash to the Cooperator Cost Analysis, Column b Use this worksheet to perform the cost analysis that supports the lump sum figures provided in the matrix. NOTE: This worksheet auto populates the relevant and applicable matrix cells. Cost element sections may be deleted or lines may be hidden, if not applicable. Line items may be added or deleted as needed. The Standard Calculation sections provide a standardized formula for determining a line item's cost, e.g. cost/day x # of days=total, where the total is calculated automatically. The Non -Standard Calculation sections provide a write-in area for line items that require a calculation formula that is other than the standardized formulas, e.g. instead of salaries being calculated by cost/day x # of days, costs may be calculated simply by a contracted value that is not dependent on days worked, such as 1 employee x $1,200/contract= $1,200. Be sure to review your calculations when entering in a Non -Standard Calculation, and provide a brief explanation of units used to make calculation, e.g. '1 month contract,' on a line below the figures. Salaries/Labor ndard Calculation Job Description I Cost/Day 1# of Days I ITotal County Crews $800.00 3.75 $3,000.00 $0.00 $0.00 $0.00 $0.00 I Non -Standard Calculation I Total Salaries/Labor 1 1 $3,000.00 Travel Standard Calculation Travel Expense lEmployees Cost/Trip 1# of Trips I ITotal Non -Standard Calculation Total Travel 1 Equipment $0.00 Standard Calculation Piece of Equipment 1# of Units I Cost/Day 1# of Days I ITotal Non -Standard Calculation Total Equipment Supplies/Materials $0.00 Standard Calculation Supplies/Materials 1 1# of Items Cost/ltem ITotal Non -Standard Calculation Total Supplies/Materials Printing $0.00 Standard Calculation Paper Material 1# of Units Cost/Unit I ITotal Non -Standard Calculation Total Printing Other Expenses $0.00 C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA Standard Calculation Item 1# of Units Cost/Unit I ITotal Non -Standard Calculation Total Other Subtotal Direct Costs 1 $3,000.00 Cooperator Indirect Costs Current Overhead Rate ISubtotal Direct Costs I I ITotal $3,000.00 $0.00 Total Coop. Indirect Costs 1 $0.00 TOTAL COST 1 $3,000.00 C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA WORKSHEET FOR Cooperator Non -Cash Contribution Cost Analysis, Column(c)] Use this worksheet to perform the cost analysis that supports the lump sum figures provided in the matrix. NOTE: This worksheet auto populates the relevant and applicable matrix cells. Cost element sections may be deleted or lines may be hidden, if not applicable. Line items may be added or deleted as needed. The Standard Calculation sections provide a standardized formula for determining a line item's cost, e.g. cost/day x # of days=total, where the total is calculated automatically. The Non - Standard Calculation sections provide a write-in area for line items that require a calculation formula that is other than the standardized formulas, e.g. instead of salaries being calculated by cost/day x # of days, costs may be calculated simply by a contracted value that is not dependent on days worked, such as 1 employee x $1,200/contract= $1,200. Be sure to review your calculations when entering in a Non -Standard Calculation, and provide a brief explanation of units used to make calculation, e.g. '1 month contract,' on a line below the figures. Salaries/Labor Standard Calculation Job Description I JCost/Day J# of Days I ITotal Project planning $290.00 5.00 $1,450.00 Project monitoring $290.00 2.00 $580.00 Project implementation $290.00 10.00 $2,900.00 $0.00 Non -Standard Calculation County salaries $3,500.00 Total Salaries/Labor $8,430.00 Travel Standard Calculation Travel Expense IEmDlovees Cost/Trip 1# of Trips I ITotal vehicle expense 4.00 $27.50 25.00 $2,750.00 $0.00 $0.00 $0.00 $0.00 Non -Standard Calculation Total Travel 1 1 $2,750.00 Equipment alculation JPiece of Equipment J# of Units JCost/mile J# of miles I ITotal Equipment and Trailer 26 $10.00 25 $6,500.00 $0.00 $0.00 $0.00 $0.00 Non -Standard Calculation spray equipment/trailer $3,000.00 C21-282 DocuSign Envelope ID: 201 B8047-BA63-481 D-A627-01232268E7CA Total Equipment 1 1 $9,500.00 Supplies/Materials IStandard Calculation I (Supplies/Materials 1 1# of Items ICost/Item ITotal Herbicide and spray supplies 1.00 $3,000.00 $3,000.00 $0.00 $0.00 $0.00 Non -Standard Calculation Total Supplies/Materials 1 1 $3,000.00 Printing Standard Calculation Paper Material 1# of Units Cost/Unit I ITotal Non -Standard Calculation Total Printing $0.00 Other Expenses Standard Calculation Item 1# of Units Cost/Unit I ITotal Non -Standard Calculation Total Other 1 $0.00 Subtotal Direct Costs 1 $23,680.00 7 Cooperator Indirect Costs Current Overhead Rate ISubtotal Direct Costs I I ITotal 0.00% $23,680.00 $0.00 Total Coop. 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