HomeMy WebLinkAboutC24-079 USFS_grant modificationUSDA 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 GRANT/AGREEMENT.
11.A. 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): HEATHER NOEL
11.G. TITLE (type or print):County Manager,
Eagle County
11.H. TITLE (type or print): Acting 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:
______________________________________
ALEX SPECHT
U.S. Forest Service, Grants & Agreements Specialist
12.B. DATE
SIGNED
MODIFICATION OF GRANT OR AGREEMENT PAGE OF PAGES
1
1. U.S. FOREST SERVICE GRANT/AGREEMENT
NUMBER:
21-CO-11021500-006
2. RECIPIENT/COOPERATOR GRANT or
AGREEMENT NUMBER, IF ANY:
3. MODIFICATION NUMBER:
4
4. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING
GRANT/AGREEMENT (unit name, street, city, state, and zip + 4):
White River National Forest
900 Grand Ave, Glenwood Springs, CO 81601
5. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING
PROJECT/ACTIVITY (unit name, street, city, state, and zip + 4):
White River National Forest
900 Grand Ave, Glenwood Springs, CO 81601
6. NAME/ADDRESS OF RECIPIENT/COOPERATOR (street, city, state, and zip
+4, county):
County of Eagle
500 Broadway
Eagle, Colorado 81631-5178
7. RECIPIENT/COOPERATOR’S HHS SUB ACCOUNT NUMBER (For HHS
payment use only):
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: Extends the Collection Agreement’s Expiration Date to 12/31/2025.
CHANGE IN FUNDING: Collects additional funds in the amount of $160,000.00.
ADMINISTRATIVE CHANGES:
OTHER (Specify type of modification):
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. 4 incorporates additional County funds to the Collection Agreement and extends the expiration date of the agreement.
10. ATTACHED DOCUMENTATION (Check all that apply):
Exhibit A –Operating Plan
Exhibit A –Financial Plan
Other:
ALEX SPECHT Digitally signed by ALEX SPECHT
Date: 2024.01.25 10:53:45 -07'00'
DocuSign Envelope ID: A36DF3DC-DE11-482A-95AF-F172EB878DB8
2/7/20242/7/2024
USDA Forest Service OMB 0596-0217
FS-1500-19
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: A36DF3DC-DE11-482A-95AF-F172EB878DB8
USDA Forest Service OMB 0596-0217
FS-1500-19
FS Agreement No. 21-CO-11021500-006
Modification No. 4
Exhibit A: Plan of Work - Front Country Ranger Crew
This modification adds additional cooperator funds in the amount of $160,000.00 for a Front Country Ranger Crew
to provide natural resource management, forest protection, and improvement work on National Forest System lands
in Eagle County, Colorado, managed by the U.S. Forest Service.
The U.S. Forest Service shall be the ultimate decision maker with regards to all aspects of planning, management,
and implementation of work to be performed by the Front Country Ranger Crew. The U.S. Forest Service will
inspect completed work and provide a summary of and warnings issued, number of bags of litter removed, number
of abandoned campfires and locations, and a list of abandoned property removed etc. to Eagle County.
Front Country Ranger Crew (FCRC): Collected funds will be used to hire U.S. Forest Service Front Country
Ranger Crew. From April through October, FCRC will focus their time, resources, and energy emphasizing visitor
contacts, dispersed campsite monitoring, high-use trailhead monitoring, developed site operation/maintenance,
natural resource projects at high recreation areas, and fire prevention messaging on the White River National Forest
within Eagle County, Colorado. During periods of Stage 1 and Stage II fire restrictions, FCRC will provide patrols
as funding allows. As staffing and funding allows, a smaller crew of 1-2 people will continue work into the winter
months completing similar work as described above.
Specialized FCRC Training: Funds will be used to provide identified FCRC with Forest Protection Officer (FPO)
40-hour and Verbal Judo trainings for the seasonal employees. FCRC will make visitor contacts which emphasize
education about Forest Service and County regulations related to natural resource protection and fire prevention.
FCRC will utilize enforcement, education, and engineering techniques compliance. Identified FCRC will attend
basic firefighter training to allow them to take immediate action on escaped campfires. FCRC will perform fire
prevention activities that will include signing, visitor contacts, patrols during Stage 1 and Stage 2, and periodic
checks of dispersed user created rock fire pits along forest system roads.
Trails, Toilets, and Recreation Area Clean-up: Funds will also be used to clean and remove human waste from
sanitation facilities, pick-up and dispose of trash and abandon property, improve trails and recreation infrastructure,
and other related costs in support of the objectives of the agreement.
U. S. Forest Service shall: ADVANCE BILLING. The maximum total cost liability to the Cooperator for this
agreement Modification is $160,000.00. The U.S. Forest Service shall bill the Cooperator prior to commencement
of work for deposits sufficient to cover the estimated costs for the specific payment period. Overhead will not be
assessed.
Billing Method: A single lump sum advance bill.
Billing must be sent to:
Eagle County
Attn: Jeff Shroll
PO Box 850
Eagle, CO 81631
Jeff.shroll@eaglecounty.us
DocuSign Envelope ID: A36DF3DC-DE11-482A-95AF-F172EB878DB8
U.S. Forest Service OMB 0596-0217
FS-1500-18
Forest Service Agreement #
Subtotal Subtotal
Combined
Subtotals
# of Days $/Day
120.00 $ 175.00 $21,000.00
$21,000.00
120.00 $ 175.00 $21,000.00
$21,000.00
120.00 $ 165.00 $19,800.00
$19,800.00
120.00 $ 165.00 $19,800.00
$19,800.00
120.00 $ 165.00 $19,800.00
$19,800.00
120.00 $ 165.00 $19,800.00
$19,800.00
120.00 $ 165.00 $19,800.00
$19,800.00
55.00 $ 200.00
$11,000.00 $11,000.00
70.00 $ 200.00
$14,000.00 $14,000.00
70.00 $ 200.00
$14,000.00 $14,000.00
20.00 $ 250.00
$5,000.00 $5,000.00
10.00 $ 400.00
$4,000.00 $4,000.00
840.00 $141,000.00 $48,000.00 $189,000.00
Vehicle
Mileage
Cost or
Airfare
Cost
# of Trips
PerDiem
and
Lodging
4 $500.00 $2,000.00 $2,000.00
$0.00 4 $500.00 $2,000.00 $0.00 $2,000.00
Unit Cost Quantity
$3,000 2 $6,000.00 $6,000.00
$3,000 3 $9,000.00 $9,000.00
$6,000.00 5 $6,000.00 $9,000.00 $15,000.00
Unit Cost Quantity
$1,000 2 $2,000.00 $2,000.00
$500 2 $1,000.00 $1,000.00
$3,200 1 $3,000.00 $3,200.00
$15,000.00 $15,000.00
$4,700.00 5 $6,000.00 $15,000.00 $21,200.00
$15,000.00 $15,000.00
$0.00 $15,000.00 $15,000.00
$5,000.00 $5,000.00
$5,000.00 $0.00 $5,000.00
$160,000.00 $87,000.00 $247,000.00
Insert Rate
Here:0.0%$0.00 $0.00
$160,000.00 $87,000.00 $247,000.00
FS provided materials/supplies/tools/disposal/ect.
FS GS9 FS Prog Mgr Support
FS GS-11 FS Prog Mgr Support
CONTRACTUAL
Cleaning Supplies
Subtotal, Supplies:
Fence Supplies
Signs, hardware, misc supplies
Forest Protention Officer (FPO) Training
Name and Type of Supplies:
Subtotal, Travel:
Subtotal, Equipment:
FS vehicles
Name and Type of Equipment:
FS holdover fleet
21-CO-11021500-006 Cooperator Agreement #
Exhibit B: Collection Agreement Financial Plan (Modification No. 4)
Cooperator and FS Contributions
Resource Specialists (List all personnel):
FS GS-6 Crew Lead (1)
PERSONNEL
EQUIPMENT
SUPPLIES
FS GS-5 Crew Member
OTHER
Describe Other Costs of the Project:
Lump Sum, Holiday work, Boots, etc.
OVERHEAD ASSESSMENT
(if applicable, see FSH 1909.13)
TOTAL DIRECT CHARGES
Subtotal, Other:
Cooperator
Contribution
FS Non-Cash
Contribution
Line Item Cost Subtotals
COST ELEMENTS and related data
TRAVEL
Subtotal, Personnel:
Explanation of trips:
From Where/To Where/For Whom
FS GS-5 Crew Member
Describe Contracts that will most likely result from this project:
Subtotal, Contractual:
FS BPA toilet pumping
Total Party Costs
FS GS-6 Crew Lead (2)
FS GS-5 Crew Member
RMYC Intern (1)
RMYC Intern (2)
RMYC Intern (3)
FS GS-5 Crew Member
FS GS-5 Crew Member
DocuSign Envelope ID: A36DF3DC-DE11-482A-95AF-F172EB878DB8
U.S. Forest Service OMB 0596-0217
FS-1500-18
Insert Rate
Here:0.0%
$247,000.00
$0.00
COST ELEMENTS SUBJECT TO NATIONAL PASS-
THROUGH RATES
TOTAL CHARGES
OVERHEAD ASSESSMENT
(if applicable, see FSH 1909.13)
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 45 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.
TOTAL PROJECT COSTS
Total Pass-Through Costs
$0.00
$0.00
Cooperator Contribution
DocuSign Envelope ID: A36DF3DC-DE11-482A-95AF-F172EB878DB8
