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HomeMy WebLinkAboutC24-317 USFS_grant 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-
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, Colorado
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 10
1.U.S. FOREST SERVICE GRANT/AGREEMENT
NUMBER:
23-RO-11021500-054
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
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:
CHANGE IN FUNDING: Obligates additional U.S. Forest Service funds in the amount of $45,000.00.
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):
The purpose of the Modification No. 1 is to add additional U.S. Forest Service funding as outlined in the attached Operating Plan
and Financial Plan.
10. ATTACHED DOCUMENTATION (Check all that apply):
Revised Scope of Work
Revised Financial Plan
Other:
ALEX SPECHT Digitally signed by ALEX SPECHT
Date: 2024.07.11 09:02:24 -06'00'
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
7/26/20247/26/2024
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 ap plicable, 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.
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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: 1F977624-A835-4FF3-A451-5BF085EBF3EE
USDA Forest Service OMB 0596-0217
FS-1500-19
FS Agreement No. 23-RO-11021500-054
EXHIBIT A
OPERATING PLAN (#2024-1)
I. GENERAL PROJECT DESCRIPTION:
The U.S. Forest Service and Eagle County have determined that there is a need to prepare the roadbed and place dust
abatement materials (Magnesium Chloride) on high-use Schedule A Roads, excluding locations that are within 25 feet of
water and stream crossings.
Prior to dust abatement application, coordination will occur between the County’s point of contact (or authorized
representative) and the White River National Forest’s point of contact(s) (or authorized representative).
Dust abatement will include but is not limited to the following activities:
• Approximately 58,432 gallons of magnesium chloride will be applied to the following roads with emphasis on initiating
and endeavor to complete the work in 2024:
o 10.41 miles of reapplication Homestake, 703.1 (MP 0.00-10.41)
o 6.10 miles of reapplication Red Sandstone – Muddy Pass, 700.1 (MP 0.00-6.10; Muddy Side)
o 4.24 miles of reapplication Coffee Pot, 600.1 (MP 1.70-5.94)
• On agreed to and identified Schedule A roads identified under the Cooperative Forest Road Agreement (see 23-RO-
11021500-006 Exhibit A – for locations) are incorporated within the scope of this Project Road Agreement.
II. PROJECT LOCATIONS:
• Homestake, NFSR 703.1 (MP 0.00-10.41)
• Red Sandstone – Muddy Pass, 700.1 (MP 0.00-6.10; Muddy Pass Side)
• Coffee Pot, 600.1 (MP 1.70-5.94)
• Schedule A roads identified under the Cooperative Forest Road Agreement (see 23-RO-11021500-006 Exhibit A
– for locations).
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
USDA Forest Service OMB 0596-0217
FS-1500-19
III. PROJECT SPECIFICS:
A. THE U.S. FOREST SERVICE SHALL:
• Reimburse the County for project costs incorporated in the attached Financial Plan.
• Coordinate application timing with U.S. Forest Service prior to commencement of project work.
• Provide a technical and administrative contact for the project.
• Partial payments may be made upon submission of an invoice from the County, or after complete execution of this
road project agreement.
B. THE COOPERATOR (EAGLE COUNTY) SHALL:
• Agree to perform work as described on the following road segments:
o Homestake, NFSR 703.1 (MP 0.00-10.41)
o Red Sandstone – Muddy Pass, 700.1 (MP 0.00-6.10; Muddy Pass Side)
o Coffee Pot, 600.1 (MP 1.70-5.94)
• Provide all necessary materials, labor and equipment to perform the work – as outlined in this Operating Plan and
Financial Plan.
• Be responsible for providing and implementing all necessary erosion control materials and safety precautions,
including traffic control.
• Be responsible for ensuring all personnel on site follow all applicable Federal, State and local safety, fire and
environmental regulations.
• Notify U.S. Forest Service White River Project Manager of completion of field work. Following this, Cooperator (or a
representative) shall be available to participate in a final inspection by USFS White River engineering staff.
• Perform work in a manner to preserve and protect roads and appurtenances, and prevent erosion damage to roads,
streams, and other Forest values.
SPECIFICATIONS FOR TRAFFIC CONTROL and CONTROL OF NOXIOUS WEEDS
TRAFFIC CONTROL
This work consists of controlling and protecting public traffic adjacent to and within the project. Perform work in a manner that
ensures the safety and convenience of the public and protects improvements and facilities adjacent to the site. Accommodate
public traffic on roads adjacent to and within the project until the project is accepted by the U.S. Forest Service.
A. Maintaining roadways during work:
a. Maintain a dust-free traveled way such that visibility and air quality are not affected. This work shall be considered
incidental to the project.
b. Maintain the roadways in a safe and acceptable condition, during work and during periods when work is not in
progress.
B. Limitations on Construction Operations:
a. Operate equipment in the direction of Traffic, where applicable.
b. Any staging areas shall be as designated by the U.S. Forest Service Roads Manager.
C. Accommodating Traffic During Work:
a. Traffic control plan shall conform to the current edition of the Manual on Uniform Traffic Control Devises (MUTCD).
b. Closures up to 2 hours are allowed.
c. Coordination with the White River NF Project Manager will be required.
D. Temporary Traffic Control:
This work consists of furnishing, maintaining, relocating and moving temporary traffic control devices for the control and
protection of traffic through the project.
a. All traffic control devices shall conform to the current edition of the MUTCD.
b. All devices and signs shall be type III, VII, VIII retro-reflecting sheeting.
c. Flaggers, if required, shall be certified by American Traffic Safety Services Association (ATTSA), National Safety
Council (NSC), a state agency, or other acceptable organization. Use type III, VII or VIII retroreflective sheeting on
flagger panels. Do not use flags.
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
USDA Forest Service OMB 0596-0217
FS-1500-19
E. Traffic and Safety Supervisor:
Provide a traffic and safety supervisor who is certified by a state highway agency or other acceptable certification
program. Furnish the supervisor’s name, address, and 24-hour telephone number prior to the start of the work. At all
times, during the project, including periods of suspension and shutdown, perform all of the following:
a. Implement traffic control plan.
b. Ensure the condition and placement of traffic control devices in use.
c. Immediately correct deficiencies.
NOXIOUS WEEDS
For work on National Forest System lands, use a washing system that traps all wash water and either stores it for removal
from National Forest System lands or recycles the water for continued use. If the equipment recycles the water, provide
adequate filters for seed removal. Dispose of the filter material and removed seeds in an approved manner. Do not mix
soaps, detergents, or other chemicals with the wash water.
Washing. Wash the sides, tips, and undercarriages of all construction equipment. Remove all seeds, plant, plant fragments,
dirt, and debris from the construction equipment.
Inspection. Inspect the washed construction equipment, including the undercarriage, to ensure that the washing removed the
dirt, debris, and seeds from the construction equipment. Rewash the construction equipment as necessary or as directed.
TERM OF OPERATING PLAN: The project work will be completed during the period starting date of final signature on the
Agreement and ending on the expiration date of the agreement.
FINANCIAL PLAN: Attached is a Financial Plan identified as Exhibit B for Agreement No.23-RO-11021500-054 Mod.001 and
this Operating Plan (#2024-1) for the project work shown above.
MANDATORY PROVISIONS:
PAYMENT/REIMBURSEMENT. The U.S. Forest Service shall reimburse the County for the U.S. Forest Service’s share of
actual expenses incurred, not to exceed $45,000.00, as shown in the Financial Plan. The U.S. Forest Service shall make
payment upon receipt of County’s annual invoice. Each invoice from County must display the total project costs for the billing
period.
Each invoice must include, at a minimum:
1) County’s name, address, and telephone number
2) U.S. Forest Service agreement number
3) Invoice date
4) Performance dates of the work completed (start and end)
5) Total invoice amount for the billing period
The invoice must be forwarded to: SM.FS.asc_ga@usda.gov
U.S. Forest Service
Albuquerque Service Center
Payments – Grants & Agreements
4000 Masthead St. NE
Albuquerque, NM 87109
FAX: 877-687-4894
Send a copy to: Dan Woolley at Daniel.Woolley@usda.gov
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
U.S. Forest Service OMB 0596-0217
FS-1500-17B
Attachment:Exhibit B
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 $848.84 $0.00 $0.00 $0.00 $848.84
Travel $20.00 $0.00 $0.00 $0.00 $20.00
Equipment $0.00 $0.00 $25,280.00 $0.00 $25,280.00
Supplies/Materials $0.00 $0.00 $954.50 $0.00 $954.50
Printing $0.00 $0.00 $0.00 $0.00 $0.00
Dust Abatement Projects $0.00 $45,000.00 $0.00 $0.00 $45,000.00
Other $0.00 $0.00 $0.00 $0.00 $0.00
Subtotal $868.84 $45,000.00 $26,234.50 $0.00 $72,103.34
Coop Indirect Costs $0.00 $0.00 $0.00
FS Overhead Costs $139.01 $139.01
Total $1,007.85 $45,000.00 $26,234.50 $0.00
$72,242.35
(a+b) ÷ (e) = (f)
Total Cooperator Share
(c+d) ÷ (e) = (g)
Total (f+g) = (h)
Total Project Value:
(e)
Total
36.31%
Agreements Financial Plan (Short Form)
23-RO-11021500-054
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)
63.69%
Page 1
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
Standard Calculation
Job Description Cost/Day # of Days Total
Engineer $424.42 2.00 $848.84
$0.00
$0.00
Non-Standard Calculation
Total Salaries/Labor $848.84
Standard Calculation
Travel Expense Employees Cost/Trip # of Trips Total
GOV to and from Jobsites 1 $20.00 1.00 $20.00
$0.00
$0.00
Non-Standard Calculation
Total Travel $20.00
Current Overhead Rate Total
16.00%$139.01
Total FS Overhead Costs $139.01
$868.84
Subtotal Direct Costs
Forest Service Overhead Costs
FS Non-Cash Contribution Cost Analysis, Column (a)
TOTAL COST $1,007.85
Subtotal Direct Costs
Travel
Salaries/Labor
$868.84
WORKSHEET FOR
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
determing 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 formules, 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.
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
Item # of Units Cost/Unit Total
$0.00
$0.00
Dust Abatement Projects - See attached Cost Breakout 45,000.00
Total Other 45,000.00
Current Overhead Rate Total
0.00%$0.00
$0.00
TOTAL COST $45,000.00
$45,000
Total Coop. Indirect Costs
Other Expenses
Subtotal Direct Costs
Cooperator Indirect Costs
Subtotal Direct Costs
$45,000.00
Non-Standard Calculation
WORKSHEET FOR
Standard Calculation
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
determing 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 formules, 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.
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
5280*16/9=9,387 Sq. Yd.
9387*.3=2,816 Gallons of Water/Mile
From Eagle, CO = $1.64/100 Gallons
4107/100*1.64=$46 Water Cost Per Mile
4800 gallons/truck 0.6 Loads / mile
1 hrs RT 1.0 Hours
$110/Hr $110 Water Haul Cost Per Mile
$156 TOTAL WATER COST PER MILE
Cost of Dust abatement $0.77/gallon (per Eagle Cost Estimate)
Application Rate - 0.3 gallons per Sq. Yd.
5280*16/9=9,387 Sq. Yd.
0.3 gallons per SY app.2,816
Gallons Mag/Mile with .3/SY Application
Rate
0.6 gallons per SY app.5,632
Gallons Mag/Mile with .6/SY Application
Rate
$0.77/gallon*2816 $2,168 Estimated Cost of Mag Chloride Per Mile
$0.77/gallon*5632 $4,337 Estimated Cost of Mag Chloride Per Mile
10.41 $22,572 10.41 miles of reapplication Homestake,
703.1 (MP 0.00-10.41)
6.1 $13,227 6.10 miles of reapplication Red Sandstone -
Muddy, 700.1 (MP 0.00-6.10; Muddy Side)
4.24 $9,194 4.24 miles of reapplication Coffee Pot,
600.1 (MP 1.70-5.94)
TOTAL MILES = 20.75 58,432
$0 Cost of Water - Purchase/Haul
$0
Estimated Cost of Travel Way Preparation
Including Compaction Per Mile. Work will
be included in general Schedule A
maintenance
$0 Total Estimated Cost of Travel Way Prep Per
Mile
No Charge $0 Total Estimated Cost of Travel Way Prep
Per Mile
TOTAL DUST ABATEMENT COST FOR HOMESTAKE, COFFEE POT,
AND MUDDY-RED SANDSTONE ROADS SINGLE LANE =$44,993
Estimated Cost Of Dust Abatement per Mile Single Lane
Cost of Water Application of Water
Application Rate = 0.3 gallons per Sq. Yd.
Estimate Average width = 16 lf
Cost to Purchase
No Charge
Cost to Haul
Estimate 1 Hrs Round Trip
Estimate $110/Hr for trucking: Coffepot Road & Muddy-Red Sandstone Road w/ Eagle Co
Application of Dust Abatement = 0.3 Gallon/SY for reapplication;
Estimate Average width = 16 lf
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE
Piece of Equipment # of Units Cost/Hr # of Hours Total
Grader w/ Operator 1.00 $108.00 80.00 $8,640.00
Roller w/ Operator 1.00 $98.00 80.00 $7,840.00
Water Truck w/ Operator 1.00 $110.00 80.00 $8,800.00
$0.00
Total Equipment $25,280.00
Supplies/Materials # of Items Cost/Item Total
Water/ Mile 20.75 $46.00 $954.50
$0.00
Total Supplies/Materials $954.50
Current Overhead Rate Total
$0.00
$0.00
TOTAL COST $26,234.50
$26,234.50
Total Coop. Indirect Costs
Subtotal Direct Costs
Cooperator Indirect Costs
Subtotal Direct Costs
$26,234.50
WORKSHEET FOR
Non-Standard Calculation
Non-Standard Calculation
Cooperator Non-Cash Contribution Cost Analysis, Column (c)
Equipment
Supplies/Materials
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 determing 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 formules, 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.
Standard Calculation
Standard Calculation
Docusign Envelope ID: 1F977624-A835-4FF3-A451-5BF085EBF3EE