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HomeMy WebLinkAboutCounty of Mendocino 2009-05-12 - superceded by BOS 10-152This Memorandum of Understanding (MOU) is entered into on the -ria, day of P, v , 2009 ("Effective Date"), by and between the County of Mend. cino (hereinafter referred to as "the County") and the City of Ukiah (hereinafter referred to as "the City"), superseding BOS Agreement No. 07-202: Whereas, on June 26, 1973, the City and the County entered into a `Cost Sharing Agreement Based on Use' ("Use Agreement", see attached Exhibit A) for property (APN 001-020-09) adjoining the County Regional Park on Low Gap Road, said property being more particularly depicted and described in. the attached "Exhibit B" and "Exhibit C'; and Whereas, the area subject to the Use Agreement ("the Parking Area") is a portion of APN 001-020-09; and Whereas, the terms of the Use Agreement granted the County. of Mendocino the use of "the Parking Area" for .a parking facility for said park, in return for a contribution toward the purchase price of APN 001-020-09, not to exceed $12,500; and Whereas, after the City's purchase of APN 001-020-09, the County developed a portion of APN 001-020-09 ("the Park Use Area"), for a parking facility, picnic tables, playground, tennis courts, volleyball courts, and a Rotary Club memorial grove; and Whereas, since 1973, the County has continually developed, improved, installed, operated and maintained the "Park Use Area", which is more particularly described in the attached "Exhibit D", as a portion of the County Regional Park on Low Gap Road; and Whereas, the City will be constructing a Skate Park and restrooms located within the "Park Use Area", which is more particularly described in the attached "Exhibit E"; and Whereas, the City and the County mutually agree to support one another's applications for future grant funding for Low Gap Park; and Whereas, it is appropriate that the latest changes in the relationship between the City and the County be memorialized with respect to the operation and maintenance of the "Park Use Area". Now, therefore, the following are the terms and conditions of this MOU: 1. The County will continue, at its own expense, to operate, manage, provide oversight of, and maintain the Park Use Area for the uses currently conducted on that property as part of the County Regional Park on Low Gap Road. The County will continue to maintain the playground equipment as required by Proposition 12. The County shall maintain the current facilities within the newly described "Park Use Area" (Exhibit E —in a condition that allows for public use of the facilities for their intended purposes and shall not permit or maintain a dangerous condition of public property thereon. 2. In the event that the County does not operate, manage, provide oversight of, and maintain the facilities in the "Park Use Area" and within the County Regional Park on Low Gap Road in the condition as required by Section 1 of this Agreement, the City shall have the right to provide written notice to the County of any conditions that violate the requirements of this Section 2. Within 15 days of its receipt of the notice, the County must provide the City with a written response, setting forth remedies which are acceptable to the City. The current conditions of the facilities of the Park Use Area are depicted on the attached "Exhibit F. Nothing in this Agreement shall be construed to require the County to assign an employee to supervise the Park Use Area at all times that it is being used by the public. The County in its discretion shall determine how often and by what means it supervises the use of the Park Use Area. 3. In the event that the City does not provide adequate supervision and oversight of the Skate Park, so as to minimize any negative impacts on the County leased portion of the City's property (Park Use Area), the County shall have the right to provide written notice to the City of any conditions that violate the requirements of this Section 3. Within 15 days of its receipt of the notice, the City must provide the County with a written response, setting forth remedies which are acceptable to the County. Nothing in this Agreement shall be construed to require the City to assign an employee to supervise the Skate Park at all times that it is being used by the public. The City in its discretion shall determine how often and by what means it supervises the use of the Skate Park. 4. The "Park Use Area" shall no longer include the City owned property wherein the City plans to build the Skate Park, as depicted in Exhibit E, and the County is released from maintaining the Skate Park. 5. The City shall provide restroom facilities on the City's property near the location of the Skate Park and shall maintain said restroom facilities, which shall be available for the use by users of the Skate Park and the Park Use Area. If the restrooms are damaged at any time by minor vandalism (an amount not to exceed $2,000), the City and the County shall share equally the cost to repair such damage. If the restrooms are damaged at any time by major vandalism (an amount over $2,000) the City shall be solely responsible for the costs associated with the repairs. If at any time prior to December 31, 2012, the State of California releases the County's Proposition 40 per capita funding, the County shall contribute, not to exceed, $50,000 of said funds to pay or reimburse the cost of construction of the restrooms. Said $50,000 from the County is contingent upon approval by the State for said project. 6. The City shall provide parking lot enhancements to include combining into a single parking lot the two existing parking lots and paving the lots in accordance with standards mutually agreeable to the parties. Once the lots have been improved, as provided herein, the parties shall share equally the costs to maintain the parking lot infrastructure. Routine daily maintenance.of the parking lot shall be the responsibility of the City. 7. City and County will comply with all federal, state, and local laws and ordinances as may be applicable to the carrying out this MOU. 8. The Term of the MOU shall commence on t �, , 2009 shall continue until i -a\ , 2029. This MOU may be extended on its same terms and conditions, for a period not to exceed twenty (20) years, upon written agreement between the County and City. 9. The County shall indemnify, defend and hold harmless the City, its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses, including the fees of attorneys, investigators, experts, expert witnesses and consultants, arising out of the County's performance under this Memorandum of Understanding, and the performance thereunder of its contractors, subcontractors, officers, agents and employees or anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, except where the claim, damage, loss or expense is caused by active, sole negligence, or willful misconduct of the City. County shall name City as an additional insured under its insurance coverage, whether by an insurance company or a joint powers agency. County shall furnish City with a policy endorsement or other satisfactory evidence that such coverage is in effect and that City is named as an additional insured. 10. The City shall indemnify, defend and hold harmless the County, its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses, including the fees of attorneys, investigators, experts, expert witnesses and consultants, arising out of the City's performance under this Memorandum of Understanding, and the performance thereunder of its contractors, subcontractors, officers, agents and employees or anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, except where the claim, damage, loss or expense is caused by active, sole negligence, or willful misconduct of the County. City shall name County as an additional insured under its insurance coverage, whether by an insurance company or a joint powers agency. City shall furnish County with a policy endorsement or other satisfactory evidence that such coverage is in effect and that County is named as an additional insured. 11. County and City each bind themselves, their partners, successors, executors, and administrators and assigns to the .other party to this MOU, and to the partners, successors, executors, administrators and assigns of such other party in respect to all covenants of this Agreement; and 12. Except as above, neither County nor City shall assign, sublet, or transfer this interest in this MOU without the written consent of the other. 13. This MOU may be terminated by either party with a 60 day written notification to the other party. This MOU may be amended by written consent of both parties. Either party shall have the right to terminate the MOU upon the failure of the other party to adhere to the conditions of the MOU. Notice of intent to terminate shall be in writing, and shall provide that the party not in compliance shall have the right to come into compliance within 60 days of receiving such written notification. 14. If any section, subsection, subdivision, paragraph, sentence, clause, or phrase of this MOU or any part thereof is, for any reason, held to illegal, such decision shall not affect the validity of the remaining portions of this Agreement or any part thereof. 15. No waiver, alteration, or modification of any of the provisions of this MOU shall be binding unless in writing and signed by a duly authorized representative of both parties to this Agreement. 16. Whenever notice is permitted or required under the terms of this Agreement, it shall be deemed given when received, if delivered personally, by fax or by overnight courier, and 48 hours after deposit in the United States Mail with proper first class postage affixed thereto. Notices shall be sent to the following address or fax number, unless notice of an address change is given as provided herein. CITY OF 'UKIAH C/O City Manager Ukiah Civic Center 300 Seminary Ave. Ukiah, CA. 95482 Fax: 463-6204 COUNTY OF MENDOCINO C/O Parks Division 841 Low Gap Road Ukiah, CA. 95482 Fax: 463-4673 IN WITNESS WHEREOF, the parties hereto have executed these presents in duplicate original the day and year first above written. N fil Loyd w I►IN M -As ATTEc-T. City Clerk I hereby cartithat awording to the, provisions 0i %, mramment C6de Section C) 3, do -livery of this document has beer: M&dP,. KRISTI FURMAN C1 it 04, the Board 7 DEPUTY COUNTY OF MENDOCINO Chair, Board of Suppfvisors Date ATTEST: KrM Fuman, Ckk Of ft Boad Lag "gi I Q's . ...... [10114111 KRISTIN McMENOMEY, Director General Services Agency By 4MQL� RISK MANAGER 2 COST SHARING AGREEMENT B.A.SED 014 USE I . WHEREAS, the City of Ukiah has negotiated the. . purchAse of 4 a Parcel of property Adydining the propOsOd County Regional Park 5 on Laic Gap. Road,. and IMEREAS, the County of Mendocino hat indicated, that 'i return fo'r the use of a portion of the property for a par -king ftcilitY for said park, t - he County of Mendocino would contribute ,19.]l '6ne 1M.11 of the la.tW puircilce p•ra ce, s Cie figure not to exceed $1:2;500.00.. 12 WITH. S S B T 14 That the PA.Vtips hereto agree to the following assurances. I. That the County of ciAjpndq' will no, State of Califor#i# 3.6 Contribute one half of thb landpurchase price, said17 , fig-u,r'e not to exceed $12,500.0.0. Said contribution to be -made within .50 days from the closing of escrow. 1 2. That the City Of Ukiah, State of California, Will allow 20 said county tciutilize a portion of the purchased 2.1 Property for the p4Xking of vehicles of those persons utilizing the proposed Low Gap Regional Park.. said P'Orti'Oft utilized will be located in the sourthwest 94 portion of the pattel to be purchased'. Said utilization 25 will be provided Until the year ..202's. 26 3. If the purchased, -property O the it not available to C:Uu 1. P I— — ty for Park park– 0 -PT3 ;ng PVrp` SOS or to 2.02.5, th4d City agtees 28 to reimburse the County's funding participation 4p to 29 $12,500.00 to the CelAnty. 30 IN WIMSS WHI' REOF, this ag:rOement has been executed by 31 Gouitty this JAY of 1973, and by City thit 32 Y of County of MeAdocinp - City of Ukiah, State of State bf Califor-nia' California, a Municipal e7 kiendociho -County 7 ATTE Attest IVIDLA N.. RZOAAADSON Ct)Unty laer% ano till 10 � of a Board of 9'- i isor4 17. 7.2 14 36 16 17 18 19 20 21 23 24 Ib r�j 27 Re 29 30 32 i F 9 EXHIBIT 8 The City of Ukicth :A , w wait L a a 0 td 6 r N 0_- _6 13 A D 7— FGrantde at Above address 45:384 SPINCE Appyr TMA HNIC 11OR Apalak.000r. UsE Vrah4ry Mh t3r�,Oavulvd In full 0 Computed ad full wil lfqfku AM4, An't�1vat3ftntm _um 'IV In J�ta jhID9 ;4"p AL U. "I_I& on , Wbibuaboranto Fblk VA406 kEP410b; CUAPIXS. -SUIRMIN And HART -JE tutims., s, SOFO'RTK and S I "Ito''N G,.O,FORT ".11, his wife: anI§ ll.4V9LZS and' D. jENE RA!fLj.Sp;, his iiifvip -GRANT—jp TS3E C2T2 -bP UICWT, a 1-1ni po tion, g c4pial Alwat.mapropenysitualpin the it puulyof Reficlobinc BtGXNNX.N*r. a�e a point on the portheit-ly line of g, ypkay. t t1I 1 1 a d�.,%tan ar'ean 'touth 11, i, 3_6' 13ael, 673.11 feet from th' tqPkthwest opmeir of Said 3,6t thencig Sppth 600 29*1 11d9t, 237.,26 feet; thence south 366 BS, Fait, 409-0.9 feet; then* qe, SO.Uth 3:9-a '25' Bast, 72.34 feet; thencii4lor , th 550 261 East, feet;- thence North i2i- 211 East, 2i4..74 feet; thence jt- - buth Ua 32' -Sast, 296.11'7;feOti thence Sbuth 750 ibi East, i1bi 1 .1 ..1 . I An fodt, thence , I;ortf, Z40 304 Bust, S-04: feet to:said 11tortherly. lint 1 3 1 f Dot 8', �Jien.qjm, North 711 3.0! Wast ,3.bng said 44ortherly line 03*.5-4 tiidt to the �6 beginninig. mitir !of ,E..1(dtPTTNGtherefrom t strip -of l and 2b feet in width lying aldng and aa313rnttp a444m r146rly Unt6k LOt 8, and conti4il4nu atter maid smpptibn, 5.00 acres, more or lass. XONWIMO Uftln kif elf"11. and kitlaWthed to ms incl 0"hi#fae. oil I Ci , � -M JCfJtOEht im i4 PACE 543 MAIL TAX STATEMCF4TV 0 vjRF1;TxD, 419.0,vr BUCK EXHIBIT B Iftiridacirto nouhty PORTIFICATE 01 ACCMANd 7tiIs Is IP9011 , 61 I.hcll. lbd Interest In real prop. crfY ior!vgty4d by ilm d i or &hril ilated frPrOthax1i I. , . 141-t1ek.,$himmin et al. t- 142 City C � 'i I' I ii, " .. I , 11-i d" 1 Kti.4'. 11 r—. Ica 1-.1'Ar is ji City C ,ka I h M jr ftl le V 6 #14 . UP t6r,* "I b- 0", hill,%r cif itst t3tv, co-urta, Mly of ulcioh lowed an Fabrowy ilia grdnuri ;6nq I i I tus la recoidallon thereof by Its 4&jy -caluth By CP 411 011ISINESS — PRO This Is ib corli(V that this *WrMenl I; pras.patecl far ricOW-11(bn h- lily Iol- BOX 932 wE594 4538 m � Ukiah Players Theater, et al Legal Delsefiptioll Bding a portion of that tract of Imid, Shiminin, Goforth, and Rawles to the City of Ukiah, as recorded July 25, 1973 in Official Records of Mendocino Cbunty, Book 9312, Page 593, said portion being more particularly described as follows: All that portion of Lot 8, of the Yok-ayo Rancho, lying within the County of Mendocino, State of California:, being more particularly described as follows: Commencing at a point on the northerly line of Lot 81 of 'the Yokayo Rancho, said point 1 S 71036! E, 673.19 feet from the northwest comer of said Aid Lot 8; thence leaving said point of commencement S 60'19'00" W, 26.84 feet; thence S 71030'00" 11,168,14 Bbet to the True Point of Beginning, thence leaving the true point of beginning S 1813V0O!, W, 122.01 feet; thence _S 4318'01" E, 110.1+6 feet- thence S 47913'38" E, 71.04 feet; thence N 82927-00" EO 220.23 feet; thence M 18'30'00"E, 106.05 fppt; thence 14 !1030' W, 360.00 feet to the Point of Beg -inning, containing 1.31 Acres, snore oir less, Thlisreal property description has been prepared by me or under my direction in prep conformance formance with the Pi0fessional Land.S'urveyorg' Act. Arthur Wi Colvin LS 6112; Exp,: 3x31-08 County Surveyor M Dated Low Gap County Park Legal Dese-liption Being a portion of that tract of land, Shimn-iiii, Goforth, and Rawles, to the City of Ukiah, as recorded July 25, 1973 in Official Records of Mendocino County, Bork .9, 1,, Page 593, said portion being more particularly described as follows: All that portion of Lot 82 of the Yokayo Rancho, ly.hig within the County of Mendocino, S , tate. of California, being more particularly described as follows: Commencing at a point on the northerly line of Lot 8, of the Yokayo, Rancho, said point 1*9 S 71030' Ell 673,19 feet from the northwest corner of said Lot 8; thence leaving Said point of coromencement S 60°19'00" W, 26.84 feet to the True Point of Beginning; thence leaving said true point of beginning S 60019'00" W, 210.43 feet; thence 8 38°55'00" E, 409.89 feet; thence S 30915'00!'E 71.34 feet; thence N 35'2610,0" E,,2, 5 .2�, �31 feet thence N 47913'58" W, 71.04 feet; thence N 43°38`01" W, 110.16 feet, thence N 18030'00" E, 122.07 feeti thence N 71030'00" W, 168.14 feet to the True Point of B 2.26 Acres, more or less. This real property description has been prepared by me or under my direction in conformance with the Professional Land Surveyors" Act ,,TI4LY 5, IZOD6 Dated Nw Cor. Lot 8 Vol' Yokay-b Poncho Arthur W. Co'lvin, LS-' '61-11 EXP, Dqte: 5—$1-08 Date: �'tw-t 54spat-o EXHIBIT E scale: 1 80, THEATER PARCEL 1.312 Ac, LOW. GAP PARK COUNTY PARCEL 2,265. Ac. !jl PROJECT- Ukiah Skate Park DATE: February 25, 2009 APPLICANTS: City of Ukiah Community Services Department LOCATION: Low Gap Park — Between the existing tennis courts and the Ukiah Players Theater /PROJECT - DESCRIPTION: , Proposed development of Ukiahs first Skate Park at Low Gap Regional Park Will consist of an approximate 20,000 sq ft concrete structure, restroom facilities, park benches, trees and landscaping and improvements to an existing paved parking lot. The existing park amenities include tennis courts, playground area, barbeque areas, disc Frisbee course, and hiking trails. A future dog park is being plan6ed for the-old-ball-field-atevqwest of and abgye the—prpject-site.- The area proposed-for-thens-k-gle —parFls underutilized and has 6&9—n—us-e'd for volleyball, dog walking, and hiking In the past. The County of Mendocino is operating the existing park amenities and this development would be maintained and operated by the City of Ukiah and its Park staff. The Skate Park Is proposed to be open to the public during daylight areas and closed and locked at night. The concrete structure will be fenced with a 6' high black metal fence with an entry way from the parking lot and park. The various elements of the structure itself will consist of beginner - immediate -bowl sections., The public has been involved and provided Input With the design layout for over a year. Presently there are no restroom facilities at this park. The. project Includes the construction of a 28'X 15' restroom facility housing two lavatories and 1 sink per restroom, drinking1acets along with a janitorial closet. The location of this facility will be easily accessible to park participants and viewable from Low Gap Road. Spectator seating covered by shade sails will be Incorporated along the west side of the skate park facility. The existing trees on site will provide additional resting and shade areas for participates and spectators. Presently the total parking area for the,pa-dLis—gepArale jmg-lots. JJntoAwo-parki - The proposed projects includes merging the two lots Into one larger- Lthat-will-includ6d-a-drop-off-area-and, larger "a Incorporate landscaping planters—ft'l-wilhw Me.,. - -n de.and�bloretention�sAmtem -for-itonn water Orr Creek runs along the southern boundary of this property. The actual creek bed Is estimated to be 50' from the top of bank. At the closest point the proposed project would be situated approximately 10' from the top of the bank and 55' from the actual creek. No riparian vegetation would be disturbed as a result of the project. It has been specifically designed to avoid disturbance or removal of riparian vegetation and existing trees in this area. ENVIRONMENTAL SETTING: The project site is located In Low Gap Park, an existing public park with tennis courts, hiking trails, disc golf, and other amenities. Orrs Creek flows through the park and is located +55 feet from the Skate Park site. The setting is rural and open, with Ukiah High School located to the north, the Ukiah Players Theater located to the east, The Ukiah Golf Course located to the south, and the Low Gap Park tennis courts located to the west. ENVIRONMENTAL, ANALYSIS: City Staff conducted an analysis and prepared an Initial Environmental Study to determine whether or not the proposed Skate Park would have a significant adverse impact on the environment. Staff was able to conclude that while potential Impacts to aesthetics, air quality, biological resources, cultural resources, and geology/solis would occur, mitigations measures could be incorporated into the project that would eliminate or reduce these impacts to levels of insignificance. FINDINGS SUPPORTING A MITIGATED NEGATIVE DECLARATION: 1. Based upon the analysis, findings and conclusions contained in the Initial Environmental Study, the project, as mitigated does not have the potential to degrade the quality of the local or j, regional environment; 2. Based upon the analysis, findings and conclusions contained in the Initial Environmental Study, the project, as mitigated will not result In short-term impacts that will create a disadvantage to long-term environmental goals; . 3. Based upon the analysis, findings and conclusions contained in the initial Environmental Study, the project, as mitigated will not result in impacts that are individually limited, but cumulatively considerable; and 4. Based upon the analysis, findings and conclusions contained in the Initial Environmental Study, the project, as mitigated will not result In environmental impacts that will cause substantial adverse effects on human beings, either directly or indirectly. STATEMENT OF DECLARATION: After appraisal of the possible impacts of this project, the City of Ukiah has determined that the project, as mitigated will not have a significant effect on the environment, and further, that this Mitigated Negative Declaration constitutes compliance with the requirements for environmental review and analysis required by the California Environmental Quality Act. The Initial Environmental Study and all resources information used to perform the initial environmental analysis may be reviewed at the City of Ukiah Department of Planning and Community Development Ukiah Civic Center, 300 Seminary Avenue, Ukiah, California. PA February 25, 2009 Date Skate Park Budget EXPENSES Wormhoudt Contract design services $75,000.00 Concrete Skate Park 20,000sq ft/ $25ft $500,000.00 Concrete walkways $7.75 If $20,000.00 $0.00 Planting/ irrigation $10,000.00 Benches 6/ $1,400ea $8,400.00 Sewer fees 16.5 drains x $420 $7,000.00 Water fees Electric fees Rest rooms $90,000.00 Environmental end of project ceqa $2,000.00 Fencing 600ft /$401f $22,000.00 Gates $2,000.00 Lighting $10,000.00 Parking lot approx 9,920 sq ft $3.00/sq ft take and grade= $20,000.00 $1.50/ sq ft overlay= $14,880 $0.6/ sq ft type 2=$5,952 Donor wall $2,000.00 Sub Total $768,400.00 contingency 10% $76,840.00 TOTAL $845,240.00 REVENUE Grant $500,000.00 Fundraising $237,240.00 County of Mendocino $50,000.00 Wattenbur er funds $58,000.00 TOTAL $845,240.00 REMAINING FUNDS NEEDED $0.00 Jim Holt Project Officer Office of Grants and Local Services State of California Department of Parks and Recreation P.O. Box 942896 Sacramento, CA 94296-0001 %11 Dear Mr. Holt: As mentioned in recent conversations regarding the status of the location for the Ukiah Skate Park we have determined that a move in the location of the Skate Park is necessary for the timely execution of this project. The City of Ukiah has been aggressively pushing against the unforeseen restraints placed on us at our current location, however we have determined that the non -budgeted cost of fixing the environmental issue of contaminated soil has soared to over $400,000 and will delay the project for eighteen to twenty-four months. For this reason we are requesting approval for the change in location which will allow us to immediately move forward in undertaking the construction of our skate park. We ,,have prepared the following documents; including a revised project application, location map, and proof of land tenure; please find them attached. We have attached a Mitigated Negative Declaration for the site and are in the process of applying for a CEQA Notice of Determination. Also please find our updated budget attached. As with the previous location please remember that the only permits required for this project are local building permits. As the City of Ukiah issues these permits, there is no fee attached to their acquisition. No other permits will be required by any other local or State agencies. 300 SEMINARY AVENUE UKIAH, CA 95482-5400 Phone# 707/463-6200 Fax# 707/463-6204 Web Address: www.cityofukiah.com The completion of the Ukiah Skate Park is eagerly anticipated by our community. Our stakeholders continue to fundraise and are now laying the foundation for continued fundraising efforts 'after the opening of the park to allow for improvements and to keep the park in a 'like new condition'. Should you have any questions or require further information, please contact myself at (707) 367-0699 or Guy Mills at (707) 463-5719. Sincerely, Maya Simerson Community Services Department City of Ukiah Ado" G yMi s Project Administrator City of Ukiah State of California — The Resources Agency DEPARTMENT OF PARKS AND RECREATION Roberti-Z'berg-Harris Urbanized Area Need -Basis Program (Each Project must have its own Application.) PROJECT NAME Ukiah Skate Park Development Project Amount of Grant Request $ 500.000 Grant Applicant (Agency, address, and zip code) Amount of Matching Funds $ 345.240 City of Ukiah 300 Seminary Avenue Estimated Total Project Cost $ 845.240 Ukiah, CA 95482 COUNTY NEAREST CITY Mendocino County Ukiah PROJECT LATITUDE AND LONGITUDE PROJECT ADDRESS (including zip code) 039'- 16'— 0" N & 123° - 22'— 14" W 1041 Low Gap Road WILL THE PROJECT AFFECT A HISTORICAL RESOURCE? _YES _X NO Ukiah, CA 95482 Grant Applicant's Representative Authorized in Resolution Jane Chambers City Manager jchambers@cityofukiah.com (707) 463-6213 Name (typed or printed) and Title Email address Phone Person with day-to-day responsibility for Project (if different from authorized representative) Sage Sangiacomo Director of Community Services ssangiacomo@cityofukiah.com (707) 463-6221 Name (typed or printed) and Title Email address Phone Brief description of Project Change in site location; project will remain the same: Project will consist of design and construction of an approximately 20,000 square foot skate park and approximately 15,000 square feet of surrounding park. Additional amenities will include seating, picnic tables, restrooms, and parking. For Dev. Projects, Project Land Tenure is 1 acres 1 Acres owned in fee simple by Grant Applicant Acres available under a year lease Acres other interest (explain) For Acquisition Projects, Project land will be acres Acres to be acquired in fee simple by Grant Appli Acres to be acquired in other than fee simple (ex, I certify that the information containeA in this Application, including required attachments, is accurate. Signed &3dCP. Grant ` licant's Authorized Rep r sentative as shown in Resolution Date I certify that s r ct i o siste th ark and recreation element of the applicable city or county general plan, the District park and recre on ocument, as the case may be, and will satisfy a high priority need. Signe G ppli ency Representative %j DPR 2 (6103)