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HomeMy WebLinkAboutState of California Environmental Protection Agency 2017-06-13 d STATE OF CALIFORNIA-CALIFORNIA ENVIRONMENTAL PROTECTION AGENCY DEPARTMENT OF RESOURCES RECYCLING A,V R VERY(CalRecyde, GRANT AGREEMENT COVER SHEET Gott. No- 1&1 -1- I S 1 D a-o17- 13 CalRecycle 116(Revised 7116) GRANT NUMBER TDA6-16-0007 NAME OF GRANT PROGRAM 2016-17 Tire-Dedved Aggregate Grant Program GRANTEE NAME City of Ukiah TAXPAYER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER TOTAL GRANT AMOUNT NOT TO EXCEED $48,875.00 TERM Of ACRCCMCNT FROM: April 10, 2017 TO: April 1, 2019 The Department of Resources Recycling and Recovery(CalRecycla) and City of Ukiah (the"Grantee"), in mutual consideration of the promises made herein, agree to comply with the provisions of this Agreement,which consists of this Grant Agreement Cover Sheet and the following Exhibits, which are incorporated by this reference and made a part of this Agreement as if attached hereto: Exhibit A—Terms and Conditions Exhibit 8— Procedures and Requirements Exhibit C--Application with revisions, if any, and any amendments This Agreement is of no force or effect until signed by both parties. Grantee shall not commence performance until it receives written approval from CalRecycle. IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto. GRANTEE'S NAME(PRINT OR TYPE) CALRECYCLE City of Ukiah SIGNATURE OF CALRECYCLES AUTHORIZED SIGNATORY- SIGNATURE OF GRANTEE (AS AUTHORIZEDIN RESOLUTION.LETTER OF COMMITMENT,OR LETTER OF DESIGNATION- TITLE DATE TITLE DATE Deputy Director, CalRecycle ITy91,414rT" P- , ; PAYMENT ADDRESS(INCLUDE STREET,CITY,STATE AND ZIP CODE) Public Works Department 300 Seminary Avenue Ukiah, CA 95482 CERTIFICATION OF FUNDING AMOUNT ENCUMSERED BY THIS AGREEMENT FISCAL YEARIPROGRAM FUND TITLE $48 875 00 2016-17 Tire-Derived Aggregate Grant Program TIRE PRIOR AMOUNT ENCUMBERED FOR THIS AGREEMENT CHAPTER STATUTE FISCAL YEAR 23 2016 2016-17 ORG CODE REFERENCE FUND ENAGTMENTYEAR TOTAL AMOUNT ENCUMBERED TO DATE 3970 0011 1 0226 2016 C 9 Of $48,875.00 INDEX PCA OBJECT 7830 G3690 418.03 tun tllrormagpn REPORTING STRUCTURE PROGRAM(PGM-SUB•TW ACCOUNTIALT ACCOUNT 39707830 1 3700000220 5340580 1 hereby certify upon my own personal knowledge that budgPdfiTcls are available for the period and pwpose of Me expenditure stated above. sIG TORE OF CALRECYCLE 0017OFFICE: DATE EXHIBIT A TERMS AND CONDITIONS Tire-Derived Aggregate Grant Program Fiscal Year 2016-17 The following terms used in this Grant Agreement (Agreement) have the meanings given to them below, unless the context clearly indicates otherwise: • "CalRecycle" means the Department of Resources Recycling and Recovery. • "Director" means the Director of CalRecycle or his or her designee. • "Grant Agreement" and "Agreement" means all documents comprising the agreement between CalRecycle and the Grantee for this Grant. • "Grant Manager" means CalRecycle staff person responsible for monitoring the grant. • "Grantee" means the recipient of funds pursuant to this Agreement. • "Program" means the Tire-Derived Aggregate Grant Program. • "State" means the State of California, including, but not limited to, CalRecycle and/or its designated officer. AIR OR WATER POLLUTION VIOLATION The grantee shall not be: (a) In violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district. (b) Out of compliance with any final cease and desist order issued pursuant to Water Code Section 13301 for violation of waste discharge requirements or discharge prohibitions. (c) Finally determined to be in violation of provisions of federal law relating to air or water pollution. AMENDMENT No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by the parties, and approved as required. No oral understanding or agreement not incorporated into this Agreement is binding on any of the parties. This Agreement may be amended, modified or augmented by mutual consent of the parties, subject to the requirements and restrictions of this paragraph. AMERICANS WITH DISABILITIES ACT The grantee assures the state that it complies with the Americans with Disabilities Act of 1990 (ADA)(42 U.S.C.§ 12101 et seq.), which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. ASSIGNMENT, SUCCESSORS, AND ASSIGNS (a) This Agreement may not be assigned by the grantee, either in whole or in part, without CalRecycle's prior written consent. (b) The provisions of this Agreement shall be binding upon and inure to the benefit of CalRecycle, the grantee, and their respective successors and assigns. AUDIT/RECORDS ACCESS The grantee agrees that CalRecycle, the Department of Finance, the Bureau of State Audits, or their designated representative(s) shall have the right to review and to copy any records CalRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 % and supporting documentation pertaining to the performance of this Agreement. The grantee agrees to maintain such records for possible audit for a minimum of three (3) years after final payment date or grant term end date, whichever is later, unless a longer period of records retention is stipulated, or until completion of any action and resolution of all issues which may arise as a result of any litigation, dispute, or audit, whichever is later. The grantee agrees to allow the designated representative(s) access to such records during normal business hours and to allow interviews of any employees who might reasonably have information related to such records. Further, the grantee agrees to include a similar right of the State to audit records and interview staff in any contract or subcontract related to performance of this Agreement. [It may be helpful to share the Terms and Conditions and Procedures and Requirements with your finance department, contractors and subcontractors. Examples of audit documentation include, but are not limited to: expenditure ledger, payroll register entries and time sheets, personnel expenditure summary form, travel expense log, paid warrants, contracts, change orders, invoices, and/or cancelled checks.] AUTHORIZED REPRESENTATIVE The grantee shall continuously maintain a representative vested with signature authority authorized to work with CalRecycle on all grant-related issues. The grantee shall, at all times, keep the Grant Manager informed as to the identity and contact information of the authorized representative. AVAILABILITY OF FUNDS CalRecycle's obligations under this Agreement are contingent upon and subject to the availability of funds appropriated for this grant. BANKRUPTCY/DECLARATION OF FISCAL EMERGENCY NOTIFICATION If the grantee files for protection under Chapter 9 of the U.S. Bankruptcy Code (11 U.S.C. §901 et seq.) or declares a fiscal emergency at any time during the Grant Term, the grantee shall notify CalRecycle within 15 days of such filing or declaration, pursuant to the procedures set forth in the section entitled "Communications" herein. CHARTER CITIES If the grantee is a charter city, a joint powers authority that includes one or more charter cities, or the regional lead for a regional program containing one or more charter cities, the grantee shall not receive any grant funding if such funding is prohibited by Labor Code section 1782. If it is determined that Labor Code section 1782 prohibits funding for the grant project, this Agreement will be terminated and any disbursed grant funds shall be returned to CalRecycle. CHILD SUPPORT COMPLIANCE ACT For any agreement in excess of$100.000, the grantee acknowledges that: (a) The grantee recognizes the importance of child and family support obligations and shall fully comply with all applicable state and federal laws relating to child and family support enforcement, including, but not limited to, disclosure of information and compliance with earnings assignment orders, as provided in Family Code Section 5200 et seq.; and CalRecycle s Competitive Grant Terms and Conditions—Revised 3/29/2016 2 (b) The grantee, to the best of its knowledge, is fully complying with the earnings assignment orders of all employees, and is providing the names of all new employees to the New Hire Registry maintained by the California Employment Development Department. COMMUNICATIONS All communications from the grantee to CalRecycle shall be directed to the Grant Manager. All notices, including reports and payment requests, required by this Agreement shall be given in writing by email, letter, or fax to the Grant Manager as identified in the Procedures and Requirements (Exhibit B). If an original document is required, prepaid mail or personal delivery to the Grant Manager is required following the email or fax. COMPLIANCE The grantee shall comply fully with all applicable federal, state, and local laws, ordinances, regulations, and permits. The grantee shall provide evidence, upon request, that all local, state, and/or federal permits, licenses, registrations, and approvals have been secured for the purposes for which grant funds are to be expended. The grantee shall maintain compliance with such requirements throughout the Grant Term. The grantee shall ensure that the requirements of the California Environmental Quality Act are met for any approvals or other requirements necessary to carry out the terms of this Agreement. The grantee shall ensure that all of grantee's contractors and subcontractors have all local, state, and/or federal permits, licenses, registrations, certifications, and approvals required to perform the work for which they are hired. Any deviation from the requirements of this section shall result in non- payment of grant funds. CONFLICT OF INTEREST The grantee needs to be aware of the following provisions regarding current or former state employees. If the grantee has any questions on the status of any person rendering services or involved with this Agreement, CalRecycle must be contacted immediately for clarification. Current State Employees (Pub. Contract Code, § 10410): (a) No officer or employee shall engage in any employment, activity, or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity, or enterprise is required as a condition of regular state employment. (b) No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services. Former State Employees (Pub. Contract Code, § 10411): (a) For the two-year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision-making process relevant to the contract while employed in any capacity by any state agency. (b) For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as the proposed contract within the twelve month period prior to his or her leaving state service. CalRecycle's Competitive Grant Terms and Conditions—Revised 3129J2016 If the grantee violates any provisions of above paragraphs, such action by the grantee shall render this Agreement void. (Pub. Contract Code, § 10420). CONTRACTORS/SUBCONTRACTORS The grantee will be entitled to make use of its own staff and such contractors and subcontractors as are mutually acceptable to the grantee and CalRecycle. Any change in contractors or subcontractors must be mutually acceptable to the parties. Immediately upon termination of any such contract or subcontract, the grantee shall notify the Grant Manager. Nothing contained in this Agreement or otherwise, shall create any contractual relation between CalRecycle and any contractors or subcontractors of grantee, and no agreement with contractors or subcontractors shall relieve the grantee of its responsibilities and obligations hereunder. The grantee agrees to be as fully responsible to CalRecycle for the acts and omissions of its contractors and subcontractors and of persons either directly or indirectly employed by any of them as it is for the acts and omissions of persons directly employed by the grantee. The grantee's obligation to pay its contractors and subcontractors is an independent obligation from CalRecycle's obligation to make payments to the grantee. As a result, CalRecycle shall have no obligation to pay or to enforce the payment of any moneys to any contractor or subcontractor. COPYRIGHTS Grantee retains title to any copyrights or copyrightable material produced pursuant to this Agreement. Grantee hereby grants to CalRecycle a royalty-free, nonexclusive, transferable, world-wide license to reproduce, translate, and distribute copies of any and all copyrightable materials produced pursuant this Agreement, for nonprofit, non-commercial purposes, and to have or permit others to do so on CalRecycle's behalf. Grantee is responsible for obtaining any necessary licenses, permissions, releases or authorizations to use text, images, or other materials owned, copyrighted, or trademarked by third parties and for extending such licenses, permissions, releases, or authorizations to CalRecycle pursuant to this section. CORPORATION QUALIFIED TO DO BUSINESS IN CALIFORNIA When work under this Agreement is to be performed in California by a corporation, the corporation shall be in good standing and currently qualified to do business in the State. "Doing business" is defined in Revenue and Taxation Code Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. DISCHARGE OF GRANT OBLIGATIONS The grantee's obligations under this Agreement shall be deemed discharged only upon acceptance of the final report by CalRecycle. If the grantee is a non-profit entity, the grantee's Board of Directors shall accept and certify as accurate the final report prior to its submission to CalRecycle. DISCLAIMER OF WARRANTY CalRecycle makes no warranties, express or implied, including without limitation, the implied warranties of merchantability and fitness for a particular purpose, regarding the materials, equipment, services or products purchased, used, obtained and/or produced with funds awarded under this Agreement, whether such materials, equipment, services or products are purchased, used, obtained and/or produced alone or in combination with other materials, equipment, services or products. No CalRecycle employees or agents have any right or authority to make any other representation, warranty or promise with respect to any CalRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 4 materials, equipment, services or products, purchased, used, obtained, or produced with grant funds. In no event shall CalRecycle be liable for special, incidental or consequential damages arising from the use, sale or distribution of any materials, equipment, services or products purchased or produced with grant funds awarded under this Agreement. DISCRETIONARY TERMINATION The Director shall have the right to terminate this Agreement at his or her sole discretion at any time upon 30 days written notice to the grantee. Within 45 days of receipt of written notice, grantee is required to: (a) Submit a final written report describing all work performed by the grantee. (b) Submit an accounting of all grant funds expended up to and including the date of termination. (c) Reimburse CalRecycle for any unspent funds. DISPUTES In the event of a dispute regarding performance under this Agreement or interpretation of requirements contained therein, the grantee may, in addition to any other remedies that may be available, provide written notice of the particulars of such dispute to the Branch Chief of Financial Resources Management Branch, Department of Resources Recycling and Recovery, PO Box 4025, Sacramento, CA 95812-4025. Such written notice must contain the grant number. Unless otherwise instructed by the Grant Manager, the grantee shall continue with its responsibilities under this Agreement during any dispute. DRUG-FREE WORKPLACE CERTIFICATION The person signing this Agreement on behalf of the grantee certifies under penalty of perjury under the laws of California, that the grantee will comply with the requirements of the Drug- Free Workplace Act of 1990 (Gov. Code, § 8350 et seq.) and will provide a drug-free workplace by taking the following actions: (a) Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions that will be taken against employees for violations. (b) Establish a drug-free awareness program to inform employees about all of the following: (1) The dangers of drug abuse in the workplace. (2) The grantee's policy of maintaining a drug-free workplace. (3) Any available counseling, rehabilitation, and employee assistance programs. (4) Penalties that may be imposed upon employees for drug abuse violations. (c) Require that each employee who works on the grant: (1) Receive a copy of the drug-free policy statement of the grantee. (2) Agrees to abide by the terms of such statement as a condition of employment on the grant. Failure to comply with these requirements may result in suspension of payments under the Agreement or termination of the Agreement or both and grantee may be ineligible for award of any future state agreements if CalRecycle determines that the grantee has made a false certification, or violated the certification by failing to carry out the requirements as noted above. CaiRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 4 EFFECTIVENESS OF AGREEMENT This Agreement is of no force or effect until signed by both parties. ENTIRE AGREEMENT This Agreement supersedes all prior agreements, oral or written, made with respect to the subject hereof and, together with all attachments hereto, contains the entire agreement of the parties. ENVIRONMENTAL JUSTICE In the performance of this Agreement, the grantee shall conduct its programs, policies, and activities that substantially affect human health or the environment in a manner that ensures the fair treatment of people of all races, cultures, and income levels, including minority populations and low-income populations of the state. EXPATRIATE CORPORATIONS The person signing this Agreement on behalf of the grantee certifies under penalty of perjury under the laws of California, that the grantee is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Sections 10286 and 10286.1, and is eligible to contract with the State of California. FAILURE TO PERFORM AS REQUIRED BY THIS AGREEMENT CalRecycle will benefit from the grantee's full compliance with the terms of this Agreement only by the grantee's: (a) Investigation and/or application of technologies, processes, and devices which support reduction, reuse, and/or recycling of wastes. (b) Cleanup of the environment. (c) Enforcement of solid waste statutes and regulations, as applicable. Therefore, the grantee shall be in compliance with this Agreement only if the work it performs results in: (a) Application of information, a process, usable data or a product which can be used to aid in reduction, reuse, and/or recycling of waste. (b) The cleanup of the environment. (c) The enforcement of solid waste statutes and regulations, as applicable. If the Grant Manager determines that the grantee has not complied with the Grant Agreement, the grantee may forfeit the right to reimbursement of any grant funds not already paid by CalRecycle, including, but not limited to, the 10 percent withhold. FORCE MAJEURE Neither CalRecycle nor the grantee, its contractors, vendors, or subcontractors, if any, shall be responsible hereunder for any delay, default, or nonperformance of this Agreement, to the extent that such delay, default, or nonperformance is caused by an act of God, weather, accident, labor strike, fire, explosion, riot, war, rebellion, sabotage, flood, or other contingencies unforeseen by CalRecycle or the grantee, its contractors, vendors, or subcontractors, and beyond the reasonable control of such party. FORFEIT OF GRANT FUNDS/REPAYMENT OF FUNDS IMPROPERLY EXPENDED If grant funds are not expended, or have not been expended, in accordance with this Agreement, or if real or personal property acquired with grant funds is not being used, or has not been used, for grant purposes in accordance with this Agreement, the Director, at his or CalRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 6 her sole discretion, may take appropriate action under this Agreement, at law or in equity, including requiring the grantee to forfeit the unexpended portion of the grant funds, including, but not limited to, the 10 percent withhold, and/or to repay to CalRecycle any funds improperly expended. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES The grantee is required to use Generally Accepted Accounting Principles in documenting all grant expenditures. GRANT MANAGER The Grant Manager's responsibilities include monitoring grant progress, and reviewing and approving Grant Payment Requests and other documents delivered to CalRecycle pursuant to this Agreement. The Grant Manager may monitor grantee performance to ensure that the grantee expends grant funds appropriately and in a manner consistent with the terms and conditions contained herein. The Grant Manager does not have the authority to approve any deviation from or revision to the Terms and Conditions (Exhibit A) or the Procedures and Requirements (Exhibit B), unless such authority is expressly stated in the Procedures and Requirements (Exhibit B). GRANTEE ACCOUNTABILITY The grantee is ultimately responsible and accountable for the manner in which the grant funds are utilized and accounted for and the way the grant is administered, even if the grantee has contracted with another organization, public or private, to administer or operate its grant program. In the event an audit should determine that grant funds are owed to CalRecycle, the grantee is responsible for repayment of the funds to CalRecycle. GRANTEE'S INDEMNIFICATION AND DEFENSE OF THE STATE The grantee agrees to indemnify, defend and save harmless the state and CalRecycle, and their officers, agents and employees from any and all claims and losses accruing or resulting to any and all contractors, subcontractors, suppliers, laborers, and any other person, firm or corporation furnishing or supplying work services, materials, or supplies in connection with the performance of this Agreement, and from any and all claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by the grantee as a result of the performance of this Agreement. GRANTEE'S NAME CHANGE A written amendment is required to change the grantee's name as listed on this Agreement. Upon receipt of legal documentation of the name change, CalRecycle will process the amendment. Payment of Payment Requests presented with a new name cannot be paid prior to approval of the amendment. IN CASE OF EMERGENCY In the event of an emergency, or where there is an imminent threat to public health and safety or the environment, the grantee may choose, at its own risk, to incur grant-eligible expenses not previously included in the approved Budget, subject to subsequent approval by the Grant Manager of both the Budget change and the need to implement the Budget change on an emergency basis. The grantee shall notify the Grant Manager of the emergency and the Budget change at the earliest possible opportunity. CalRecycle reserves the right to accept or reject the grantee's determination that the circumstances constituted an emergency CalRecycle s Competitive Granl Terms and Conditions—Revised W912416 7 or a threat to public health and safety or the environment. If the Grant Manager determines that the circumstances did not constitute an emergency or a threat to public health or safety, the Budget change will be disallowed. NATIONAL LABOR RELATIONS BOARD CERTIFICATION The person signing this Agreement on behalf of the grantee certifies under penalty of perjury that no more than one final unappealable finding of contempt of court by a federal court has been issued against the grantee within the immediately preceding two-year period because of the grantee's failure to comply with an order of a federal court which orders the grantee to comply with an order of the National Labor Relations Board. This section is not applicable if the grantee is a public entity. NO AGENCY RELATIONSHIP CREATED/INDEPENDENT CAPACITY The grantee and the agents and employees of grantee, in the performance of this Agreement, shall act in an independent capacity and not as officers or employees or agents of CalRecycle. NO WAIVER OF RIGHTS CalRecycle shall not be deemed to have waived any rights under this Agreement unless such waiver is given in writing and signed by CalRecycle. No delay or omission on the part of CalRecycle in exercising any rights shall operate as a waiver of such right or any other right. A waiver by CalRecycle of a provision of this Agreement shall not prejudice or constitute a waiver of CalRecycle's right otherwise to demand strict compliance with that provision or any other provision of this Agreement. No prior waiver by CalRecycle, nor any course of dealing between CalRecycle and grantee, shall constitute a waiver of any of CalRecycle's rights or of any of grantee's obligations as to any future transactions. Whenever the consent of CalRecycle is required under this Agreement, the granting of such consent by CalRecycle in any instance shall not constitute continuing consent to subsequent instances where such consent is required and in all cases such consent may be granted or withheld in the sole discretion of CalRecycle. NON-DISCRIMINATION CLAUSE (a) During the performance of this Agreement, grantee and its contractors shall not unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment on the bases enumerated in Government Code Section 12900 et seq. (b) The person signing this Agreement on behalf of the grantee certifies under penalty of perjury under the laws of California that the grantee has, unless exempted, complied with the nondiscrimination program requirements (Gov. Code, § 12990, subd. (a-f) and California Code of Regulations, Title 2, Section 8103). (Not applicable to public entities.) ORDER OF PRECEDENCE The performance of this grant shall be conducted in accordance with the Terms and Conditions, Procedures and Requirements, Project Summary/Statement of Use. Work Plan and Budget of this Agreement, or other combination of exhibits specified on the Grant Agreement Coversheet attached hereto (collectively referred to as "Terms"). Grantee's CalRecycle-approved Application (Grantee's Application) is hereby incorporated herein by this reference. In the event of conflict or inconsistency between the articles, exhibits, attachments, specifications or provisions that constitute this Agreement, the following order of precedence shall apply: CaiRecycle's Competitive Grant Terms and Conditions—Revised 3129M1$ 8 (a) Grant Agreement Coversheet and any Amendments thereto (b) Terms and Conditions (c) Procedures and Requirements (d) Project Summary/Statement of Use (e) Budget (f) Work Plan (g) Grantee's Application (h) All other attachments hereto, including any that are incorporated by reference. OWNERSHIP OF DRAWINGS, PLANS, AND SPECIFICATIONS The grantee shall, at the request of CalRecycle or as specifically directed in the Procedures and Requirements (Exhibit B), provide CalRecycle with copies of any data, drawings, design plans, specifications, photographs, negatives, audio and video productions, films, recordings, reports, findings, recommendations, and memoranda of every description or any part thereof, prepared under this Agreement. Grantee hereby grants to CalRecycle a royalty-free, nonexclusive, transferable, world-wide license to reproduce, translate, and distribute copies of any and all such materials produced pursuant this Agreement, for nonprofit, non- commercial purposes, and to have or permit others to do so on CalRecycle's behalf. PAYMENT (a) The approved Budget, if applicable, is attached hereto and incorporated herein by this reference and states the maximum amount of allowable costs for each of the tasks identified in the Work Plan, if applicable, which is attached hereto and incorporated herein by this reference. CalRecycle shall reimburse the grantee for only the work and tasks specified in the Work Plan or the Grantee's Application at only those costs specified in the Budget and incurred in the term of the Agreement. (b) The grantee shall carry out the work described in the Work Plan or in the Grantee's Application in accordance with the approved Budget, and shall obtain the Grant Manager's written approval of any changes or modifications to the Work Plan, approved project as described in the Grantee's Application or the approved Budget prior to performing the changed work or incurring the changed cost. If the grantee fails to obtain such prior written approval, the Director, at his or her sole discretion, may refuse to provide funds to pay for such work or costs. (c) The grantee shall request reimbursement in accordance with the procedures described in the Procedures and Requirements. (d) Ten percent will be withheld from each Payment Request and paid at the end of the grant term, when all reports and conditions stipulated in this Agreement have been satisfactorily completed. Failure by the grantee to satisfactorily complete all reports and conditions stipulated in this Agreement may result in forfeiture of any such funds withheld pursuant to CalRecycle's 10 percent retention policy. (e) Lodgings, Meals and Incidentals: Grantee's Per Diem eligible costs are limited to the amounts authorized in the California State Administrative Manual (contact the Grant Manager for more information). (f) Payment will be made only to the grantee. (g) Reimbursable expenses shall not be incurred unless and until the grantee receives a Notice to Proceed as described in the Procedures and Requirements (Exhibit B). CalRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 9 PERSONAL JURISDICTION The grantee consents to personal jurisdiction in the State of California for all proceedings concerning the validity and operation of this Agreement and the performance of the obligations imposed upon the parties. Native American Tribal grantees expressly waive tribal sovereign immunity as a defense to any and all proceedings concerning the validity and operation of this Agreement and the performance of the obligations imposed upon the parties. PERSONNEL COSTS If there are eligible costs pursuant to Exhibit B, Procedures and Requirements, any personnel expenditures to be reimbursed with grant funds must be computed based on actual time spent on grant-related activities and on the actual salary or equivalent hourly wage the employee is paid for his or her regular job duties, including a proportionate share of any benefits to which the employee is entitled, unless otherwise specified in the Procedures and Requirements (Exhibit B). REAL AND PERSONAL PROPERTY ACQUIRED WITH GRANT FUNDS (a) All real and personal property, including equipment and supplies, acquired with grant funds shall be used by the grantee only for the purposes for which CalRecycle approved their acquisition for so long as such property is needed for such purposes, regardless of whether the grantee continues to receive grant funds from CalRecycle for such purposes. In no event shall the length of time during which such property, including equipment and supplies, acquired with grant funds, is used for the purpose for which CalRecycle approved its acquisition be less than five (5) years after the end of the grant term, during which time the property, including equipment and supplies, must remain in the State of California. (b) Subject to the obligations and conditions set forth in this section, title to all real and personal property acquired with grant funds, including all equipment and supplies, shall vest upon acquisition in the grantee. The grantee may be required to execute all documents required to provide CalRecycle with a security interest in any real or personal property, including equipment and supplies, and it shall be a condition of receiving this grant that CalRecycle shall be in first priority position with respect to the security interest on any such property acquired with the grant funds, unless pre-approved in writing by the Grant Manager that CalRecycle will accept a lower priority position with respect to the security interest on the property. Grantee shall inform any lender(s) from whom it is acquiring additional funding to complete the property purchase of this grant condition. (c) The grantee may not transfer Title to any real or personal property, including equipment and supplies, acquired with grant funds to any other entity without the express authorization of CalRecycle. (d) CalRecycle will not reimburse the grantee for the acquisition of equipment that was previously purchased with CalRecycle grant funds, unless the acquisition of such equipment with grant funds is pre-approved in writing by the Grant Manager. In the event of a question concerning the eligibility of equipment for grant funding, the burden will be on the grantee to establish the pedigree of the equipment. REASONABLE COSTS A cost is reasonable if, in its nature or amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Consideration will be given to: CalRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 10 (a) Whether the cost is of a type generally recognized as ordinary and necessary for the performance of the grant. (b) The restraints or requirements imposed by such factors as generally accepted sound business practices, arms-length bargaining, federal and state laws and regulations, and the terms and conditions of this Agreement. (c) Whether the individuals concerned acted with prudence in the circumstances, considering their responsibilities to the organization, its members, employees, clients, and the public at large. (d) Significant deviations from the established practices of the organization which may unjustifiably increase the grant costs. RECYCLED-CONTENT PAPER All documents submitted by the grantee must be printed double-sided on recycled-content paper containing 100 percent post-consumer fiber. Specific pages containing full color photographs or other ink-intensive graphics may be printed on photographic paper. REDUCTION OF WASTE In the performance of this Agreement, grantee shall take all reasonable steps to ensure that materials purchased or utilized in the course of the project are not wasted. Steps should include, but not be limited to: the use of used, reusable, or recyclable products; discretion in the amount of materials used; alternatives to disposal of materials consumed; and the practice of other waste reduction measures where feasible and appropriate. REDUCTION OF WASTE TIRES Unless otherwise provided for in this Agreement, in the performance of this Agreement, for all purchases made with grant funds, including, but not limited to equipment and tire-derived feedstock, the grantee shall purchase and/or process only California waste tires and California waste tire-derived products. As a condition of final payment under this Agreement, the grantee must provide documentation substantiating the source of the tire materials used during the performance of this Agreement to the Grant Manager. REIMBURSEMENT LIMITATIONS Under no circumstances shall the grantee seek reimbursement pursuant to this Agreement for a cost or activity that has been or will be paid for through another funding source. The grantee shall not seek reimbursement for any costs used to meet cost sharing or matching requirements of any other CalRecycle funded program. All costs charged against the Agreement shall be net of all applicable credits. The term "applicable credits" refers to those receipts or reductions of expenditures that operate to offset or reduce expense items that are reimbursable under this Agreement. Applicable credits may include, but are not necessarily limited to, rebates or allowances, discounts, credits toward subsequent purchases, and refunds. Grantee shall, where possible, deduct the amount of the credit from the amount billed as reimbursement for the cost, or shall deduct the amount of the credit from the total billed under a future invoice. RELIABLE CONTRACTOR DECLARATION Prior to authorizing any contractor or subcontractor to commence work under this Grant, the grantee shall submit to CalRecycle a Reliable Contractor Declaration (CalRecycle 168) from the contractor or subcontractor, signed under penalty of perjury, disclosing whether of any of CalRecycle's Competitive Grant Terms and Conditions-Revised 3/29/2016 11 the events listed in Section 17050 of Title 14, California Code of Regulations. Natural Resources, Division 7, has occurred with respect to the contractor or subcontractor within the preceding three (3) years. If a contractor is placed on CalRecycle's Unreliable List after award of this Grant, the grantee may be required to terminate that contract. REMEDIES Unless otherwise expressly provided herein, the rights and remedies hereunder are in addition to, and not in limitation of, other rights and remedies under this Agreement, at law or in equity, and exercise of one right or remedy shall not be deemed a waiver of any other right or remedy. SELF-DEALING AND ARM'S LENGTH TRANSACTIONS All expenditures for which reimbursement pursuant to this Agreement is sought shall be the result of arm's-length transactions and not the result of, or motivated by, self-dealing on the part of the grantee or any employee or agent of the grantee. For purposes of this provision, "arm's-length transactions" are those in which both parties are on equal footing and fair market forces are at play, such as when multiple vendors are invited to compete for an entity's business and the entity chooses the lowest of the resulting bids. "Self-dealing" is involved where an individual or entity is obligated to act as a trustee or fiduciary, as when handling public funds, and chooses to act in a manner that will benefit the individual or entity, directly or indirectly, to the detriment of, and in conflict with, the public purpose for which all grant monies are to be expended. SEVERABILITY If any provisions of this Agreement are found to be unlawful or unenforceable, such provisions will be voided and severed from this Agreement without affecting any other provision of this Agreement. To the full extent, however, that the provisions of such applicable law may be waived, they are hereby waived to the end that this Agreement be deemed to be a valid and binding agreement enforceable in accordance with its terms. SITE ACCESS The grantee shall allow the state to access sites at which grant funds are expended and related work being performed at any time during the performance of the work and for ninety (90) days after completion of the work, or until all issues related to the grant project have been resolved. STOP WORK NOTICE Immediately upon receipt of a written notice from the Grant Manager to stop work, the grantee shall cease all work under this Agreement. TERMINATION FOR CAUSE CalRecycle may terminate this Agreement and be relieved of any payments should the grantee fail to perform the requirements of this Agreement at the time and in the manner herein provided. In the event of such termination, CalRecycle may proceed with the work in any manner deemed proper by CalRecycle. All costs to CalRecycle shall be deducted from any sum due the grantee under this Agreement. Termination pursuant to this section may result in forfeiture by the grantee of any funds retained pursuant to CalRecycle's 10 percent retention policy. CalRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 12 TIME IS OF THE ESSENCE Time is of the essence to this Agreement. TOLLING OF STATUTE OF LIMITATIONS The statute of limitations for bringing any action, administrative or civil, to enforce the terms of this Agreement or to recover any amounts determined to be owing to CalRecycle as the result of any audit of the grant covered by this Agreement shall be tolled during the period of any audit resolution, including any appeals by the grantee to the Director. UNION ORGANIZING By signing this Agreement, the grantee hereby acknowledges the applicability of Government Code Sections 16645, 16645.2, 16645.8, 16646, 16647, and 16648 to this Agreement and hereby certifies that: (a) No grant funds disbursed by this grant will be used to assist, promote, or deter union organizing by employees performing work under this Agreement. (b) If the grantee makes expenditures to assist, promote, or deter union organizing, the grantee will maintain records sufficient to show that no state funds were used for those expenditures, and that grantee shall provide those records to the Attorney General upon request. VENUE/CHOICE OF LAW (a) All proceedings concerning the validity and operation of this Agreement and the performance of the obligations imposed upon the parties hereunder shall be held in Sacramento County, California. The parties hereby waive any right to any other venue. The place where the Agreement is entered into and place where the obligation is incurred is Sacramento County, California. (b) The laws of the State of California shall govern all proceedings concerning the validity and operation of this Agreement and the performance of the obligations imposed upon the parties hereunder. WAIVER OF CLAIMS AND RECOURSE AGAINST THE STATE The grantee agrees to waive all claims and recourse against the state, its officials, officers, agents, employees, and servants, including, but not limited to, the right to contribution for loss or damage to persons or property arising out of, resulting from, or in any way connected with or incident to this Agreement. This waiver extends to any loss incurred attributable to any activity undertaken or omitted pursuant to this Agreement or any product, structure, or condition created pursuant to, or as a result of, this Agreement. WORK PRODUCTS Grantee shall provide CalRecycle with copies of all final products identified in the Work Plan. Grantee shall also provide CalRecycle with copies of all public education and advertising material produced pursuant to this Agreement. WORKERS' COMPENSATIONILABOR CODE The grantee is aware of Labor Code Section 3700, which requires every employer to be insured against liability for Workers' Compensation or to undertake self-insurance in accordance with the Labor Code, and the grantee agrees to comply with such provisions before commencing the performance of the work of this Agreement. CalRecycle's Competitive Grant Terms and Conditions—Revised 3/29/2016 13 EXHIBIT B PROCEDURES AND REQUIREMENTS TIRE-DERIVED AGGREGATE (TDA) GRANT PROGRAM 6th Cycle — Fiscal Year 2016-17 Copies of these Procedures and Requirements should be shared with BOTH the Finance Department AND the staff responsible for implementing the grant activities. INTRODUCTION The Tire-Derived Aggregate Grant Program is administered through the Department of Resources Recycling and Recovery (CalRecycle). These Procedures and Requirements describe project and reporting requirements, report due dates, report contents, grant payment conditions, eligible and ineligible project costs, project completion and closeout procedures, records and audit requirements. This document is attached to, and incorporated by reference, into the Grant Agreement. MILESTONES IApril — May 2017� Grant Term Begins on date indicated on the Notice to Proceed - ----- (NTP) -- April 1, 2018 _ — Progress Report Due__ April 1, 2019 Grant Term End. Final Report and final Payment Request Due GRANT MANAGEMENT SYSTEM (GMS) GMS is CalRecycle's web-based grant application and grant management system. Access to GMS is secure; grantees must log in using a WebPass. WebPass accounts are tied to a specific email address. If an email address changes, or if it becomes inactive, the grantee must create a new WebPass account to continue accessing GMS. Establish or manage a WebPass at CalRecycle's WebPass page (hftps://secure.caIrecycle.ca.gov/WebPass/). Accessing the grant Grantees must log into GMS (hftps:Hsecure.calrecycle.ca.gov/Grants) using their web pass. After login, locate the grant in the My Awarded/Open Grants table and select the Grant Management button. The Grant Management Module includes the following sections: • Summary tab— shows approved budget, paid and remaining amounts. (This section is available to the grantee in read-only mode.) • Payment Request tab - requests reimbursement. • Reports tab- uploads required reports. • Documents tab-- uploads other grant documents that are not considered supporting documents to a payment request or a report. This section also provides access to documents that were uploaded within other sections of GMS. Tire-Derived Aggregate Grant Program,FY 2016-17 Follow the instructions in GMS to work in the system. Use the information in the following sections to determine what reports, transactions, and supporting documents are required. Contact Updates Access to the grant is limited to those listed in the Contacts tab of the Application Module with the access check box marked. A contact may be listed but not granted access by not checking the box. Please note, if a contact is granted access to a grant they will be able to edit contacts, submit payment requests, upload reports, and view all documents. Those with access may update contact information for all contact types except Signature Authority. Email the assigned Grant Manager regarding any changes to Signature Authority information. PRIOR TO COMMENCING WORK Prior to commencing work under this grant, the grantee's Grant Manager or primary contact and authorized grant Signature Authority should review the Terms and Conditions (Exhibit A) and the Procedures and Requirements (Exhibit B) to identify key grant administrative requirements. Evaluation of the grantee's compliance with these requirements is a major focus of grant audits. Reliable Contractor Declaration Prior to authorizing a contractor(s) to commence work under this grant, the grantee shall submit to the Grant Manager a declaration from the contractor(s), signed under penalty of perjury, stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14 (www.calrecycle.ca.gov/Laws/Regulations/Titlel4/chl.htm#chla5), California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the contractor(s) and the subcontractor(s), respectively. If a (sub) contractor is placed on the CalRecycle Unreliable List after award of this grant, the grantee may be required to terminate that contract. Obtain the Reliable Contractor Declaration form (CalRecycle 168) from CalRecycle's form web page (www.calrecycle.ca.gov/Funding/Forms). A scanned copy of the signed Reliable Contractor Declaration form must be uploaded in GMS. To upload the form: 1. Go to the Reports tab. 2. Click on Reliable Contractor Declaration under Report Type. 3. Click the Add Document button. 4. Select Reliable Contractor Declaration in the Document Type drop down box, enter a document title, click the Browse button to search and upload the document, and then Save. 5. Click on the Submit Report button. For further instructions regarding GMS, including login directions, see the section above titled Grant Management System. Tire-Derived Aggregate Grant Program,FY 2016-17 2 GRANT TERM The Grant Term begins on the date indicated in the NTP. The Grant Term ends on April 1, 2019. This is also the date the Final Report and final Payment Request are due to CalRecycle. Grant-eligible program expenditures may start no earlier than the date indicated in the NTP. Eligible program costs must be incurred no later than April 1, 2019. PERMITTING The grantee is responsible for ensuring that the entire project, not just the portion reimbursed by this grant, is in compliance with all federal, state, and local laws and permitting requirements. The grantee is also responsible for ensuring that project contractors and subcontractors have all necessary permits and licenses to perform the work for which they are hired, including, but not limited to, permitting by the appropriate Air Pollution Control District, Air Quality Management District, or other local air quality agency when required. Failure to comply with permitting requirements may result in denial of payment under this grant. PROJECT REQUIREMENTS All projects are subject to the following requirements: • Only California-generated waste tires must be used in the TDA portion of the project(s). • The project(s) must be located in California. • A combined minimum of 500 tons of TDA must be used in the project(s). • The project(s) represent a new category of activity at the project(s) facility/location. Projects that are currently underway or that have been completed at the same facility/location within three years of application are not eligible. However, projects in a different category or different location within the same facility may be eligible. • Plans and specifications must be reviewed by CalRecycle staff and/or its contractor(s) prior to commencement of work. The project design plans must be at a minimum 50 percent design at the time of application submission and 100 percent design prior to the start of the project. The design plans must include: project costs (preliminary costs submitted with the application), the location of TDA placement, the type and quantity of TDA (initial estimate submitted with the application), and any analysis necessary to validate the design. • Each project must incorporate technical assistance/training that will be provided by CalRecycle contractors and/or staff. • The real property on which the project will be located must be owned by the applicant (or by a member of an applicant JPA). • If grantee's ownership of the property on which the project(s) is located does not provide complete and clear access to the project site(s), then prior to incurring any grant-eligible costs, grantee must obtain any and all access rights (e.g., easements) necessary to complete the project(s) within the grant term and shall ensure that such access extends to CalRecycle staff and/or its designated contractors for the purpose of observing the project, providing technical assistance and/or training during the grant term. Such access must be from the legal owner or his/her authorized representative. Tire-Derived Aggregate Grant Program,FY 2016-17 3 • Reimbursement will not exceed the amount stated on the Grant Agreement Cover Sheet(CalRecycle 110). • Construction of the TDA portion of any project must commence on or after the date indicated in CalRecycle's written NTP and be completed by April 1, 2019. Additionally, each of the following project requirements is specific to the individual types of projects as indicated: • Landfill projects must not use more than 0.75 cubic yards (0.5 tons) of TDA per lineal foot of landfill gas collection or leachate injection line. • For purposes of this Agreement, a "Very Large Project" (VLP) is defined as using more than 400,000 passenger tire equivalents or 4,000 tons of TDA material. Landfill applications are not eligible for consideration as a VLP. PROJECT ACKNOWLEDGEMENT REQUIREMENTS By April 1, 2019, the grantee must list on their website, for a minimum period of one year, an acknowledgement of CalRecycle's funding and the waste tire diversion amounts for the project(s). See the "Acknowledgements" provision in the Terms and Conditions — Exhibit A, for acknowledgement requirement information. The acknowledgement must include the following three required components: 1. Funded by grant from CalRecycle 2. CalRecycle Logo' 3. Number of California waste Gres' diverted from the waste stream by this project ' CalRecycle Logos are available in the Image Galle web site or contact your Grant Manager. 2 To determine the number of tires diverted, refer to the Tire-Derived Aggregate (TDA) Certification Form (CalRecycle 740-TDA) for the calculation formula. This is typically calculated after construction. When the web site acknowledgement posting is problematic due to grantee-specific issues, the grantee may substitute alternative forms of acknowledgement requirements upon written pre-approval from the Grant Manager. The alternative must include the three required components listed above. Alternatives to the web site posting acknowledgement requirement must include one or more of the following: • Utility bill inserts • Newspaper ads/stories • Local radio • Television public service announcement (PSA) • Tire-Derived Aggregate Signage placed in a prominent location at the project site(s), for a minimum period of one year after project completion. If this alternative is used, a digital photograph of the signage at the project site must be provided with the final report. Tire-Derived Aggregate Grant Program,FY 2016-17 4 WORK PLAN AND CHANGES/MODIFICATIONS Proposed changes or modifications to the approved project(s) must be requested in writing to the Grant Manager. The request must include the reason for change and a revised Project Summary and Calculation. The Grant Manager must approve the proposed changes in writing 2rior to the grantee performing any changes or incurring any related costs. The approval document should be retained by the grantee for audit purposes. ELIGIBLE COSTS All grant expenditures must be directly related to the purchase and transportation of the TDA material, and the installation, testing, and engineering/design work for the project. All eligible costs must be included in the approved Project Summary and Calculation sheet. To be eligible for reimbursement, costs must be incurred after the date indicated in the NTP and before the end of the Grant Term. All services must be provided and goods received during this period in order to be eligible costs, Invoices for goods and services must be paid by the grantee prior to the inclusion of those goods or services on a payment request. One or more projects may be combined into a single grant. Testing costs are subject to a maximum of$5,000 per project category, except for VLP (see "Project Requirements" for definition). Engineering/design costs are subject to a percentage of the combined total cost of TDA material, installation, and testing. For a single VLP, engineering/design and testing costs are subject to a percentage of the combined total cost of TDA material and installation. Refer to your approved Project Summary and Calculation sheet for your project category and maximum percentage. Engineering/Design Cost (and Testing Cost for VLP) r_____ProJect Category Maximum Percentage1 Lightweight Fill 50% Vibration Mitigation 35% Low Impact Development 15% Landfill Application 10% 'Percentage of the combined total cost of TDA material, installation, and testing. For VLP, engineering/design and testing cost are subject to a percentage of the combined total cost of TDA material and installation only. Installation cost may be incurred by the grantee and/or the contractor. Eligible costs include personnel cost and equipment cost directly related to trenching/preparation, placement, and covering of the TDA material. Requirements for documentation supporting installation cost can be found in the "Cost and payment documentation" subsection under the Grant Payment Request and Documentation section. INELIGIBLE COSTS Any costs not specifically included in the approved Project Summary and Calculation sheet and not directly related to the purchase and transportation of the TDA material, Tire-Derived Aggregate Grant Program, FY 2016-17 $ and the installation, testing, and engineering/design work for the project and the approved grant project are ineligible for reimbursement. Contact the Grant Manager if clarification is needed. Ineligible costs include, but are not limited to: • Costs incurred prior to the date indicated in the NTP or after April 1, 2019. • Costs incurred for projects that start construction of the TDA portion of the project prior to the date indicated in the NTP, or end construction of the TDA portion of the project after April 1, 2019. • Projects using TDA material that is not made from only California-generated waste tires processed in California. • Projects using less than the minimum required total amount of TDA material as specified in Project Requirements. • Projects that are currently underway or that have been completed at the same facility/location within three years of application. • Use of shredded waste tires as alternative daily cover or alternative intermediate cover in landfill applications. • Other project-related costs, including, but not limited to, planning, permitting, environmental studies, and site preparation. • Personnel costs, including fringe benefits, not directly related to installation, engineering, and testing of the TDA material. • Overhead and indirect costs (including depreciation, etc.). • Any other costs deemed unreasonable or unrelated to the purpose of the grant by the Grant Manager. REPORTING REQUIREMENTS A Progress Report and a Final Report are required by this Agreement; however, the Grant Manager may request a Progress Report at any time during the Grant Term. Failure to submit the Final Report with appropriate documentation by the due date may result in rejection of the Payment Request and/or forfeiture by the grantee of claims for costs incurred that might otherwise have been eligible for grant funding. All reports must be uploaded in GMS. For further instructions regarding GMS, including login directions, see the section above entitled, Grant Management System. To upload a report: 1. Go to the Reports tab. 2. Click on the appropriate Report Type. 3. Click on the Add Document button. 4. Choose the Document Type, enter a document title, click the Browse button to search and upload the document, and then Save. • You may upload multiple documents to complete reporting requirements. • The maximum allowable file size is 35MB. 5 ("lick the Submit button when the report is complete. The reports must be current, include all required sections and documents, and must be approved by the Grant Manager before any Payment Request can be processed. Failure to comply with the specified reporting requirements may be considered a breach of this Agreement and may result in the termination of this Agreement or rejection of the Payment Request and/or forfeiture by the grantee of claims for costs incurred that might otherwise have been eligible for grant funding. Any problems or delays must be reported immediately to the Grant Manager. Tire-Derived Aggregate Grant Program, FY 2fi1,t 17 6 PROGRESS REPORT The grantee must submit a Progress Report by April 1, 2018. This report should cover grant activities that occurred from the NTP date through April 1, 2018. The Progress Report must address the work completed during the reporting period and be accompanied by all required supporting documentation, including pre-construction photographs. The Progress Report must be submitted even if no work has started on the project. If you are submitting a Grant Payment Request at the same time as your Progress Report, you must follow the guidelines under the Final Report. The Progress Report must be prepared in the format specified below and uploaded into the GMS system, see "Reporting Requirements" section for instructions. PROGRESS REPORT COMPONENTS Cover Page • Name of the grantee • Grant number • Amount of grant award • Dates of report coverage • Report preparation date • Disclaimer statement, as follows: "The statements and conclusions of this report are those of the grantee and not necessarily those of the Department of Resources Recycling and Recovery, its employees, or the State of California. The State makes no warranty, express or implied, and assumes no liability for the information contained in the succeeding text." Project Summary and Status Provide a brief description of the progress of the TDA grant project(s) including: • Completed design plans • Hired contractor(s) • Approved, completed, and in-process project(s) • The timeline for completion of remaining project(s) • Results Achieved • Problems encountered or anticipated • Provide a brief description of any changes to the project and/or schedule including: 1. Changes in grantee contact information 2. Changes or modifications to the original project FINAL REPORT The Final Report may be submitted at any time after the project is completed, but must be submitted no later than April 1, 2019. This report should cover grant activities from the NTP through April 1, 2019, or completion of Project, whichever is sooner. Failure to submit the Final Report with appropriate documentation by April 1, 2019, may result in rejection of the final Grant Payment Request and/or forfeiture by the grantee of any claims for reimbursement of otherwise eligible costs. Tire-Derived Aggregate Grant Program,FY 2016-17 The Final Report must be prepared in the format specified below and must be uploaded into the GMS system, see "Reporting Requirements" section for instructions; you may need to upload multiple documents to complete all the requirements listed below. If requested, the grantee shall make an oral presentation to CalRecycle. FINAL REPORT COMPONENTS Cover Page • Name of the grantee • Grant number • Amount of grant award • Dates of report coverage • Report preparation date • Disclaimer statement, as follows: "The statements and conclusions of this report are those of the grantee and not necessarily those of the Department of Resources Recycling and Recovery, its employees, or the State of California. The State makes no warranty, express or implied, and assumes no liability for the information contained in the succeeding text." Table of Contents Identify report contents and corresponding page numbers. Project Summary and Status Provide a concise Executive Summary of the project(s). Within the narrative of the report, include the following information: • Project(s) location • Amount (tons) of TDA used in the project • General information (type of project, duration to construct, etc.) • Cost of TDA material ($/ton) • As-built drawing(s), including survey information, certified by a Registered Civil Engineer, of the completed project, including any deviation from the CalRecycle initially approved design. Uploaded files cannot exceed 35 megabytes. If necessary, split documents/files and designate them with the document/file name and the extension "a," "b," etc. • TDA material graduation test • Laboratory analysis of all soil materials placed on site (if applicable) • Specification sheet for the Geosynthetic fabric wrap used to enclose the TDA cell • Lessons learned and any problems encountered Waste Tires Diverted Total number of California waste tires diverted from the waste stream as a result of the project's completion. This number can be calculated when completing the Tire-Derived Aggregate (TDA) Certification form (CalRecycle 740-TDA). For more details about this form, refer to item D of the Supporting Documentation section. The form is available at the CalRecycle's form web page (www.calrecycle.ca.gov/Funding/Forms). Photographs For each project provide two digital photos of the preconstruction and two digital photos of the completed project. Tire-Derived Aggregate Grant Program,FY 2C-1 B 17 B Project Acknowledgement A copy of your internet web page (or alternative) project acknowledgement, including web address (URL). See "Project Acknowledgement Requirements" section for more alternatives. If signage alternative is used, a digital photograph of the signage at the project site must be provided. Contractor Summary List of all contractors and subcontractors that supplied, transported, and/or installed TDA materials or that provided engineering/design or testing services for the project. For each contractor and subcontractor include the following information: Name of Firm • Contact person • Add ress • Concise statement of work completed • Time period in which the work was completed • Amount paid • A copy of the Reliable Contractor Declaration (CalRecycle 168) required by Exhibit A --Terms and Conditions (Unreliable List) and filed for each contractor and subcontractor at the beginning of the project. GRANT PAYMENT INFORMATION 1. Payment to the grantee for eligible grant expenses is made on a reimbursement basis only and for only those materials and services specified in the approved grant application. 2. Reimbursement may be requested only twice during the Grant Term. In conjunction with (or after) submission of the Progress Report and in conjunction with the Final Report. If a Progress Report is submitted, you must follow the reporting guidelines under the Final Report Components. 3. The grantee must submit the required Progress Report/Final Report, and the Grant Manager must approve the report prior to, or concurrent with, submission of the Grant Payment Request. 4. The grantee must submit a completed Grant Payment Request and provide supporting documentation as described in the "Payment Request and Documentation" section for completed project(s) only. 5. Grant payments will only be made to the grantee. It is the grantee's responsibility to pay all contractors and subcontractors for purchased goods and services. 6. Ten percent of each approved Grant Payment Request will be withheld and retained until all conditions stipulated in the Agreement, including submission and Grant Manager approval of the Progress and/or Final Report, have been satisfied. 7. CalRecycle will make payments to the grantee as promptly as fiscal procedures permit. The grantee can typically expect payment approximately 45 days from the date a Grant Payment Request is approved by the Grant Manager. 8. The grantee must provide a Reliable Contractor Declaration (CalRecycle68) (www.calrecycle.ca.gov/Funding/forms/) signed under penalty of perjury by the grantee's contractor(s) and subcontractor(s) in accordance with the "Reliable Contractor Declaration" provision of the Terms and Conditions (Exhibit A). The declaration must be received and approved by the Grant Manager prior to Tire-Derived Aggregate Grant Program,FY 2016-17 9 commencement of work. See "Reliable Contractor Declaration" provision in Terms and Conditions (Exhibit A) for more information. PAYMENT REQUEST AND DOCUMENTATION Failure to submit the final Payment Request with appropriate documentation by the due date may result in rejection of the Payment Request and/or forfeiture by the grantee of claims for costs incurred that might otherwise have been eligible for grant funding. Payment requests must be submitted in GMS. For further instructions regarding GMS, including login directions, see the section above entitled, Grant Management System. To submit a Grant Payment Request: 1. Go to the Payment Request tab. 2. Click on the Create a Payment Request button. • Choose Reimburse for the Transaction Type and enter the amount spent in each budget sub category. • When the transaction is complete, click the Save button. • After the transaction is saved, the Upload Supporting Documentation button will appear in the lower right corner. 3. Click the Upload Supporting Documentation button. Choose the Document Type, enter a document title, click the Browse button to search and upload the document, and then Save. • Select the Back button to upload another document and continue this process until all required supporting documents as listed below are uploaded. The maximum allowable file size for each document is 35MB. 4. Click the Submit Transaction button, located on the transaction page, to complete your payment request (including uploading all the documents listed below). Supporting Documentation A. A scanned copy of the Grant Payment Request form. Mail only the original Grant Payment Request form (CalRecycle 87), with the original signature of the signatory or his/her designee% as authorized by grantee's Resolution or Letter of Commitment to: Via standard mail: Via courier/personal delivery: Department of Resources Department of Resources Recycling and Recovery Recycling and Recovery TDA Grant Program TDA Grant Program FiRM Branch, 13tn Floor FIRM Branch, 13t" Floor P.O. Box 4025 1001 l Strept Sacramento, CA 95812-4025 Sacramento, CA 95814 *A designee may sign on behalf of the grantee if a) authorized by the Resolution or Letter of Commitment, and b) a Letter of Designation has been provided to the Grant Manager. B. Cost and payment documentation, such as invoices; receipts, weigh tickets or approved progress payment authorizations containing: Tire-Derived Aggregate Grant Program, FY; ;7y 17 1 ✓ Vendor name, phone number or address, purchase amount and date ✓ Description of goods or services ✓ Proof of payment (e.g., copies of cancelled checks, bank statements, invoice marked as paid with corresponding receipts or cancelled checks) ✓ Amount of TDA material produced for the project ✓ Documents supporting Installation, Engineering, and Testing Cost are described below: For grantees: 1) A Personnel Expenditure Itemization Summary (CalRecycle 165) (PES) form must be submitted for grantee staff directly involved in TDA installation. PES forms are available at CalRecycle's form web page (www.caIrecycle.ca.gov/Funding/Forms), in the General Grant Forms section. 2) A letter or an e-mail correspondence, indicating the total linear footage and the percentage representing installation cost. 3) Grantee must retain payroll journal/registers and personnel time Iogsltimesheets for audit purposes, but do not need to submit them with a Payment Request. For contractors: 1) A Construction Progress Payment (or equivalent), indicating unit (linear foot/yard, etc.) price and total number of units of installation activity work performed. c)If the above cannot be provided, grantee can submit a PES (CalRecycle 165) form as an alternative. PES forms are available at Grant Forms web page, in the General Grant Forms section. 2) A letter or an e-mail correspondence, indicating the percentage representing installation cost. 3) Contractor must retain payroll journal/registers and personnel time Iogsltimesheets for audit purposes, but do not need to submit them with a Payment Request. C. Expenditure Itemization Summary (EIS) (CalRecycle 861- EIS-TDA) —All expenditures must be itemized and arranged by the reporting and expenditure categories as contained in the grantee's approved Project Summary and Calculation. A sample is provided on the next tab of the document for your convenience. D. A scanned copy of the Tire-Derived Aggregate (TDA) Certification form (CalRecycle 740-TDA). You must provide verification that only California- generated waste tires, processed in California were used in the project by signing and uploading this form via GMS. This form will be completed by your TDA Manufacturer or Contractor. Provide copies of supporting documentation that validates only California- generated waste tires, processed in California were used for this grant project. Acceptable forms of supporting documentation include: Certificate of Tire-Derived Aggregate Grant Program,FY 2016-17 11 Compliance, Certificate of Origin, or Bill of Lading. Request your TDA Manufacturer to supply this document. Refer to your contractors and subcontractors to determine who your TDA Manufacturer is for the project(s). E. For private, for-profit grantees only, an updated General Checklist of Business Permits, Licenses and Filings form (CalRecycle 669), available at Grant Forms web page (http://www.calrecycle.ca.gov/Grants/Forms), in the General Grant Forms section. Note: All supporting documentation must be maintained in accordance with the "Audit/Records Access" section of Exhibit A—Terms and Conditions. All forms listed above can be downloaded from the CalRec cle's form web page (www.calrecycle.ca.gov/Funding/Forms). AUDIT CONSIDERATIONS The grantee agrees to maintain records and supporting documentation pertaining to the performance of this grant subject to possible audit for a minimum of three (3) years after final payment date or Grant Term end date, whichever is later. A longer period of records retention may be stipulated in order to complete any action and:'or resolution of all issues which may arise as a result of any litigation, dispute, or audit, whichever is later. Examples of audit documentation include, but are not limited to, expenditure ledger, payroll register entries, time sheets, personnel expenditure summary form, travel expense log, paid warrants, contracts and change orders, samples of items and materials developed with grant funds, invoices and/or cancelled checks. Please refer to the Terms and Conditions (Exhibit A) for more information. ANNUAL SURVEY Post-grant term annual surveys are encouraged by this Agreement to help assess your long-term satisfaction with the TDA projects funded by this Agreement. The grantee must complete and submit an annual survey for the TDA Grant Program every year for five (5) years after the grant is closed. You will be notified via e-mail once the annual online survey (http://www.calrecycle.ca.gov/Tires/Grants[TDA/default.htm) is available. Note: The link to the survey is only active during the survey period. Tire-Derived Aggregate Grant Program.FY 201 tr17 1 CalRecycle a 18 C Grants Management System (GMS) Application Generated By: Farrah Fadrigon Application Information Applicant: City of Ukiah Cycle Name: Tire-Derived Aggregate Grant Program Application Due Date: 2/16/2017 Cycle Code: TDA6 Secondary Due Date: 3/1 6120 1 7 Grant ID: 19738 Grant Funds Requested: $48,875.00 Matching Funds: $0.00(if applicable) Awarded Funds: $48,875.00 Project Summary: CalRecycle has edited the following summary to reflect the approved grant project:The City of Ukiah is reconstructing approximately 2,300 feet of a 4 lane(60 ft wide)arterial roadway.The Regional Water Quality Control Board requires all roadway reconstruction projects to implement Low Impact Development(LID)storm water capture and treatment systems.The City proposes to utilize underground bioretenlion swales adjacent to the roadway to meet the LID requirements.The permeable material proposed for the bioretention swales is Tire-Derived Aggregate(TDA). Approximately 600 tons of TDA (equivalent to 60,000 PTEs)is required to achieve the water volume capture requirements. Construction to start May 2017 through October 2017. AppllcantlParticipant Name: City of Ukiah Lead: X Federal Tax ID: Jurisdiction: Ukiah County: Mendocino Contacts .• - - r Prime Second Auth Cnslt Richard Seanor Title:Deputy Director of Public Works X Public Works Department Phone:7074636296 300 Seminary Avenue Fax:7074636204 Ukiah,CA 95482 Email: rseanor@dtyofukiah.com Jarod Thiele Title:Public Works Project Analyst X Public Works Department Phone:7074636755 300 Seminary Avenue Fax:7074636204 Ukiah,CA 95482 Email:jthiele@CityofUkiah.ccm Matthew Kennedy Title:Project Manager X Phone:7075409687 2235 Mercury Way Fax 7075278679 Suite 150 Email.matt.kennedy@ghd com Santa Rosa,CA 95407 Sage Sanglacomo Title:City Manager X Phone:7074636221 300 Seminary Avenue Fax: Ukiah,CA 95482 Email:ssangiacomo@cityofukiah.cwm Budget f gxs; Category Name Amount Materials 548,875.00 No Site Information Provided Documents Document Title Received Date Required https:llsecure.catrecycle.ca.goviGrants/Grant/Gra nt.aspx?G ra ntlD=l9738 Date Generated:April 13,2017 7:12 AM Page 1 of 2 Application Certification TDA Grant Application Cert,fication 2/9/2017 Project Summary&Calculation Project TDA Calculation and Project Description 2/712017 Project Summary&Calculation Approved Project Summary&Calculation W1012017 Required By Secondary Due Date Resolution/Letter of Commitment Resolution/Letter of Commitment 2/2 212 0 1 7 Other Supporting Documents) Draft Resolution Draft Resolution to apply for TDA Grant 2/7/2017 EPPP Notification General Checklist of Business Permits Licenses and Filings Joint Powers Agreement Letter of Designation r Resolution r � Check the fallowing,as applicable.See Application Gu'delines and Instructions for more Enformation and examples, X Applicant acknowledges that its approved Resolution or Letter of Commitment must be uploaded no later than the secondary due date.Applicant further acknowledges that if its Resolution or Letter of Commitment is received after this date,its application will be disqual.ried. EPPP Does your organization have an Environmentally Preferable Purchasing and Practices(EPPP)Policy? X Yes,our organization has an EPPP Policy.Organization refers to a company•business•or the entire city or county applicant,not an individual office or sub-unit of the larger entity. Program Questions California Labor Code section 1782 prohibits a charter city from receiving state funding or financial assistance for construction projects if that charter city does not comply with Labor Code sections 1770-1782. If any applicants or part cipating jurisdictions are charter cities or jo'.nt powers authorities that include charter cities,the lead applicant must cart fy that Labor Code section 1782 does not prohibit any included charter city from receiving stale funds for the project described in this application. If it is determined after award that a participating jurisdiction is a charter city prohibited from receiving state funds for this grant project,the grant will be terminated and any d sbursed grant funds shall be returned to CalRecycle. If any applicant or participating jurisdifiU--in is a charter c ty or a joint powers authority that contains one or more charter cities,does Labor Code section 1782 prohibit those charter cities from receiv ng state funding for the project described in this grant application?Check the following,as applicable. X No.Applicant certifies that no charter c ties included in this application are prohibited from receiving state funding for the project described in this grant application. Does applicant certify that all tire-derived aggregate material used in the proposed project(s)will be derived from only California-generated waste tires and processed in Cal fornia? (must answer YES-n order to be eligible) (x Yes)( No) Does applicant certify that it will provide access to the project site(s)for CalRecycle staff and/or its designated contractors for the purpose of observing the project(s).and providing technical assistance and/or training during the grant term? (must answer YES in order to be eligible) (x Yes)( No) No grant elig ble costs may be incurred prior to execution of the Grant Agreement and issuance of the Notice to Proceed. You may plan and bid the project•however the placement or installation of the TDA material may not occur prior to the date indicated in the Notice to Proceed. Any and all otherwise eligible costs that are incurred prior to the date ind cated in the Notice to Proceed will not be reimbursed.We anticipate grants being awarded in April 2017.with grant agreements being sent to awardees in May. Do you acknowledge that no costs will be paid for material placed or installed prior to the date indicated in the Notice to Proceed? (x Yes)( No) https,//secure.calrecycle.ca gov.'Grants/Grant/Grant.aspx?GrantlD=19738 Oate Generated:April 13.2017 7:12 AM Page 2 of 2 a � F.71 J 0o i I co m E 9 d a o $ a QCL p8 ` p k p A 49 Q yj G to N IT I cm � oo � � �9L" mat C7 V CATEGORY 1 TAB Applicant Karim: City of Ukiah CATEGORY 1 k-fGW*EIt3HT FILL PROJECT Please 1kt PrAlect and v� dll(afmallon Lwow Sse+4>F+'Meffoo Grime rom¢.11ss'm-b1 xs for Car d r W*ff ft OPROJECT (NFORM.ATION PROI EGT NAM Fi LOCATION PROJLer TT?E: E.G.,SLOPE STABILIAT10N,EMOM MENT FILL,LANDSLIDE REPAIR,RFTAIN:NG WA1sI t. m c' I -m ) -- ENG NEERING PIAh%LJPL"2ADFPIy GMS, "- YMIM OYES `)NO TYPE OFTDAe. w....-,�- (must Stint one) 0 TYPE A ()TYPES •s„hGPlh.IYYi,i3�lr`VCSLYr7i'-I' 'fR�kt�:+.nsf.var�P',3n5 off kf dCydPtlan3. OBUOGET COST INFORMATION MATERIAL(DELIVERED) INSTALLATION FILL VOLUME Length Wlrth Height Conve'ton riRVo-ume weight InmflationCose installation (ft) (j[l ut+(1"'max} Ito-1 f5/q+n) Cost x x = 0 /27= 0.00 yds' 0.00 x = $0 x x 0/27• 0.00 ydS3 1MAMMUM FOR REIMBURSEMENT 15 i 7.SWMN x x 0/27= 0.00yds3 ENGINEERING ANDTESTING(estlmated) froundpmounts to the nearest whok dollar) x x 0 /27- 0.00 yds' WE'GHT( tons combined min) TOTAL- 0.00 ydsT ENGINEERING' Volume Unit (mar-v 0f9r0nt0M0Unt4) (yd/) weights 0.00 x 0.675 ton/yd' = 0.00 Tons S DELIVERED COST TESTING weight Delivered Cost Materials (max$$,OWperAml,category,etrePthrtlrl irons) rvton) Cost 0.00 x = $0 $ '70 ASSIST DETERMINING£NGRCOST,SEETHE GILcuLATIONTOOLTAB BELOW. 4GRANTAMOUNT IS THE COMBINED SUM OF MATERLALS, ;IYPICAL IN PLACE DENSITY OF 50 LBS/CUBIC FOOT(0.575 TOKNDj I INSTALLATION,AND TESTING COST. Materials installation Engineering Testing TOTAL PROJECT COST $0 + $0 I + L $0 + $0 = $0 CATEGORY 2 TAB 4plkaiit Nan e: C(ty of Ukiah GATED OR'f 2 MBI?ATIbN WD3ATIOA P"C FYpwsv LEsf w,d cover�rVar»ahbrt tbiaw. Ses trtn . ��nso-Lrr�rAr for Cat a r+arrerrxar�. ®PROJECT INFO)(MATI N PROIFGT MAN TION: UMrrS.tE.GAF+oMTATOPdNf8.INTERSECTINGSTRE m -m ENGINFFRINC PLANS UPLOADED IN r3MS' I. (mostsdretz.,.I Q YES ONO TTPE OFTDA*: — (miatiekdone) O TYPE A O TYPE Es #See F`lgMYtl7C.'.."i C;fd". (ordeklptlptti QBUDGET COST INFORMATION MATERIAL{DELIVERED] iNSTALiATION FILL VOLUME Weight InntallathnCose Installation Length YVldth Haight Conversion fill Volume It-1 fS/toaJ Cost dU 0.00 x $0 x x = D /27 a 0.00 yd5 1MIWMUM FOR REIMBURSEMENT Is 57-WflON ENGINEERING ANDTESTING(estimated) (rou damarnte[othenearest wF.kAgix) t WEIGHT(500 tons combined min) ENGINEERIN(e Volume Unit (Max 35X ofQrantamounte) Nd'1 was 0.00 x 0.675 ton/yd3 a 0.00 Tans $ DELIVERED COT TESTING weight Dell"redCost Materials perpvjm w gwe,eneptictW) f—) fsrm++1 Cost 0.00 x $0 $ 310ASSIST DETERM NING ENGR£OST,SEETVk CALCUkADON TOOLTAR NODW 'c,mw A&IOUNr is THE COMBINED SUM OF MATFA W.S. aI PLACE DENsnyOF SO LRS/QJINC FO(Fr(067S7OIQfD) INSTAIIATIOH.AMoTESTING COST. Materials Installation Engineering Testing TC1 Al.PgOIECTCOSr $o + $o + $o + $o - $0 CATEGORY 3 TAB Applkant Name: City of Ukiah CATEGORY 3 LOW IMPACT DEVELOPMENT PROJECT Please list Rq&rj and cost 6trarmatbn below. Sea Apo affm GwLw tes hS In9ETTa/am fGrCa &E' ngtlMrtgtl(s ©PROJECT INFORMATION PROACT NAM LOCAT!CN: Transportation Improvements for Redwood Business Park PAOJECTTYPE:jEG.,ST0ILVI WATER ViANAGEMEWO Road Reconstruction and Low Impact Development �UsTf4Fl 5 fr m xn -to 05/2017 06/2017-10/2017 £NGINEER.NG PLANS UPLOADEn IN SMs: I tmustr.trctTont) OO YES ONO 50% (mart uhctorhe] *1YPE A Q TYPE B *5hx`:Sat}Y•'n16'j3U�r.[Ir f�act�I.'as.:1r5.`Ilr�ceu I V�r1.a7x..�.'}ar derhalptbns. ©BUDGET COST INFORMATION MATERIAL{DELIVERED) INSTALLATION FILL VOLUME Length widLh Helg tt convention Fill Volume weight nn3ulletIWC03e Installation f) fir) U0(IV tnax) ftons) ($/ton) Cast 1,500.00 x 4.r;L; x 4.Ct? = 24,000 /27- 888.89yds 600.00 x $750 $4,500 x x ' 0 /27 0,00 yd53 2MAmum FOR KEIMBURSfMEMT IS S7.SoRON x x = 0 /27 0.00yds3 ENGINEERING ANDTESTING(esttmrted) x x = 0 /27- 0.00yds3 (roundamountstothenearestwholedotbr) WEIGHT(500 tons combined min) TOTAL- 898.89yds3 ENGINEERING; volume Unit (mar Li#ofgrontomount4) WI) weight, 888.89 x 0.675 ton/03 = 600.00 Tons S 6,375 DELIVERED COST TESTING weght Delivered cast Materials (max$s. perprojectcotLVory,exceptforV-1P) (tons) 0/ton) Cost 600.00 x $55.00 = $33,000 $ 5,000 'TO ASSIST DETERMINING ENGR COST.SEE THE CALCULAWN TOOL TAB BELOW. 'GRANT AMOUNT IS THE COMBINED SUM OF MATERIALS, 'TYPICAL IN PLACE DENSITY OF 50 LBS/CUSIC FOOT(0.675 TORM) INSTALLATION.AND TESTING COST Materials installation Engineering Testing TOTAL PROJECT COST $33,000 + $4,500 + $6,375 + $5,0DD = $48,875 CATEGORY 4 TAB Site 1 AW10M Name: City of Ukiah CATEGORY(4 LIWDF(LL FiRWECT I X Jsleasellsf end �Lrur:e�Bt�dte14V4. See. tfarorock&w+6kJoIcturnfoF CWDgwy 8 QPROJECT INF6�MATION ' PWIECT NAN FILOCATION qm'E A0a1F5S,IF APKICABLE): PROIECTTYPE: E.GvGASOOLLECTIONLPAICHATEINJECnON1 MCPOSAD 3 M ENGINEERING PEAKS UPLOADED rN GMS: r [m"stre4ct { (-`YES 0No T TYPEOFTW; [mauae+au aael 0TWEA OTMS See7taP�e�4100T..iYM4Y�k�+0.45',71rc5,7�=:'cxcvxe:.7 .aLa,for ©BUDOFT COST INFORMATION MATERIAL(DELIVERED) INSTALLAIM FILL W1LUME fat VUII she lbmtfon/address) Lenph width Hikht convNsloly bendy We4m Ireallativnco3e Installation `} fjtl ,6,(ft) P7 FlBvolurm, (tau) f�Ronl Cost x x 0 /27- 0.00 yd? 0,06 x $0 3( x 0 /27= O.00 yd? 3 MA)IMUM FOR RE kiBURSEMENT 5$Y.sq/ItlH .. l x i x F_ 0 /27r 0.00 yds3 ENGWEERING AND'tMNVG( eledl a (roundamounu to the neanmat.�Iole dollar) x x = 0 /27= 0.00 yds. WEIGHT(,-al tons combfnedmin) TOTAL O-W yds3 ENGINEERING{ Volume Unit (max I' olanantamounta) - (yd') w4whec 0.00 x 0.675 ton/yd; 0.00 Tons $ bill VERED COST TESTING wakht DaUvered Cost Materials fm—$5;O q perpn*ctcate") (rain (Aft") Cost 0100 x = $0 $ t mASSIST DEE[F]IMMING EAGR COST,SEE TNECALOAA710N TOOLTAB WUyw.. 'VOLUME IIMIII H TO 0.7S Y03[DS TONSMUNEAL FOOT OF TRENCH 'OMWAMOUNT IS THE COMBINED SUM OF MATERWS, 'kY►ICAL w MAC OENSITy OF s0 Le&0ex row{o eT5yowvD) Ih3TALLATKK AND TESTING 0057- Materials Installation EFWneerfng TestIng TDTALPROJECFCOST $o + So + so + $o = $0 ToeMwanaddfdonalskelowffwn goto the next"tab named"Catenory451te2" lfyoumquire more than 3 she focador%please contact lgrr(p,jp[0ondan wftQ Aza.oDv CATEGORY 4 TAB Site 2 Applicant Name: Cfty of Ukiah ': ' CATE60 RY 4 l ANI}SILL PRWEtr(Site 2) PYWW'flst fR51ed and MI kd FWtbn bplaw. S"+sAPrCvAWn Guide NM&Irletrl.Mm"for GffMqYy&E' rept*e MerA5L QAROJECT INFORMATION PROIEcr NAME mATION IsrrEABMEs,IF APPLI HLEI: PRaJECTWPE: E.G,QUCOUELTON,LEAC3fATEBUECTWNI tSIIP3 m ENGINE FRINr.PLANS UPI CA7Fr`IN GMS: &Ae tsded ow) O YES ONO TYPE OF me: - v. ._ v•^—T. (mutt rekctenQ O TYPE A O TYPE B �Sae n�«P��.rx.ralrc�v�•,a:,:t:�rl+�.'.JA�a�:ure11 r:e.N:ue.a.uAl Tor daxelptlont, ©BUDGET COST INFORMATION MATERIAL(DELIVERED) INSTALLATION FILL VOLUME(at this site)Davtlan/address) tiength, Width Height Converalan Trench Weight InTtalletionCt*e Installation it) (ft) ryq FIRVoterne° (tons) ($/ton) Cost x x = 0 /27= 0.00 yds3 0.00 x $0 x x = 0 /27= 0.00 yds3 3MAMMUM FOR REIMBURSEMENT is 57.5WFON x x = 0 /27= 0.00 yds3 x x = 0 /27= 0.00 yds3 WEIGHT(500 tonscombinedmfn) TOTAL= 0.00 yd2 Volume UTA (yd'l Welghe 0.00 x 0.675 ton/yd3 = 0.00 Tons DELIVERED COST Weight Delivered cost Materials (tens) ($/ion) cost 0.00 x = $0 'VOLUME UMREDTO 0.75 YD3 i05 TONSI/UNEAL FOOT DF TRENCH ,TYPICAL IN PLACE DENSITY OF SO LBS/CUBX FOOT tO.M TON/YD'} To enter.an.addidonal site location,go to thenext tab named"Cafegoty 4Ske 3" if you requiremore than 3 she(otndions,please contact torero.TomondonaLwCalRecyde.co aQv_ CATEGORY 4 TAB Site 3 +IppllcantNMW City of Ukiah CATEC¢RY 4 LrDFILL JECT.(Sfte 3) Please 1kt end oust irlfarnetbrl below. See ioeLbn C# 'i�el d instrud6br�a If;!G1e & req�jrnerxs. ' QPROJECT INFORMATION PMECTNAM TM 5rMAOaRES FAPPGCMtE)- PROJECTTYPE-. Eli,GAS COLEFCnoM,LEACHATENECTION) r m ENGIn EMNG PLAms ualoan EP IN EMS: _ MIM " IMM U ed oey O YES ONO TYP.ECIFTOA`: —r. _...,...-,....�.�_� (mug idea D-j O TYPE A O TYPE a i SN Itti�is re4rr.,'r w■�aax.�ri f Ims.':,;rJNe e_^�r�r'.va���5�xs�I the de=nlptlenf, 819UDGET COST INFORMATION MAiE114%L(DELIVERED) INSTILLATION FILL VOLUME(at this ifte bcotiorl/oddres5J Length wleth HeIght Convenlon Trench Wet& InsUK-SonCost' Instalfatlon Ut) 6v ft<1 FIIIVolumet (rout) fSlron) Cast x x 0 /27= 0.00 yds' 0.00 x $0 x.� x 0 /27= 0.00 yds' aMApMur+I FOR PIEaeuRSEMEW[SS- WWH x.: x 0 /27= 0.00 yds' x x 0 /27= OM yds' WEIGHT(SUO tons tombloed m!n) TOTAL= 0.00 yds' Volume unit 0.00 x 0.6.75 ton/yd' a 0.00 Tons DELIVERED COST welaht D&Wedcost Materfals (ta) (S/ton) Cost 0.00 x n $0 VO W ME aMTEOTO 0,7S Yo'Io.S TONSYUPIEAL fWT OF TRENCH "FMCAL PI PLACE eENSEY OF Se LRS/CZIRIC FOOT JCLM TONAel IfyoupquIT more than 3dttaloprilons,pleasewnenct S4�h>Tpmon vriQ l3t�YClssa e Calculation Tool DETERMINING ENGINEERING COST : . Enter the combined sum of # Materials,Installation,and `- a "}u Testing Cost here. # t Max + _ , + i Project Category Engr Cost SubTotali Engineering CostZ TOTAL PROJECT COST Lightweight Fill 50% $0 + $0 = $0 Vibration Mitigation 35% $0 + $0 - $0 Low Impact Development 15% $0 + $0 Landfill Application 10% $0 + $0 = $0 'combined sum of Materials,Installation,and Testing Cost tenter this amount In the Engineering field of the Budget Cost Information section FOR VLP, USE CALCULATION BELOW Enter the combined sum of Materials and Installation Cost here. Max Engr& Engineering& Project Category Testing Cost SubTotals Testing Cost" TOTAL PROJECT COST Lightweight fill 50% $0 + $0 = $0 Vibration Mitigation 35% $0 + $0 - $0 Low Impact Development 15".' $0 + $0 = $0 Landfill Application 10?4 $0 + $0 - $0 "combined sum of Materials and Installation Cost only 4enter this amount in the Engineering field of the Budget Cost Information section;leave the Testing field blank GUIDELINE: SAMPLE ENGR COST BASED ON MAXIMUM GRANT AMOUNT $350,000 MAX GRANT Max Project Category Engr Cost SubTotal Engineering Cost TOTAL PROJECT COST Lightweight Fill 50% $233,333 + $116,667 = $350,000 Vibration Mitigation 35% $259,259 + $90,741 = $350,000 Low impact Development 15% $304,348 + $45,652 = $350,000 Landfill Application 10% $318,182 + $31,818 = $350,000 $750,000 MAX GRANT Max Engr& Engineering& Project Category Testing Cost SubTotal Testing Cost TOTAL PROJECT COST Lightweight Fill 50% $500,000 + $250,000 = $750,000 Vii'-rHtloq Miti�A ion 35°/ $555,556 - $194.444 $750,000 Low Impact Development 15% $652,174 + $97,826 = $750,000 Landfill Applicat-on 10% $681,818 + $68,182 = $750,000