HomeMy WebLinkAboutResolution - 2013-R0453 - Authorize Grant Application With SPAG - Regional Solid Waste Grants Program - 12_19_2013Resolution No. 2013-RO453
December 19, 2013
Item No. 5.21
RESOLUTION
A RESOLUTION OF THE CITY OF LUBBOCK, TEXAS, AUTHORIZING
THE FILING OF A GRANT APPLICATION WITH THE SOUTH PLAINS
ASSOCIATION OF GOVERNMENTS FOR A REGIONAL SOLID WASTE GRANTS
PROGRAM GRANT; AUTHORIZING THE CITY MANAGER TO ACT ON BEHALF
OF THE CITY OF LUBBOCK IN ALL MATTERS RELATED TO THE
APPLICATION; AND PLEDGING THAT IF A GRANT IS RECEIVED THE CITY OF
LUBBOCK WILL COMPLETELY COMPLY WITH THE GRANT REQUIREMENTS
OF THE SOUTH PLAINS ASSOCIATION OF GOVERNMENTS; THE TEXAS
COMMISSION ON ENVIRONMENTAL QUALITY AND THE STATE OF TEXAS.
WHEREAS, the South Plains Association of Governments is directed by the
Texas Commission on Environmental Quality to administer solid waste grant funds for
implementation of the COG's adopted regional solid waste management plan; and
WHEREAS, the City of Lubbock in the State of Texas is qualified to apply for
grant funds under the Request of Applications; NOW THEREFORE:
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
1. THAT the City Manager of the City of Lubbock is hereby authorized and
directed to request FY2014-2015 grant funding under the South Plains Association of
Governments Request for Applications of the Regional Solid Waste Grants Program and
act on behalf of the City of Lubbock in all matters related to the grant application and any
subsequent grant contract and grant project that may result.
2. THAT if the project is funded, the City of Lubbock will comply with the grant
rents of the South Plains Association of Governments, the Texas Commission on
imental Quality and the State of Texas.
3. THAT the grant funds and any grant -funded equipment or facilities will be used
:only for the purposes for which they are intended under the grant.
4. THAT activities will comply with and support the regional and local solid
waste management plans adopted for the geographical area in which the activities ware
performed.
Passed by the City Council on
December 19, 2013
•m�r • . •r
ATTEST:
*ecahjar_zqa&,C_a_ity Secreta
APPROVED AS TO CONTEN
Scott Snider, Assistant City Manager
Community Services
APPROVED AS TO FORM:
ad Weaver, Assistant City Attorney
vwIRES.SPAG-Grant App
November 26, 2013
Resolution No. 2013-RO453
South Plains Association of Governments
FY 2014/2015 REGIONAL SOLID WASTE GRANTS PROGRAM
FORM 1. APPLICATION INFORMATION AND SIGNATURE PAGE
Applicant:
City of Lubbock
Funding Amount Proposed:
$ 25,170
Address: Phone/Fax:
11 Solid Waste Services Ph: 806-775-2481
P.O. Box 2000, Lubbock, Texas 79457 Fx: 806-775-3013
Contact Person: Date Submitted:
Penny Morin /a - ` - a) (j /
rroiect t_;ate2or
❑ Local Enforcement
❑ Litter and Illegal Dumping Cleanup and Community Collection Events
® Source Reduction and Recycling
❑ Local Solid Waste Management Plans
❑ Citizens' Collection Stations and "Small" Registered Transfer Stations
❑ Household Hazardous Waste (HHW) Management
❑ Technical Studies
❑ Educational and Training Projects
® Other projects to include scrap tires (must be reviewed and authorized by the COG prior to
a plication deadline)
ature
By the following signature, the Applicant certifies that it has reviewed the certifications,
assurances, and deliverables included in this application, that all certifications are true and
correct, that assurances have been reviewed and understood, and that all required deliverables
are included with this application.
Signature Title:
Solid Waste Collection Manager
Typed/Printed Name: Date Signed:
Penny Morin /l- 0 -6 _ 6)--013
FUR USE BY South Plains Association of Governments
Date application was received:
Does the application meet all of the required screening criteria: Yes No
Is the application administrati
Project .4pplication
Form I
Yes No
FORM 2. Authorized Representatives
The Applicant hereby designates the individual(s) named below as the person or persons
authorized to receive direction from the COG, to manage the work being performed, and to act
on behalf of the Applicant for the purposes shown:
1. Authorized Project Representative. The following person is authorized to receive
direction, manage work performed, sign required reports, and otherwise act on behalf of the
Applicant.
Signature:,'
Typed/Print d N me: James W. Loomis
Title: City Manager
Date:
2. Authorized Financial Representative. In addition to the authorized project representative,
the following person is authorized to act on behalf of the Applicant in all financial and fiscal
matters, including signing financial reports and requests for reimbursement.
Signature:
Typed/P 'nte ame: James W. Loomis
Title:
Date:
Project .application
Form 2
FORM 3. Certifications and Assurances
Certifications
In order to receive grant funds under this program, the proposed project must conform to the provisions
set forth in the Request for Applications (RFA). The following certifications are intended to help the
COG to ensure that these provisions are met. By signing this Application, the person acting on behalf of
the Applicant makes the certifications listed below.
1. Authority to Sign Application
The person signing this Application hereby certifies that he/she is the official contact regarding this
Application and has authority from the Applicant to sign the Application and that such authority will
bind the Applicant in subsequent agreements.
2. Application Contains No False Statements
Applicant certifies that this Application has no false statements and that the Applicant understands
that signing this Application with a false statement is a material breach of contract and shall void the
submitted Application and any resulting contracts. The Applicant understands that the COG will not
accept any amendment, revision, addition or alteration to this Application after the final date and time
for submission.
4. Governmental Status
Applicant certifies that it is located in the State of Texas and fits within one of the governmental
classifications listed below, as determined under state law:
a. City
b. County
c. Public school or school district (not including Universities or post secondary educational
institutions)
d. Other general and special law district with the authority and responsibility for water quality
protection or municipal solid waste management, including river authorities
e. Council of Governments
5. Solid Waste Fee Payments
Applicant certifies that it is not delinquent in payment of solid waste disposal fees owed the State of
Texas.
6. Debarment from State Contracts
Applicant certifies that it is not barred from participating in state contracts by the Texas General
Services Commission (GSC), under the provisions of §2155.077, Government Code, and 1 TAC
§ 113.02, GSC Regulations.
7. Conformance to Standards
The Applicant certifies to the best of their knowledge and ability that the proposed project, including
all activities in the proposed Scope of Work and the proposed expenditures, conforms to the eligible
category standards and allowable expense and funding standards as set forth in the Request for
Applications.
8. Consideration of Private Industry
The following certification only applies if the project is under one of the following grant categories:
a. Source Reduction and Recycling
b. Citizens' Collection Stations and "Small" Registered Transfer Stations
c. A demonstration project under the Educational and Training Projects category
d. Other (If the COG receives authorization tof and additional types of projects, that
authorization may include requirements for notification of private industry. When
applicable, those additional project categories should be listed here.)
Applicant certifies that it has notified private service providers in accordance with the requirements
set forth in the Request for Applications and the instructions provided with this application form.
Applicant further certifies to the best of their knowledge and ability (after completing Form 5) that
the proposed project will promote cooperation between public and private entities, is not otherwise
readily available, and will not create a competitive advantage over a private industry that provides
recycling or solid waste services.
9. Consistency with Regional Solid Waste Management Plan
Applicant certifies to the best of their knowledge and ability that the proposed project is consistent
with applicable goals, objectives, and recommendations of the adopted regional solid waste
management plan of the COG.
10. Technical Feasibility
Applicant certifies that is has carefully reviewed its Scope of Work and that to the best of their
knowledge and ability all activities are technically feasible and can be satisfactorily completed within
the grant period as set forth in the Request for Applications.
11. Costs Reasonable and Necessary
Applicant certifies to the best of their knowledge and ability that the proposed project activities in the
Scope of Work and the expenses outline in the Budget are reasonable and necessary to accomplish the
project objectives, and that the proposed expenses are consistent with the costs of comparable goods
and services.
12. Certification by Law Enforcement Programs
If the Applicant is a law enforcement entity regulated by Chapter 415 of the Government Code, the
Applicant certifies that it is in compliance with all rules developed by the Commission on Law
Enforcement Officer Standards and Education (TCLEOSE) pursuant to Chapter 415, Government
Code; or that it is in the process of achieving compliance with such rules. If compliance is pending, a
certification from TCLEOSE must be attached to indicate that the Applicant is in the process of
achieving compliance with the rules.
Assurances
If the application is approved for funding, the grant funds will be awarded through a contract between the
Applicant and the COG. The grant contract will contain a number of standards, requirements, and
processes that must be complied with as a condition of receiving the grant funds. In order to ensure an
understanding by the Applicant of some of the main conditions that will be included in the contract, the
Applicant is asked to review the following assurances. By signing this Application, the person acting on
behalf of the Applicant indicates their understanding of these conditions and provides assurances that
these and other conditions set forth in the grant contract will be adhered to if funding is awarded.
1. Compliance with Standard Pertaining to Real Property and Equipment
Applicant provides assurances that, if funded, the Applicant will comply with the contract provisions
pertaining to title to and management of real property and equipment. The contract will contain
obligations and conditions regarding the use of the equipment and/or facilities (the "property")
acquired under the agreement. Included in the provisions are obligations to provide adequate
maintenance and conduct physical property inventories; restrictions and conditions on the use,
replacement, sale, or transfer of the property; and obligations to continue to adhere to the provisions
that grant funds not be used to create a competitive advantage over private industry, in the use or
transfer of the property.
2. Participation in TCEQ Recycling Surveys and Reporting
Applicant provides assurances that, if funded, the Applicant will respond to annual recycling program
surveys and/or other requests from the COG or the Texas Commission on Environmental Quality for
information on municipal solid waste management activities.
3. Compliance with Progress and Results Reporting Requirements
Applicant provides assurances that, if funded, the Applicant will comply with requirements for:
reporting on the progress of the project tasks and deliverables; documenting the results of the project
and providing those results to the COG on a schedule established by the COG, and additionally, to
continue to document the results of the project activities for the life of the project; and to provide the
COG with a follow-up results report approximately one year after the end of the grant term.
4. Financial Management
Applicant provides assurances that, if funded, the Applicant will comply with contract provisions and
requirements necessary to ensure that expenses are reasonable and necessary, and to adhere to
financial administration and reimbursement procedures and provide financial reports on a schedule
established by the COG.
5. Compliance with Americans with Disabilities Act
Applicant provides assurances that, if funded, the Applicant will comply with all the applicable
requirements of the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101-12213
(Pamph.1995).
6. Compliance with the Single Audit Act
Applicant provides assurances that, if funded, the Applicant will comply with the Single Audit
Provisions of the Uniform Grant Management Standards (UGMS), prepared by the Governor's Office
under §§783.001 et. seq, Texas Government Code, and 1 TAC §§5.141 et. seq, Governor's Office
Regulations. Provisions of the Single Audit Circular in Part IV of the UGMS apply to all recipients
of funding under this grant.
7. Compliance with Program and Fiscal Monitoring
Applicant provides assurances that, if funded, the Applicant will comply with program and fiscal
monitoring provisions of the contract, including: providing additional reports or information as may
be requested to adequately track the progress of the project; and allowing site visits to evaluate the
progress of the project and to view any grant -funded equipment or facility.
FORM 4. Resolution
A resolution authorizing the application must be approved by the governing body of the
Applicant. Following this page is an example Resolution Form that may be used to prepare the
required resolution. This or a similar resolution must be signed and notarized in addition to the
signature required in Form 1.
To complete your application, please remove this page and replace it with a signed
resolution of your entity's governing body.
Resolution is scheduled for approval and signatures on the Consent Agenda for the
December 19, 2013 City Council Meeting.
(See attached)
Project Application
Form 4
RESOLUTION
!I A RESOLUTION OF THE CITY OF LUBBOCK, TEXAS, AUTHORIZING
;' THE FILING OF A GRANT APPLICATION WITH THE SOUTH PLAINS
:ASSOCIATION OF GOVERNMENTS FOR A REGIONAL SOLID WASTE GRANTS
,.PROGRAM GRANT; AUTHORIZING THE CITY MANAGER TO ACT ON BEHALF
`OF THE CITY OF LUBBOCK IN ALL MATTERS RELATED TO THE
'APPLICATION; AND PLEDGING THAT IF A GRANT IS RECEIVED THE CITY OF
�LUBBOCK WILL COMPLETELY COMPLY WITH THE GRANT REQUIREMENTS
$17 THE SOUTH PLAINS ASSOCIATION OF GOVERNMENTS; THE TEXAS
!;COMMISSION ON ENVIRONMENTAL QUALITY AND THE STATE OF TEXAS.
ij WHEREAS, the South Plains Association of Governments is directed by the
lTexas Commission on Environmental Quality to administer solid waste grant funds for
If implementation of the COG's adopted regional solid waste management plan; and
1,i
WHEREAS, the City of Lubbock in the State of Texas is qualified to apply for
grant funds under the Request of Applications; NOW THEREFORE:
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
1. THAT the City Manager of the City of Lubbock is hereby authorized and
directed to request FY2014-2015 grant funding under the South Plains Association of
Governments Request for Applications of the Regional Solid Waste Grants Program and
act on behalf of the City of Lubbock in all matters related to the grant application and any
subsequent grant contract and grant project that may result.
2. THAT if the project is funded, the City of Lubbock will comply with the grant
requirements of the South Plains Association of Governments, the Texas Commission on
;Environmental Quality and the State of Texas.
I� 3. THAT the grant funds and any grant -funded equipment or facilities will be used
;'only for the purposes for which they are intended under the grant.
i
4. TIIAT activities will comply %%ith and support the regional and local solid
,,%%aste management plans adopted for the geographical area in %%hich the activities ware
'performed.
Passed by the CITY Council on
(il_FN C. R0131:RTSON, %IAYOR
ATTEST:
Rebecca Garza, City Secretary
APPROVED AS "CO CONTENT:
Scott Snider, Assistant City Manager
Community Services
APPROVED AS "CO FORM:
C iad Weaver, Assistant City Attorney
%N� RI S SP \O-Grma \pp
No%ember 2h. 2013
FORM 5: Explanation Regarding Private Industry Notification
Applicable to Applicants under the following grant categories:
a. Source Reduction and Recycling
b. Citizens' Collection Stations and "Small" Registered Transfer Stations
c. A demonstration project under the Educational and Training Projects category
d. Other to include scrap tire projects (Contact COG if applying under Other category.)
Form 5a. List of Private Service Providers Notified
Private Service Providers Contacted
Name and
Telephone
Date
Position
Number
Notified
Back to Nature, Inc.
Wayne
Schillings,
745-1833
—]
I�
Owner
Browning Ferris Industries (Republic Services)
Robert Lara,
746-5110
Manager
Caprock Waste, Lubbock, Texas
Michael
740-0414
Duncan Disposal (Republic Services)
Frances Stone
762-2650
Jarvis Metals Recycling, Inc.
Dennis
Zuehlke,
744-7091
- �3
Manager
South Plains Compost, Inc.
Wayne
745-3559
Schillings,
Owner
South Plains Waste Services, Inc.
Garry LaDuke,
806-285-
II
Owner
2055
Triple C Waste Services, Inc.
Ron Coomer,
President
892-2316
ll rr 2
VTech Environmental Services
Polly Vann,
748-1700
Manager
�D
Project Application
Fonn 5a
Form 5b. Summaries of Discussions with Private Industry
(Refer to instructions concerning information to inchide on this form. Attach any written
comments or input provided)
Notification letters mailed. No comments received from private service providers
contacted.
Project Application
FORM 6: Project Summary
Please provide a complete project summary. Reference the goals, objectives, and/or
recommendations from the regional solid waste management plan that apply to the project, and
how the project will assist in implementing the plan. Refer to the application instructions when
completing these forms. If necessary, attach additional pages for each form.
Form 6a. Project Description (add additional pages as necessary)
This project will assist with meeting the following goals from the SPAG Regional Solid
Waste Plan.
Goal #1: Work to achieve a reduction in waste disposal amounts at area municipal solid
waste (MSW) landfills in future years.
The City of Lubbock has four (4) permanent Recycling and Citizen Convenience Drop-off
stations. In an effort to expand and maintain program services and to keep whole scrap
tires out of the landfill, the City will expand its collection of whole scrap vehicle tires to
include the two new drop -of stations. In addition, the City of Lubbock will replace the
used motor oil and used antifreeze 400-gallon containers at the established drop-off
stations.
This request is for three (3) Bumper Pull Dump Trailers. Two (2) of the trailers will be
used at the new drop-off stations and the third trailer will be used to better manage the
removal of whole scrap tires from the workface at the landfill.
The estimated cost for each trailer is $8,390.00.
Total grant request amount is $25,170.00
Total project cost is $39,543.70
Is this a repeat application? If so, when was this project submitted?
No.
Are you a Clean Texas/Cleaner World member?
No.
Do you agree to document results and provide required reports to SPAG in conjunction with this
project?
Yes.
Projecl Application
Forin 6a
Form 6b. Project Cost Evaluation (add additional pages as necessary)
Provide an evaluation of the costs associated with the proposed project. Explain how the total
related costs of the proposed project were adequately considered; compare project costs to
established averages or to normal costs for similar projects. Present the costs in unit terms, such
as cost per ton, cost per customer, or cost per capita, as applicable. Describe any measurable
costs savings, or reasonably justified costs of the project.
Estimated cost of grant application equipment is $25,170.00.
Three (3) trailers @ $8,390.00 each
Estimated cost of used oil and used antifreeze 400-gallon containers is $14,373.37.
2 400-gallon steel used oil container @ $3,132.95 each = $6,265.90
2 400-gallon steel used antifreeze containers @ $3,138.40 = 6,276.80
4 containment spill pans @ $457.75 = $1,831.00
The cost per capita for this project is $ .167 based on City of Lubbock's 236,065
population.
Project .application
Form 6h
Form 6c. Level of Commitment of the Applicant (add additional pages as necessary)
Provide infonnation related to the Applicant's level of commitment to preferred solid waste
management practices. If the proposed project is an ongoing service, demonstrate the ability to
sustain the program beyond the teen of the grant. Explain the extent to which the appropriate
governing bodies support the proposed project.
The City of Lubbock is committed to preferred solid waste management practices. The
City operates a Type 1 landfill, six (6) satellite recycling drop-off sites, a residential HHW
drop-off collection site, and four (4) permanent Recycling and Citizen Convenience Drop-
off stations. The City also operates a concrete crushing operation for the re -use of waste
concrete in some of its street department activities. In addition, the City has a permit and
the equipment for tire processing to handle scrap tires from City of Lubbock residents.
The City provides education presentations, on-line educational programs, media
announcements, advertising, and outreach events on an on -going basis to educate the
public on topics related to Water and Natural Resource Conservation, and Recycling and
Waste Minimization. The City supports and funds Keep Lubbock Beautiful goals and
event activities.
List any previously demonstrated commitment to preferred solid waste management practice,
such as: implementing other solid waste management projects, involvement in a local or
subregional solid waste management plan or study, membership in Keep Texas Beautiful, or
participation with the TCEQ's Lake and Waterway Cleanup Program, or other TCEQ
predecessor program, e.g. TCEQ's Clean Texas Program.
The City of Lubbock participated in the development and funding of the SPAG Solid
Waste Management Plan and is an affiliate member of Keep Lubbock Beautiful and Keep
America Beautiful.
If the proposed project has received previous grant funding under this program, explain to what
extent the proposal involves expansion of current services or operations; present quantifiable
documentation of the success of the project in order to warrant further funding. Demonstrate a
good record of past grant contractual perfonnance.
The City of Lubbock has received grants from SPAG/TCEQ for various programs in the
past, including plastics recycling (baler), commodities recycling (household bins), backyard
composting (compost bins), Household Hazardous Waste (HHW fire rated storage
buildings), used motor oil, used antifreeze recycling (400 gallon containers), used oil filters
recycling (55 gallon containers and covers), scrap metal recycling (roll -offs), to name only a
few. All programs have remained on -going after grant funding was received.
SPAG and the TCEQ have given the City of Lubbock good reviews on grant performance.
Project .application
Form 6c
Form 6d. Scope of Work (See application instructions. Add additional pages as necessary)
Provide a work program with a schedule of deliverables for the proposed project or program.
The work program with the schedule of deliverables will be considered the Scope of Work to be
performed under the contract agreement, if funded. Once the details of the work program have
been negotiated with the Applicant and approved by the COG, the work program will be entered
into the grant contract.
As concisely as possible, for each task of the proposed project, describe the major steps
or activities involved, identify the responsible entities and establish a specific timeframe
to accomplish each task. The scope of work for the project or program must include:
- Detailed purpose and goal of the project (should be consistent with implementing the
goals, objectives, and recommendations from the regional solid waste management
plan, as stated in the project description on Form 6a).
- Specific task statements with responsible entity identified
- List of deliverables/products/activities under each task
- Schedule of deliverables
Time Frame
30 days after contracts are executed
120 days after contracts are executed
Project Application
Form 6d
Task
Spec equipment and begin ITB process:
3 — 61x14'x36' Bumper Pull Dump Trailers
Take delivery of equipment and begin using for
the collection and storage of used scrap tires
FORM 7. GRANT BUDGET SUMMARY
Please provide the following breakdown of the total amount of grant funding being requested:
Budget Category
Funding Amount
1. Personnel/Salaries
$
0
2. Fringe Benefits
$
0
3. Travel
$0
4. Supplies
$
0
5. Equipment
$
25,170
6. Construction
$
0
7. Contractual
$
0
8. Other
$
0
9. Total Direct Charges (sum of 1-8)
$
0
10. Indirect Charges*
$
0
11. Total (sum of 9 - 10)
$
25,170
12. Fringe Benefit Rate: I N/A %
II 13. Indirect Cost Rate: I N/A % 1 II
Identify, in detail, each budget category to which your indirect cost rate applies and explain any
special conditions under which the rate will be applied:
N/A
*In accordance with the UGMS, indirect charges may be authorized if the Applicant has a negotiated indirect cost
rate agreement signed within the past 24 months by a federal cognizant agency or state single audit coordinating
agency. Alternatively, the Applicant may be authorized to recover up to 10% of direct salary and wage costs
(excluding overtime, shift premiums, and fringe benefits) as indirect costs, subject to adequate documentation. If
you have an approved cost allocation plan, please enclose documentation of your approved indirect rate.
Please complete any of the following detailed budget forms that are applicable.
Project .4pplication
Form 7
FORM 7a: Detailed Matching Funds/In-Kind Services
This budget form should be completed if the Applicant is providing any level of matching funds
or in -kind services directly related to the proposed project.
Matching Funds: $14,373.37
In the space below, please explain in detail the application of any matching funds to be
provided by the Applicant, as directly related to the proposed project:
Replacement of old used oil and used antifreeze 400-gallon containers.
2 400-gallon steel used oil container @ $3,132.95 each = $6,265.90
2 400-gallon steel used antifreeze containers @ $3,138.40 = 6,276.80
4 containment spill pans @ $457.75 = $1,831.00
In -Kind Services: $0 (monetary equivalent)
In the space below, please explain in detail the application of any in -kind services to be
provided by the Applicant, as directly related to the proposed project:
N/A
What is the TOTAL COST of the proposed project,
considering the total grant funding requested, any
matching funds being provided by the Applicant, and
the monetary equivalent of any in -kind services being
provided by the Applicant:
$ 39,543.70
Project Application
Form 7a
FORM 7b: Detailed Personnel/Salaries Expenses
For each employee to be funded wholly or in part by this grant, complete one of the lines in the
table below. Please refer to the definitions provided in the instructions in completing this sheet.
If funds are awarded, changes to grant -funded positions must be approved in advance by the
COG.
Position Title
Function
FTE
Status
Monthly
Salary
TOTAL
(Must equal Line I of the Overall Budget Summary)
$ N/A
Project Application
Form 7h
FORM 7e: Detailed Travel Expenses
This budget form provides a more detailed breakdown of the total expenses for travel indicated
on Line 3 of the Overall Budget Summary.
Please describe the types of routine in -region travel expenses expected and purpose for the
travel.
Routine In -Region Travel
Purpose of Travel
Estimated Cost
N/A
$
$N/A
All out-of-state travel expenses and other non -routine travel, such as out -of -region travel to
special training or events must be pre -approved by the COG. Complete the following
information for all requested non -routine travel, including any out-of-state travel. If those details
are not presently known, the COG will need to approve those travel costs before the travel
occurs.
Non -Routine Travel Expenses
Dates)
Purpose & Destination
Person(s)
Estimated
Cost
N/A
$
TOTAL TRAVEL EXPENSES
(Must equal Line 3 of the Overall Budget Sununarv) $ N/A
Project Application
Form lc
FORM 7d: Detailed Supply Expenses
This budget form provides a more detailed breakdown of the total expenses for supplies
indicated on Line 4 of the Overall Budget Summary.
Please list the general types of supplies you expect to purchase with grant funding.
General Types of Supplies
Estimated Cost
General office/desk supplies
$ N/A
Other supplies (explain below):
N/A
$
TOTAL
(Must equal Line 4 of the Overall Budget Summary)
$ N/A
Project Application
Form 1d
FORM 7e: Detailed Equipment Expenses
All equipment purchases must be pre -approved by the COG. If the specific details of an
equipment purchase are known, show that equipment on the list below. If the specific details of
the equipment costs are not known at this time, list the general details on this form. The specific
details of the equipment will then need to be provided to and approved by the COG before the
costs are incurred.
Equipment ($5,000 or more per unit)
(Show description, type, model, etc.)
Unit Cost
No.of
Units
Total Cost
6'xl4'x36' Bumper Pull Dump Trailer
$ 8,390
3
$ 25,170
TOTAL
(Must equal Line S of the Overall Bridget Summary)
$ 25,170
Project Application
Form 7e
FORM 7f: Detailed Construction Expenses
All construction projects must be pre -approved by the COG. If the specific details of the
construction costs are not known at this time, list the general details on this form. The specific
details of the construction will then need to be provided to and approved by the COG before the
costs are incurred. For any subcontracted activities, the request for approval will need to include
evidence that the contract price is reasonable and necessary (see instructions).
Types of Construction
Subcontracted
Yes/No
Estimated Cost
N/A
$
TOTAL
(Must equal Line 6 of the Overall Budget Sunnnary)
$ N/A
Project Application
Form 7f
FORM 7g: Detailed Contractual Expenses
All contractual expenses must be pre -approved by the COG. If the specific details of the
contractual costs are not known at this time, list the general details on this form. The more
specific details of the contractual costs will then need to be provided to and approved by the
COG before the costs are incurred. The request for approval will need to include evidence that
the contract price is reasonable and necessary (see instructions). In addition, the subcontract
scope of work must be approved by the COG before work begins.
Purpose
Contractor(s)
Contract
Amount
N/A
$
TOTAL
(Must equal Line 7 of the Overall Budget S►unmaq)
$ N/A
Project Application
Form 7K
FORM 7h: Detailed Other Expenses
This budget form provides a more detailed breakdown of the total other expenses indicated on
Line 8 of the Overall Budget Summary. Please note that the final totals are at the bottom of the
next page.
Basic Other Expenses
Please identify the basic "Other" category expenses you expect to incur appropriate to the project.
Basic Other Expenses I Estimated Cost
Books and reference materials
$ N/A
Postage, telephone, FAX, utilities
$ N/A
Printing/reproduction
$ N/A
Advertising/public notices
$ N/A
Registration fees for training (if approved)
$ NIA
Repair and maintenance
$ N/A
Basic office furnishings
$ N/A
Space and equipment rentals
$ N/A
Signage
$ N/A
Project Application
Fond A
Additional Other Expenses
The specific details of additional Other category expenses, not included on the list of basic Other
expenses, must be pre -approved by the COG. If the specific details of the additional Other
expenses are not known at this time, list the general details on this form. The more specific
details will then need to be provided to and approved by the COG before the costs are incurred.
Additional Other Expenses
Unit Cost
No. of Units
Total Cost
Computer hardware not listed under the
Equipment category (itemize each expense below
$
$ N/A
including description, type, model, etc.):
Computer software (itemize each expense below
including description, type, model, etc.):
$
$ N/A
Additional Other expenses (itemize each expense
below including description, type, model, etc):
$
$ N/A
TOTAL OTHER EXPENSES $ N/A
(Must equal Line 8 of the Overall Budget Summary)
Projecl .application
Form 7h
REQUIRED ATTACHMENTS TO THE APPLICATION
1. If indirect costs are included in the project budget, attach the Applicant's latest indirect cost
allocation plan, including documentation of approval of the plan and the indirect cost rate by
the Applicant's Federal Cognizant Agency or State Coordinating Agency.
2. If applicable, attach any written comments submitted by private industry (see instructions for
Form S).
3. If the Applicant is a law enforcement entity, and if compliance with TCLEOSE rules is still
pending, attach a certification from TCLEOSE to indicate that the Applicant is in the process
of achieving compliance with the rules (see Form 3, Certification No. 11).
Resolution No. 2013-RO453
SPAG
South Plains Association
of Governments
FY 2014/2015
REGIONAL SOLID WASTE
GRANTS PROGRAM
Implementation Project
Grant Application
Instructions and Forms
printed on ` Waste Permits Division
recycled paper I TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
South Plains Association of Governments
IN COOPERATION WITH THE
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
FY 2014/2015
REGIONAL SOLID WASTE GRANTS PROGRAM
IMPLEMENTATION PROJECT
GRANT APPLICATION INSTRUCTIONS AND FORMS
Submit completed application by: Friday, December 13,1h' 2013 by 5: 00 pm
Mail 1 original and 19 copies of application to:
Via Regular Mail: Courtney Paz Via Special Delivery: Courtney Paz
SPAG SPAG
1323 58'h St. 1323 58'h St.
Lubbock, TX 79412 Lubbock, TX 79412
TABLE OF CONTENTS
INSTRUCTIONS FOR APPLICATION FORMS.................................................................... 1
APPLICATIONFORMS............................................................................................................11
1. APPLICATION INFORMATION AND SIGNATURE PAGE...............................FORM 1
Z. AUTHORIZED REPRESENTATIVES..............................................................FORM 2
3. CERTIFICATIONS AND ASSURANCES ..........................................................FORM 3
4. RESOLUTION..............................................................................................FORM 4
5. EXPLANATION OF PRIVATE INDUSTRY NOTIFICATION.............................FORM 5
a. List of Private Service Providers Notified ......................................... Form 5a
b. Summaries of Discussions with Private Industry ............................. Form 5b
6. PROJECT SUMMARY...................................................................................FORM 6
a. Project Description.............................................................................. Form 6a
b. Project Cost Evaluation...................................................................... Form 6b
c. Level of Commitment of the Applicant...............................................Form 6c
d. Scope of Work...................................................................................... Form 6d
7. GRANT BUDGET SUMMARY.......................................................................FORM 7
a. Detailed Matching Funds/In-Kind Services ...................................... Form 7a
b. Detailed Personnel/Salaries Expenses ............................................... Form 7b
c. Detailed Travel Expenses.....................................................................Form 7c
d. Detailed Supply Expenses...................................................................Form 7d
e. Detailed Equipment Expenses.............................................................Form 7e
f. Detailed Construction Expenses.......................................................... Form 7f
g. Detailed Contractual Expenses........................................................... Form 7g
h. Detailed Other Expenses..................................................................... Form 7h
REQUIRED ATTACHMENTS
INSTRUCTIONS FOR APPLICATION FORMS
This application is a response to the Request for Applications issued by the Council of
Governments (COG). Submission of this application is an offer to contract with the COG based
on the terms, conditions, and specifications contained in the Request for Applications and
corresponding contract documents. Please review this application carefully, sign it where
signatures are required, fill in the requested information, and attach all required documents.
FORM 1. Application Information and Signature Page
This page contains general information about the Applicant, including name, contact person,
address of Applicant, telephone and fax numbers, date application was submitted to the
COG, amount of grant funding requested and the project category the proposal falls under.
Fill out the information completely.
This form also requires the signature of the Applicant. By signing this document, the
Applicant is certifying that the certifications, assurances, and deliverables included in this
application have been reviewed, that to the best of the Applicant's knowledge and ability all
certifications are true and correct, and that all required deliverables are included in the
application. Please be certain you have reviewed and fully completed any applicable
certifications and deliverables before signing this document. Note, the bottom of the page is
reserved for the COG's use.
FORM 2. Authorized Representatives
This form allows the Applicant to designate the project and financial representatives who
will be authorized to receive direction from the COG, manage the work being performed, and
to act on behalf of the Applicant.
FORM 3. Certifications and Assurances
This section contains certifications and assurances the Applicant must review prior to
submitting the application materials. Certifications are required to assist the COG in
ensuring that the Applicant and the project are eligible for funding. Assurances are
summaries of pertinent contract provisions, and ensure that the Applicant understands that
there are certain obligations associated with accepting the grant funds. If awarded,
Applicants will be asked to enter into a contract with the COG which will contain the entire
provisions required for the grant -funded project.
FORM 4. Resolution
A Resolution must be approved by the governing body of the entity presenting this
Application. The form provided must be specifically signed and notarized in addition to the
signature required in Form 1. This provision is applicable to all Applicants.
FORM 5. Explanation of Private Industry Notification
Form 5a and 5b must be completed for funding under the following grant categories:
a. Source Reduction and Recycling
b. Citizens' Collection Stations and "Small" Registered Transfer Stations
c. A demonstration project under the Educational and Training Projects category
d. Other (If the COG receives authorization to fund additional types of projects, that
authorization may include requirements for notification of private industry. When
applicable, those additional project categories should be listed here.)
According to state law (Section 361.014 (b) TX Health & Safety Code), a project or service
funded under this program must promote cooperation between public and private entities,
and the grant -funded project or service may not be otherwise readily available or create a
competitive advantage over a private industry that provides recycling or solid waste services.
In accordance with grant requirements established by the Texas Commission on
Environmental Quality, an Applicant for funding under one of the above listed project
categories must adhere to the requirements listed below.
1. Contact in person or in writing the known private service providers of similar services
which, at the time of the application development, are providing services within the
geographic service area that the project intends to serve, prior to making the application.
A list of private service providers within the region is available from the COG.
2. Inform the private service providers of the basic details of the proposed project and
consider any input and concerns from the private service providers about the project
when completing the project proposal.
3. Consider, where appropriate, meeting directly with private service providers that may
have a concern about the proposed project to attempt to resolve any concerns before an
application is submitted.
4. Complete applicable information on Forms 5a and 5b to provide documentation that
private service providers were notified of the project prior to submission of the
application.
Form 5a. List of Private Service Providers Notified
List the names and telephone numbers of private service providers notified of the
proposed project. Include the date of notification.
Form 5b. Summaries of Discussions with Private Industry
Provide summaries of any input and concerns raised by the private service providers;
summaries of any meetings or discussions held between the Applicant and the private
service providers; an explanation of any changes made to the proposed project to address
private service provider concerns; and an explanation of any remaining concerns that
were not addressed and why the Applicant determined that the concerns are not valid
under the statutory requirements. Attach to the application any written comments or
concerns provided by a private service provider concerning the project.
FORM 6. Project Summary
The project summary, consisting of Forms 6a-6d below, should be completed to the best of
your ability. Note that the project summary is based on the scoring criteria stated in the
Request for Application. Please refer to the specific questions listed in the scoring criteria
when completing the project summary. Add additional pages as necessary to adequately
describe the project.
Form 6a. Project Description
Provide a detailed description of the proposed project. As concisely as possible, include
information as to why the proposed project is needed; clearly state the goal of the
proposed project, and reference the goals, objectives, and recommendations from the
regional solid waste management plan for which the project is intended to implement;
estimate the number of people who would be served or benefited; define the geographic
area affected; target the specific waste stream of the project. Reference the specific goals,
objectives, and/or recommendations from the regional solid waste management plan that
apply to the project, and how the project will assist in implementing the plan. Identify
the levels of customer incentives, public education, or input, as appropriate to the project.
Describe the project in sufficient detail to demonstrate its overall feasibility or
workability. If the project includes equipment, explain how the specified equipment is
appropriate for the work to be performed. If the proposed grant -funded project will be a
part of an overall program, provide a description of the program. Adequately describe
the expected benefits of the proposed project. If this information is missing, your
application may be returned.
Form 66. Project Cost Evaluation
Provide an evaluation of the costs associated with the proposed project. Explain how the
total related costs of the proposed project were adequately considered; compare project
costs to established averages or to normal costs for similar projects. Present the costs in
unit terms, such as cost per ton, cost per customer, or cost per capita, as applicable.
Describe any measurable costs savings, or reasonably justified costs of the project.
Form 6c. Level of Commitment of the Applicant
Provide information related to the Applicant's level of commitment to preferred solid
waste management practices. If the proposed project is an ongoing service, demonstrate
the ability to sustain the program beyond the term of the grant. Explain the extent to
which the appropriate governing bodies support the proposed project.
List previously demonstrated commitment to preferred solid waste management practice,
such as implementing other solid waste management projects, involvement in a local or
subregional solid waste management plan or study, membership in the Keep Texas
Beautiful Organization, or participation with the TCEQ's Lake and Waterway Cleanup
Program.
If the proposed project has received previous grant funding under this program, explain to
what extent the proposal involves expansion of current services or operations; present
quantifiable documentation of the success of the project in order to warrant further
funding. Demonstrate a good record of past grant contractual performance.
Form 6d. Scope of Work
Provide a work program with a schedule of deliverables for the proposed project or
program. The work program with the schedule of deliverables will be considered the
Scope of Work to be performed under the contract agreement, if funded. Once the details
of the work program have been negotiated with the Applicant and approved by the COG,
the work program will be entered into the grant contract.
As concisely as possible, for each task of the proposed project, describe the major steps
or activities involved, identify the responsible entities and establish a specific timeframe
to accomplish each task. The scope of work for the project or program must include:
- Detailed purpose and goal of the project (should be consistent with implementing the
goals, objectives, and recommendations from the regional solid waste management
plan, as stated in the project description on Form 6a).
- Specific task statements with responsible entity identified
- List of deliverables/products/activities under each task
- Schedule of deliverables
- Suggested format for scope of work:
1. Task:
a. Activity and/or Deliverable
-Schedule of Activity and/or Deliverable
b. Activity and/or Deliverable
-Schedule of Activity and/or Deliverable
c. (ETC.)
2. Task:
a. Activity and/or Deliverable
-Schedule of Activity and/or Deliverable
b. Activity and/or Deliverable
-Schedule of Activity and/or Deliverable
FORM 7. Grant Budget Summary
Provide a breakdown of the total amount of grant funding being requested for the proposed
project using this form. The expenses must be consistent with the category expense
standards provided with the Request for Application. Complete any of the detailed budget
forms which are applicable. Ensure each budget item identified is line itemized to provide
the number requested and per unit costs.
Form 7a. Detailed Matching Funds/In-Kind Expenses
Matching funds or contribution of in -kind services are not required under this grant
program and are therefore, not included in the Grant Budget Summary. However, to
fully evaluate the proposed project, any match of funds or in -kind services should be
disclosed in this application. This budget form should be completed if any level of
matching funds or in -kind services are directly related to the proposed project.
Form 7b. Detailed Personnel/Salaries Expenses
This budget form should be completed if any expenses are entered for personnel/salaries
on Line 1 of your Grant Budget Summary.
Appropriate salaries for employees working directly on the funded project may be
authorized under most of the grant categories. If the project or program proposes
personnel to be funded wholly or in part by this grant, complete this budget form listing
each employee. Any changes to the personnel funded under the grant must be approved
by the COG. If changes to the personnel assigned to the project are necessary, you may
submit a revised Form 7b to the COG with a letter requesting changes. The revised
documents and the COG response will be included in your contract file.
Please refer to the following definitions in completing this form:
• FTE (portion of a full-time employee equivalent dedicated to the described
function; e.g., 100% = 1.0 FTE, 50% = 0.5 FTE)
• Status (full-time or part-time, permanent or temporary)
• Function (describe only those responsibilities directly related to the solid waste
grants program)
• Salary (monthly salary)
Form 7c. Detailed Travel Expenses
This budget form should be completed if any expenses are entered for travel on Line 3 of
your Grant Budget Summary. Travel expenses directly related to the conduct of the
funded program may be authorized. Only the employees of the funds recipient assigned
to the project should receive reimbursement for travel expenses.
In accordance with the Uniform Grant Management Standards (UGMS), in those
instances where grantees do not have an established organization -wide written travel
policy approved by the governing board of the local jurisdiction, all employee -related
travel expenses must be claimed at no higher than the same rates allowed by the State of
Texas for its employees. Out-of-state travel for pass -through grant recipients will not
normally be authorized.
On the detailed budget form for grant -funded travel, describe the types of travel expenses
expected, whether the travel is routine in -region travel expense or the travel is not
routine, and the purpose for the travel.
Non -routine travel, including out-of-state travel or travel to special conferences or events
must be approved by the COG in advance of the travel event. If changes to the non -
routine travel expenses detailed in this application are necessary, you may submit a
revised Form 7c to the COG with a letter requesting changes. The revised documents and
the COG response will be included in your contract file.
Form 7d. Detailed Supply Expenses
This budget form should be completed if any expenses are entered for supplies on Line 4
of your Grant Budget Summary.
Supplies are non -construction related goods and materials having a unit acquisition cost
(including freight) of less than $5,000. Such expenditures shall generally relate to the
routine purchase of office supplies or other goods that are consumed by the grant
recipient in a relatively short period of time, in the regular performance of the funded
project. (Expenses for food and beverages are not allowable. Further, any items not
routinely used in conducting normal business over the year should be listed under the
"other" budget category).
"General office/desk supplies" typically include such items as notepads, folders and
three-ring binders, pens and pencils, paper clips and binder clips, staplers and staples,
tape and dispensers, calendars, computer diskettes, and other similar items.
"Other supplies" may include such items as film and film processing, audio and video
tapes, copier and printer toner and paper, etc.
On the detailed budget sheet for grant -funded supplies, list the general types of supplies
you intend to purchase with grant funding.
Form 7e. Detailed Equipment Expenses
This budget form should be completed if any expenses are entered for equipment on Line
5 of your Grant Budget Summary.
Expenses included under the Equipment expense category should be for non -construction
related, tangible, personal property having a unit acquisition cost of $5,000 or more
(including freight and set up costs) with an estimated useful life of over one year. Any
equipment that will be used for other projects or activities, in addition to the funded
project, may only be funded at an amount reflecting the appropriate percentage of time
that the equipment will be directly used for the funded project.
All equipment purchases must be approved in advance of purchase by the COG,
following established procedures. If changes to the equipment expenses detailed in this
application are necessary, or when specific details to the equipment must be added after
the grant is awarded, you may submit a revised Form 7e to the COG with a letter
requesting changes. The revised documents and the COG response will be included in
your contract file.
Please note that your contract will include specific language on title to and management
of real property and equipment. By entering into the grant contract, the Applicant must
agree to continue to use the grant -funded equipment only for the purposes intended under
the grant.
Form 7L Detailed Construction Expenses
This budget form should be completed if any expenses are entered for construction on
Line 6 of your Grant Budget Summary.
Expenses budgeted under this category should be for costs related to the enhancement or
building of permanent facilities. Appropriate costs that may be included are:
a. The cost ofplanning the project;
b. The cost of materials and labor connected to the construction project;
c. The cost of equipment attached to the permanent structure; and
d. Any subcontracts, including contracts for services, performed as part of the
construction.
On the detailed budget form for grant -funded construction, list the construction expenses
you expect to incur with grant funding, and if the work or part of the work will be
subcontracted.
No construction costs shall be incurred by a pass -through grant recipient unless the
construction details are approved in advance by the COG, following established
procedures. For construction activities to be conducted through a subcontract, the pass -
through grant recipient must also submit evidence that the contract price is reasonable
and necessary. As applicable under state law and regulations for the activity or service
being contracted for, this evidence may take the form of bid tab sheets or other form of
evaluation of competitive price offers or competitive proposals, and/or a cost analysis of
price analysis under the Uniform Grant Management Standards. If changes to the
construction expenses detailed in this application are necessary, you may submit a
revised Form 7f to the COG with a letter requesting changes. The revised documents and
the COG response will be included in your contract file.
Form 7g. Detailed Contractual Expenses
This budget form should be completed if any expenses are entered for contractual
services on Line 7 of your Grant Budget Summary.
Expenses included under this category should be for costs for professional services or
tasks provided by a firm or individual who is not employed by the grant recipient. Note
that the contractual costs for construction -related services should be included under the
Construction category. Applicable laws and regulations concerning bidding and
contracting for services must be followed
Note that any expenses (including legal fees, staff time, travel, and communications)
related in any way to drafting legislation, lobbying for legislation, or other political
activities are not allowable under this program.
On the detailed budget form for grant -funded contractual expenses, describe the
contractual expenses associated with the proposed project.
No contractual costs may be incurred by a pass -through grant recipient unless the
subcontract is approved in advance by the COG, following established procedures. The
pass -through grant recipient must also submit evidence that the contract price is
reasonable and necessary. As applicable under state law and regulations for the activity
or service being contracted for, this evidence may take the form of bid tab sheets or other
form of evaluation of competitive price offers or competitive proposals, and/or a cost
analysis of price analysis under the Uniform Grant Management Standards. If changes to
the contractual expenses detailed in this application are necessary, you may submit a
revised Form 7g to the COG with a letter requesting changes. The revised documents and
the COG response will be included in your contract file.
Form 7h. Detailed Other Expenses
This budget form should be completed if any expenses are entered under "Other" on Line
8 of your Grant Budget Summary.
Other expenses, not falling under the main expense categories, may be included, if
appropriate for the proposed project. If you will have additional "Other" expenses, not
already listed, please itemize those expenses on the second table. The restrictions set
forth in the grant contract apply. If any of the expenses listed are included in the
calculation of indirect charges, do not itemize them on this sheet.
On the detailed budget form for grant -funded other expenses, list the other expenses
associated with the proposed project.
Computer hardware not listed in the equipment budget form (computer equipment with a
unit cost of less than $5,000), computer software, and additional other expenses must be
authorized in advance of purchase by the COG, following established procedures. If
changes to the other expenses detailed in this application are necessary, you may submit a
revised Form 7h to the COG with a letter requesting changes. The revised documents and
the COG response will be included in your contract file.
FY2014/2015 SOLID WASTE GRANT
APPLICATION FORMS
Please detach the instruction pages prior to submitting the following application forms.
Please remember to make a co 0 our application for your records.
Applicant:
South Plains Association of Governments
FY 2014/2015 REGIONAL SOLID WASTE GRANTS PROGRAM
FORM 1. APPLICATION INFORMATION AND SIGNATURE PAGE
Funding Amount Proposed:
Address: Phone/Fax:
Ph:
Fx: 11
I Contact Person:
Date Submitted:
Project Category
❑ Local Enforcement
❑ Litter and Illegal Dumping Cleanup and Community Collection Events
❑ Source Reduction and Recycling
❑ Local Solid Waste Management Plans
❑ Citizens' Collection Stations and "Small" Registered Transfer Stations
❑ Household Hazardous Waste (HHW) Management
❑ Technical Studies
❑ Educational and Training Projects
❑ Other projects to include scrap tires (must be reviewed and authorized by the COG pYlOr to
application deadline)
Sitnature
By the following signature, the Applicant certifies that it has reviewed the certifications,
assurances, and deliverables included in this application, that all certifications are true and
correct, that assurances have been reviewed and understood, and that all required deliverables
are included with this application.
Signature: Title:
Typed/Printed Name: Date Signed:
P UK UNL BY .Youth Plains Association of (iovernments
Date application was received:
Does the application meet all of the required screening criteria: Yes No
Is the application administrati
Project Application
Form 1
Yes No
FORM 2. Authorized Representatives
The Applicant hereby designates the individual(s) named below as the person or persons
authorized to receive direction from the COG, to manage the work being performed, and to act
on behalf of the Applicant for the purposes shown:
1. Authorized Project Representative. The following person is authorized to receive
direction, manage work performed, sign required reports, and otherwise act on behalf of the
Applicant.
Signature:
Typed/Printed Name:
Title:
Date:
2. Authorized Financial Representative. In addition to the authorized project representative,
the following person is authorized to act on behalf of the Applicant in all financial and fiscal
matters, including signing financial reports and requests for reimbursement.
Signature:
Typed/Printed Name:
Title:
Date:
Project Application
Form 2
FORM 3. Certifications and Assurances
Certifications
In order to receive grant funds under this program, the proposed project must conform to the provisions
set forth in the Request for Applications (RFA). The following certifications are intended to help the
COG to ensure that these provisions are met. By signing this Application, the person acting on behalf of
the Applicant makes the certifications listed below.
1. Authority to Sign Application
The person signing this Application hereby certifies that he/she is the official contact regarding this
Application and has authority from the Applicant to sign the Application and that such authority will
bind the Applicant in subsequent agreements.
2. Application Contains No False Statements
Applicant certifies that this Application has no false statements and that the Applicant understands
that signing this Application with a false statement is a material breach of contract and shall void the
submitted Application and any resulting contracts. The Applicant understands that the COG will not
accept any amendment, revision, addition or alteration to this Application after the final date and time
for submission.
4. Governmental Status
Applicant certifies that it is located in the State of Texas and fits within one of the governmental
classifications listed below, as determined under state law:
a. City
b. County
c. Public school or school district (not including Universities or post secondary educational
institutions)
d. Other general and special law district with the authority and responsibility for water quality
protection or municipal solid waste management, including river authorities
e. Council of Governments
5. Solid Waste Fee Payments
Applicant certifies that it is not delinquent in payment of solid waste disposal fees owed the State of
Texas.
6. Debarment from State Contracts
Applicant certifies that it is not barred from participating in state contracts by the Texas General
Services Commission (GSC), under the provisions of §2155.077, Government Code, and 1 TAC
§ 113.02, GSC Regulations.
7. Conformance to Standards
The Applicant certifies to the best of their knowledge and ability that the proposed project, including
all activities in the proposed Scope of Work and the proposed expenditures, conforms to the eligible
category standards and allowable expense and funding standards as set forth in the Request for
Applications.
Consideration of Private Industry
The following certification only applies if the project is under one of the following grant categories:
a. Source Reduction and Recycling
b. Citizens' Collection Stations and "Small" Registered Transfer Stations
c. A demonstration project under the Educational and Training Projects category
d. Other {If the COG receives authorization to fund additional types ofprojects, that
authorization may include requirements for notification ofprivate industry. When
applicable, those additional project categories should be listed here.)
Applicant certifies that it has notified private service providers in accordance with the requirements
set forth in the Request for Applications and the instructions provided with this application form.
Applicant further certifies to the best of their knowledge and ability (after completing Form 5) that
the proposed project will promote cooperation between public and private entities, is not otherwise
readily available, and will not create a competitive advantage over a private industry that provides
recycling or solid waste services.
9. Consistency with Regional Solid Waste Management Plan
Applicant certifies to the best of their knowledge and ability that the proposed project is consistent
with applicable goals, objectives, and recommendations of the adopted regional solid waste
management plan of the COG.
10. Technical Feasibility
Applicant certifies that is has carefully reviewed its Scope of Work and that to the best of their
knowledge and ability all activities are technically feasible and can be satisfactorily completed within
the grant period as set forth in the Request for Applications.
11. Costs Reasonable and Necessary
Applicant certifies to the best of their knowledge and ability that the proposed project activities in the
Scope of Work and the expenses outline in the Budget are reasonable and necessary to accomplish the
project objectives, and that the proposed expenses are consistent with the costs of comparable goods
and services.
12. Certification by Law Enforcement Programs
If the Applicant is a law enforcement entity regulated by Chapter 415 of the Government Code, the
Applicant certifies that it is in compliance with all rules developed by the Commission on Law
Enforcement Officer Standards and Education (TCLEOSE) pursuant to Chapter 415, Government
Code; or that it is in the process of achieving compliance with such rules. If compliance is pending, a
certification from TCLEOSE must be attached to indicate that the Applicant is in the process of
achieving compliance with the rules.
Assurances
If the application is approved for funding, the grant funds will be awarded through a contract between the
Applicant and the COG. The grant contract will contain a number of standards, requirements, and
processes that must be complied with as a condition of receiving the grant funds. In order to ensure an
understanding by the Applicant of some of the main conditions that will be included in the contract, the
Applicant is asked to review the following assurances. By signing this Application, the person acting on
behalf of the Applicant indicates their understanding of these conditions and provides assurances that
these and other conditions set forth in the grant contract will be adhered to if funding is awarded.
1. Compliance with Standard Pertaining to Real Property and Equipment
Applicant provides assurances that, if funded, the Applicant will comply with the contract provisions
pertaining to title to and management of real property and equipment. The contract will contain
obligations and conditions regarding the use of the equipment and/or facilities (the "property")
acquired under the agreement. Included in the provisions are obligations to provide adequate
maintenance and conduct physical property inventories; restrictions and conditions on the use,
replacement, sale, or transfer of the property; and obligations to continue to adhere to the provisions
that grant funds not be used to create a competitive advantage over private industry, in the use or
transfer of the property.
2. Participation in TCEQ Recycling Surveys and Reporting
Applicant provides assurances that, if funded, the Applicant will respond to annual recycling program
surveys and/or other requests from the COG or the Texas Commission on Environmental Quality for
information on municipal solid waste management activities.
3. Compliance with Progress and Results Reporting Requirements
Applicant provides assurances that, if funded, the Applicant will comply with requirements for:
reporting on the progress of the project tasks and deliverables; documenting the results of the project
and providing those results to the COG on a schedule established by the COG, and additionally, to
continue to document the results of the project activities for the life of the project; and to provide the
COG with a follow-up results report approximately one year after the end of the grant term.
4. Financial Management
Applicant provides assurances that, if funded, the Applicant will comply with contract provisions and
requirements necessary to ensure that expenses are reasonable and necessary, and to adhere to
financial administration and reimbursement procedures and provide financial reports on a schedule
established by the COG.
5. Compliance with Americans with Disabilities Act
Applicant provides assurances that, if funded, the Applicant will comply with all the applicable
requirements of the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101-12213
(Pamph.1995).
6. Compliance with the Single Audit Act
Applicant provides assurances that, if funded, the Applicant will comply with the Single Audit
Provisions of the Uniform Grant Management Standards (UGMS), prepared by the Governor's Office
under §§783.001 et. seq, Texas Government Code, and 1 TAC §§5.141 et. seq, Governor's Office
Regulations. Provisions of the Single Audit Circular in Part IV of the UGMS apply to all recipients
of funding under this grant.
7. Compliance with Program and Fiscal Monitoring
Applicant provides assurances that, if funded, the Applicant will comply with program and fiscal
monitoring provisions of the contract, including: providing additional reports or information as may
be requested to adequately track the progress of the project; and allowing site visits to evaluate the
progress of the project and to view any grant -funded equipment or facility.
FORM 4. Resolution
A resolution authorizing the application must be approved by the governing body of the
Applicant. Following this page is an example Resolution Form that may be used to prepare the
required resolution. This or a similar resolution must be signed and notarized in addition to the
signature required in Form 1.
To complete your application, please remove this page and replace it with a signed
resolution of your entity's governing body.
Project Application
Form 4
RESOLUTION
(Example)
RESOLUTION OF (Name of entity) AUTHORIZING THE FILING OF A GRANT
APPLICATION WITH THE South Plains Association of Governments FOR A REGIONAL
SOLID WASTE GRANTS PROGRAM GRANT; AUTHORIZING (Person and/or title) TO ACT
ON BEHALF OF (Name of entity) IN ALL MATTERS RELATED TO THE APPLICATION;
AND PLEDGING THAT IF A GRANT IS RECEIVED (Name of entity) WILL COMPLY WITH
THE GRANT REQUIREMENTS OF THE South Plains Association of Governments, THE TEXAS
COMMISSION ON ENVIRONMENTAL QUALITY AND THE STATE OF TEXAS.
WHEREAS, the South Plains Association of Governments is directed by the Texas Commission on
Environmental Quality to administer solid waste grant funds for implementation the COG's adopted
regional solid waste management plan; and
WHEREAS, (Name of entity) in the State of Texas is qualified to apply for grant funds under the Request
for Applications.
NOW, THEREFORE, BE IT RESOLVED BY (Name of entity) IN (Location of office) TEXAS;
1. That (Name/title of individual) is authorized to request FY20142/2015 grant funding under the South
Plains Association of Governments Request for Applications of the Regional Solid Waste Grants
Program and act on behalf of (Name of entity) in all matters related to the grant application and any
subsequent grant contract and grant project that may result.
That if the project is funded, (Name of entity) will comply with the grant requirements of the South
Plains Association of Governments, Texas Commission on Environmental Quality and the State of
Texas.
3. The grant funds and any grant -funded equipment or facilities will be used only for the purposes for
which they are intended under the grant.
4. That activities will comply with and support the adopted regional and local solid waste management
plans adopted for the geographical area in which the activities are performed.
PASSED AND APPROVED by (chief official) in (ci ), (state), on this the (number/day) day of (month),
2013.
Notary:
(Signature of Authorized Official)
(Typed or Printed Name)
(Title)
(Signature)
(Type or Printed Name)
(Commission Expires)
FORM 5: Explanation Regarding Private Industry Notification
Applicable to Applicants under the following grant categories:
a. Source Reduction and Recycling
b. Citizens' Collection Stations and "Small" Registered Transfer Stations
c. A demonstration project under the Educational and Training Projects category
d. Other to include scrap tire projects (Contact COG if applying under Other category.)
Form 5a. List of Private Service Providers Notified
Private Service Providers Contacted Name and Telephone Date
Position Number Notified
Project Application
Form Sa
Form 5b. Summaries of Discussions with Private Industry
(Refer to instructions concerning information to include on this form. Attach any written
comments or input provided)
Project Application
Form 5b
FORM 6: Project Summary
Please provide a complete project summary. Reference the goals, objectives, and/or
recommendations from the regional solid waste management plan that apply to the project, and
how the project will assist in implementing the plan. Refer to the application instructions when
completing these forms. If necessary, attach additional pages for each form.
Form 6a. Project Description (add additional pages as necessary)
Is this a repeat application? If so, when was this project submitted?
Are you a Clean Texas/Cleaner World member?
Do you agree to document results and provide required reports to SPAG in conjunction with this
project?
Project Application
Form 6a
Form 6b. Project Cost Evaluation (add additional pages as necessary)
Provide an evaluation of the costs associated with the proposed project. Explain how the total
related costs of the proposed project were adequately considered; compare project costs to
established averages or to normal costs for similar projects. Present the costs in unit terms, such
as cost per ton, cost per customer, or cost per capita, as applicable. Describe any measurable
costs savings, or reasonably justified costs of the project.
Project Application
Form 6b
Form 6c. Level of Commitment of the Applicant (add additional pages as necessary)
Provide information related to the Applicant's level of commitment to preferred solid waste
management practices. If the proposed project is an ongoing service, demonstrate the ability to
sustain the program beyond the term of the grant. Explain the extent to which the appropriate
governing bodies support the proposed project.
List any previously demonstrated commitment to preferred solid waste management practice,
such as: implementing other solid waste management projects, involvement in a local or
subregional solid waste management plan or study, membership in Keep Texas Beautiful, or
participation with the TCEQ's Lake and Waterway Cleanup Program, or other TCEQ
predecessor program, e.g. TCEQ's Clean Texas Program.
If the proposed project has received previous grant funding under this program, explain to what
extent the proposal involves expansion of current services or operations; present quantifiable
documentation of the success of the project in order to warrant further funding. Demonstrate a
good record of past grant contractual performance.
Project Application
Form 6c
Form 6d. Scope of Work (See application instructions. Add additional pages as necessary)
Provide a work program with a schedule of deliverables for the proposed project or program.
The work program with the schedule of deliverables will be considered the Scope of Work to be
performed under the contract agreement, if funded. Once the details of the work program have
been negotiated with the Applicant and approved by the COG, the work program will be entered
into the grant contract.
As concisely as possible, for each task of the proposed project, describe the major steps
or activities involved, identify the responsible entities and establish a specific timeframe
to accomplish each task. The scope of work for the project or program must include:
- Detailed purpose and goal of the project (should be consistent with implementing the
goals, objectives, and recommendations from the regional solid waste management
plan, as stated in the project description on Form 6a).
- Specific task statements with responsible entity identified
- List of deliverables/products/activities under each task
- Schedule of deliverables
Project Application
Form 6d
FORM 7. GRANT BUDGET SUMMARY
Please provide the following breakdown of the total amount of grant funding being requested:
F- Budget Category
Funding Amount
1. Personnel/Salaries
$
2. Fringe Benefits
$
3. Travel
$
4. Supplies
$
5. Equipment
$
6. Construction
$
7. Contractual
$
8. Other
$
9. Total Direct Charges (sum of I -8)
$
10. Indirect Charges;
$
11. Total (sum of 9 -10)
$
12. Fringe Benefit Rate: %
13. Indirect Cost Rate: %
Identify, in detail, each budget category to which your indirect cost rate applies and explain any
special conditions under which the rate will be applied:
*In accordance with the UGMS, indirect charges may be authorized if the Applicant has a negotiated indirect cost
rate agreement signed within the past 24 months by a federal cognizant agency or state single audit coordinating
agency. Alternatively, the Applicant may be authorized to recover up to 10% of direct salary and wage costs
(excluding overtime, shift premiums, and fringe benefits) as indirect costs, subject to adequate documentation. If
you have an approved cost allocation plan, please enclose documentation of your approved indirect rate.
Please complete any of the following detailed budget forms that are applicable.
Project Application
Form 7
FORM 7a: Detailed Matching Funds/In-Kind Services
This budget form should be completed if the Applicant is providing an.. level of matching funds
or in -kind services directly related to the proposed project.
Matching Funds: $
In the space below, please explain in detail the application of any matching funds to be
provided by the Applicant, as directly related to the proposed project:
In -Kind Services: $ (monetary equivalent)
In the space below, please explain in detail the application of any in -kind services to be
provided by the Applicant, as directly related to the proposed project:
What is the TOTAL COST of the proposed project,
considering the total grant funding requested, any
matching funds being provided by the Applicant, and
the monetary equivalent of any in -kind services being
provided by the Applicant:
Project Application
Form 7a
FORM 7b: Detailed Personnel/Salaries Expenses
For each employee to be funded wholly or in part by this grant, complete one of the lines in the
table below. Please refer to the definitions provided in the instructions in completing this sheet.
If funds are awarded, changes to grant -funded positions must be approved in advance by the
COG.
Position Title
Function
FTE
Status
Monthly
Salary
TOTAL
(Must equal Line 1 of the Overall Budget Summary)
$
Project Application
Form 7b
FORM 7e: Detailed Travel Expenses
This budget form provides a more detailed breakdown of the total expenses for travel indicated
on Line 3 of the Overall Budget Summary.
Please describe the types of routine in -region travel expenses expected and purpose for the
travel.
Routine In -Region Travel
Purpose of Travel
Estimated Cost
$
All out-of-state travel expenses and other non -routine travel, such as out -of -region travel to
special training or events must be pre -approved by the COG. Complete the following
information for all requested non -routine travel, including any out-of-state travel. If those details
are not presently known, the COG will need to approve those travel costs before the travel
occurs.
Non -Routine Travel Expenses
Date(s)
Purpose & Destination
Person(s)
Estimated
Cost
TOTAL TRAVEL EXPENSES
(Must equal Line 3 of the Overall Budget Summary) $
Project Application
Form 7c
FORM 7d: Detailed Supply Expenses
This budget form provides a more detailed breakdown of the total expenses for supplies
indicated on Line 4 of the Overall Budget Summary.
Please list the general types of supplies you expect to purchase with grant funding.
General Types of Supplies
Estimated Cost
General office/desk supplies
$
Other supplies (explain below):
$
TOTAL
(Must equal Line 4 of the Overall Budget Summary)
$
Project Application
Forst V
FORM 7e: Detailed Equipment Expenses
All equipment purchases must be pre -approved by the COG. If the specific details of an
equipment purchase are known, show that equipment on the list below. If the specific details of
the equipment costs are not known at this time, list the general details on this form. The specific
details of the equipment will then need to be provided to and approved by the COG before the
costs are incurred.
Equipment ($5,000 or more per unit)
(Show description, type, model, etc.)
Unit Cost
No.of
Units
Total Cost
TOTAL
(Must equal Line 5 of the Overall Budget Sunnnaty)
$
Project Application
Form 7e
FORM 7f: Detailed Construction Expenses
All construction projects must be pre -approved by the COG. If the specific details of the
construction costs are not known at this time, list the general details on this form. The specific
details of the construction will then need to be provided to and approved by the COG before the
costs are incurred. For any subcontracted activities, the request for approval will need to include
evidence that the contract price is reasonable and necessary (see instructions).
Types of Construction
Subcontracted
Yes/No
Estimated Cost
TOTAL
(Must equal Line 6 of the Overall Budget Summary)`
4, '
V:
$
Project Application
Form 7f
FORM 7g: Detailed Contractual Expenses
All contractual expenses must be pre -approved by the COG. If the specific details of the
contractual costs are not known at this time, list the general details on this form. The more
specific details of the contractual costs will then need to be provided to and approved by the
COG before the costs are incurred. The request for approval will need to include evidence that
the contract price is reasonable and necessary (see instructions). In addition, the subcontract
scope of work must be approved by the COG before work begins.
Purpose
Contractor(s)
Contract
Amount
TOTAL
(Must equal Line 7 of the Overall Budget Summary)
$
Project Application
Form 7g
FORM 7h: Detailed Other Expenses
This budget form provides a more detailed breakdown of the total other expenses indicated on
Line 8 of the Overall Budget Summary. Please note that the final totals are at the bottom of the
next page.
Basic Other Expenses
Please identify the basic "Other" category expenses you expect to incur appropriate to the project.
Basic Other Expenses
Estimated--] I Cost
Books and reference materials
$
Postage, telephone, FAX, utilities
$
Printing/reproduction
$
Advertising/public notices
$
Registration fees for training (if approved)
$
Repair and maintenance
$
Basic office furnishings
$
Space and equipment rentals
$
Signage
$
Project Application
Form 7h
Additional Other Expenses
The specific details of additional Other category expenses, not included on the list of basic Other
expenses, must be pre -approved by the COG. If the specific details of the additional Other
expenses are not known at this time, list the general details on this form. The more specific
details will then need to be provided to and approved by the COG before the costs are incurred.
Additional Other Expenses
Unit Cost
No. of Units
Total Cost
Computer hardware not listed under the
Equipment category (itemize each expense below
$
$
including description, type, model, etc.):
Computer software (itemize each expense below
including description, type, model, etc.):
$
$
Additional Other expenses (itemize each expense
below including description, type, model, etc.):
$
$
TOTAL OTHER EXPENSES $
(Must equal Line 8 of the Overall Budget Suntmar )
Projec! Application
Forrn 7h
REQUIRED ATTACHMENTS TO THE APPLICATION
1. If indirect costs are included in the project budget, attach the Applicant's latest indirect cost
allocation plan, including documentation of approval of the plan and the indirect cost rate by
the Applicant's Federal Cognizant Agency or State Coordinating Agency.
2. If applicable, attach any written comments submitted by private industry (see instructions for
Form 5).
3. If the Applicant is a law enforcement entity, and if compliance with TCLEOSE rules is still
pending, attach a certification from TCLEOSE to indicate that the Applicant is in the process
of achieving compliance with the rules (see Form 3, Certification No. 11).