HomeMy WebLinkAboutC2009-476 - 10/27/2009 - ApprovedSUBRECIPIENT GRANT AGREEMENT
GLO CONTRACT No.10-055-000-3751
COASTAL MANAGEMENT PROGRAM -CYCLE 14
This subrecipient grant agreement ("Contract") is entered into by and between the GENERAL
LAND OFFICE ("GLO"), a State agency, and the CITY OF CORPUS CHRISTI, TEXAS
("subrecipient").
subrecipient has applied for Texas Coastal Management Program ("CMP") Cycle 14 grant funds,
to be made available to the State of Texas by the U.S. Department of Commerce, National
Oceanic and Atmospheric Administration ("NOAA"), pursuant to the Federal Coastal Zone
Management Act of 1972, 16 United States Code Section 1451, et seq., NOAA Award No.
NA09NOS4190165 ("Grant"). The Grant funds are limited to use for implementation of a
coastal zone management project ("Project") under the CMP, administered by the GLO (as
Coastal Zone Management Awards, CFDA #11.419) pursuant to Texas Natural Resources Code
Sections 33.052 and 33.204, in coordination with the Coastal Coordination Council.
I. DEFINITIONS /INTERPRETIVE PROVISIONS
1.01 DEFINITIONS
"Administrative and Audit Regulations" means the statutes and regulations included in
Title 43, Code of Federal Regulations; Chapter 321 of the Texas Government Code;
Subchapter F of Chapter 2155 of the Texas Government Code; and the requirements of
Article VIII herein. With regard to any federal funding, agencies with the necessary legal
authority include: the relevant federal agency, the Comptroller General, the General
Accounting Office, the Office of Inspector General, and any of their authorized
representatives. In addition, state agencies with the necessary legal authority include, but
are not limited to: the GLO, the GLO's contracted examiners, the State Auditor's Office,
and the Texas Attorney General's Office.
"Attachment" means documents, terms, conditions, or additional information physically
added to this Contract following the execution page or included by reference, as if
physically, within the body of this Contract.
"Contract" means this entire document, along with any Attachments, both physical and
incorporated by reference.
"T~~''-'~°--'-' -" ans any report, data, document, photograph, or other submission
2009-476 Bred under the terms of this Contract, in whatever form.
Res. 028383 GLO Contract No.10.055-000-3751
10/27/09 Page 1 of 22
General Land Office
"Equipment" is defined as tangible personal property having a useful life of more than
one (1) year, and an acquisition cost of FrvE Txous~vn DOLLARS ($5,000.00) or more
per unit.
"Federal Assurances" means Standazd Form 424B (Rev. 7-97), as prescribed by OMB
Circular A-102 (non-construction projects); or Standard Form 424D (Rev. 7-97), as
prescribed by OMB Circulaz A-102 (construction projects), in Attachment F, attached
hereto and incorporated herein for all purposes.
"Federal Certifications" means U.S. Department of Commerce Form CD-512 (7-91) LF,
"Certifications Regazding Debarment, Suspension, Ineligibility, and Voluntary Exclusion
- Lower Tier Covered Transactions and Lobbying," in Attachment G, attached hereto
and incorporated herein for all purposes.
"Fiscal Year" means the period beginning September 1 and ending August 31 each yeaz,
which is the annual accounting period for the State of Texas.
"GAAP" means "generally accepted accounting principles."
"GASH" means the Governmental Accounting Standards Boazd.
"GLO" means the Texas General Land Off ce, its officers, employees, and designees.
"Grants Administrator" means the GLO staff member responsible for administering this
Grant, Melissa Porter, GLO Coastal Resources Division (512.475.1393 or
melissa.porter@glo.state.tx.us), or her designee.
"HUB" means Historically Underutilized Business, as defined by Chapter 2161 of the
Texas Government Code.
"Mentor Protege" means the Comptroller of Public Accounts' leadership program found
at: http://www.window.state.tx.us/procurement/prog/hub/mentorprotege/
"Project" means the activities involved in the "Oso Bay Wetland Preserve -Property
Acquisition," described in Section 2.01 and detailed in the Work Plan in Attachment A
of this Contract.
"Prompt Pam" means Chapter 2251, Subtitle F of Title 10 of the Texas Government
Code.
"Public Information Act" means Chapter 552 of the Texas Government Code.
"State of Texas Textravel" means Texas Administrative Code, Title 34, Part 1, Chapter 5,
Subchapter C, Section 5.22, relative to travel reimbursements under this Contract, if any.
GLO Contract No. 10-055-000-3751
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"Subcontractor" means an individual or business that signs a contract to perform part or
all of the obligations of Subrecipient under this Contract.
"Subrecipient" means the City of Corpus Christi, Texas, selected to accomplish the
Project under this Contract.
"Work Plan" means the methodology, means, and manner in which the Project shall be
accomplished, as detailed in Attachment A of this Contract.
1.OZ INTERPRETIVE PROVISIONS
(a) The meanings of defined terms are equally applicable to the singular and plural
forms of the defined terms.
(b) The words "hereof," "herein," "hereunder," and similar words refer to this
Contract as a whole and not to any particular provision, section, attachment, work
order, or schedule of this Contract unless otherwise specified.
(c) The term "including" is not limiting and means "including without limitation"
and, unless otherwise expressly provided in this Contract, (i) references to
contracts (including this Contract) and other contractual instruments shall be
deemed to include all subsequent amendments and other modifications thereto,
but only to the extent that such amendments and other modifications are not
prohibited by the terms of this Contract, and (ii) references to any statute or
regulation are to be construed as including all statutory and regulatory provisions
consolidating, amending, replacing, supplementing, or interpreting the statute or
regulation.
(d) The captions and headings of this Contract are for convenience of reference only
and shall not affect the interpretation of this Contract.
(e) All attachments within this Contract, including those incorporated by reference,
and any amendments are considered part of the terms of this Contract.
(f) This Contract may use several different limitations, regulations, or policies to
regulate the same or similar matters. All such limitations, regulations, and
policies are cumulative and each shall be performed in accordance with its terms.
(g) Unless otherwise expressly provided, reference to any action of the GLO or by the
GLO by way of consent, approval, or waiver shall be deemed modified by the
phrase "in its/their sole discretion." Notwithstanding the preceding sentence, any
approval, consent, or waiver required by, or requested of, the GLO shall not be
unreasonably withheld or delayed.
(h) Time is of the essence in this Contract.
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II. PROJECT REQUIREMENTS
2.01 WORK PLAN
The Project shall strictly conform to the work plan and special conditions contained in
Attachment A, the Work Plan. Deliverables and due dates included in the Work Plan
may be amended by the Grants Administrator upon submission of a written request and
detailed justification by Subrecipient to the address listed and in the manner described in
Section 10.07 of this Contract.
2.02 PROGRESS REPORTS
Subrecipient shall submit monthly progress reports that must be received by the GLO on
or before the 10th day of each calendar month during the term of this Contract,
commencing December 10, 2009 ("Progress Reports"). Progress Reports must be
submitted in Word or WordPerfect format via email to the Grants Administrator on the
Progress Report form, a sample of which is attached hereto as Attachment B. The Progress
Report form maybe downloaded at:
http://www.glo.state.tx.us/coastaUgrants/sub recipient.html
All Progress Reports shall include:
(a) a brief statement of the overall progress of each task identified on the Work Plan
since the last progress report;
(b) a brief description of any problems that have been encountered during the
previous reporting period that will affect the Work Plan, delay the completion of
any portion of this Contract, or inhibit the completion of or cause a change in any
of-the Work Plan objectives;
(c) a description of any action Subrecipient plans to undertake to correct any
problems that have been encountered; and
(d) a status report on the Budget, as defined in this Contract.
Any request for change of work and scope from the originally awarded project must be
approved by both the Grants Administrator and NOAA, and may cause delays in the
progress of the Project. All requests for changes must be submitted in writing, and must
include justification of actions. Any costs incurred while waiting for approval of the
requested changes are the responsibility of Subrecipient. The GLO will inform
Subrecipient upon final approval or denial of the request for changes.
In addition, Subrecipient must submit a Project closeout form to the GLO Grants
Administrator upon completion of the Project. The closeout from may be found at
http://www.glo.state.tx.us/coastaUgrants/subrecipient.html.
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GLO Contract No. 10-055-000-3751
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2.03 DELIVERABLES
Subrecipient shall deliver to the GLO two (2) complete paper copies, together with one
(1) electronic copy, in portable document format (.pdf) on a compact disk, of each of the
deliverables set forth in the Work Plan, in the time and manner prescribed therein. The
GLO may require Subrecipient to conform any data presentation or products funded
under this Contract to reflect GLO comments. Deliverable due date flexibility may be
allowed by the GLO, to the extent that the revision to the deliverable due date does not
extend past the term of the Contract.
2.04 GEOGRAPHIC INFORMATION SYSTEMS
Data, databases, and products associated with electronic Geographic Information
Systems (GIS) that have been collected, manipulated, or purchased with CMP grant
funds and/or local match funds will be subject to all applicable terms of the Texas
Geographic Information Standards of the Texas Geographic Information Council
(TGIC) and Texas Administrative Code (TAC) Section 201.6, Planning and Management
of Information Resources Technologies, Geographic Information Standards. The
Geographic Information Standards Rule is available on the World Wide Web at:
www.dir.state.tx.us/tgic/pubs/pubs.htm
or by writing to Department of Information Resources (DIR), PO Box 13564, Austin,
TX, 78711, or via email to michael.ouimet@dir.state.tx.us.
2.05 TRANSFER OF DATA
Any GIS data to be transferred or exchanged that is collected, manipulated, or purchased
with funds from- this Contract MUST be documented as specified in the Federal
Geographic Data Committee (FGDC) document Content Standard for Digital Geospatial
Metadata, version 2 (FGDC-STD-001-1998) or later. The federal metadata standard is
available on the World Wide Web at:
www.fgdc.gov/metadata/csdgm.
Metadata must be submitted in HTML, XML or ASCII text formats.
2.06 FORMAT
Although many Texas state agencies, including the GLO, have adopted Environmental
Systems Research Institute, Inc. (ESRI) software products as in-house GIS software, this
is NOT an endorsement of these, or any other, products. However, any electronic spatial
data collected, manipulated, or purchased with CMP grant funds and/or local match funds
shall be transferred in amutually-acceptable GIS format, along with corresponding
metadata (see above). Non-spatial data deliverables (reports, tables, databases,
spreadsheets, images) must be delivered in Acrobat PDF, MS Office, WordPerfect, dBase
(.dbf), ASCII, or standard image formats (JPEG, TIFF, GIF, etc.). Acceptable media for
delivery include CD-ROMs, DVDs, Zip disks, floppy disks, and external hard drives.
2.07 LAND ACQUISITIONS
(a) In the event that private land is to be acquired with grant funds, Subrecipient shall
have such land surveyed in the following manner:
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(1) any parcel of land that (i) does not abut any waters and (ii) is acquired by lot
and block may be surveyed by a Registered Professional Land Surveyor .
Any survey conducted by a Registered Professional Land Surveyor under
this section must be accompanied by certified copies of each subdivision
block in which the acquisitions will be located. Subrecipient shall record
any and all surveys required under this subsection in the records of the
County Surveyor (or the records of the County Clerk if there is no County
Surveyor) of the county in which the land is located; and
(2) any other parcel of land must be surveyed by a Licensed State Land
Surveyor.
(b) In the event that a coastal boundary survey is required for the Project,
Subrecipient must conduct the coastal boundary survey for the Project site in
accordance with Section 33.136 of the Texas Natural Resources Code. For
surveys of tracts on or adjacent to Gulf beaches, maps, surveys, and/or profiles
shall not delineate or map vegetation, the line of vegetation, or the landward
boundary of the public beach. Such maps, surveys, and/or profiles shall also not
include any mention of the location of the line of vegetation or the boundary of
the public beach. For any work funded in whole or part by CMP funds,
vegetation, the line of vegetation, and/or the landward boundary of the public
beach can only be mapped, delineated, or described with specific written
authorization from the GLO. The coastal boundary survey must contain the
following statement:
THIS SURVEY DOES NOT, NOR IS IT INTENDED TO BE USED
TO, IDENTIFY DELINEATE, OR FIX THE LINE OF
VEGETATION OR THE LANDWARD BOUNDARY OF THE
PUBLIC BEACH.
(c} In addition, Subrecipient shall encumber the land with a conservation easement or a
deed restriction, in a form acceptable to the GLO, that will protect the land and its
natural resources and preserve the public use and benefit of the land. If Subrecipient
chooses to encumber the land with a deed restriction, it must read as follows:
THIS PROPERTY MUST BE USED IN PERPETUITY FOR THE
PURPOSES FOR WHICH IT WAS ACQUIRED UNDER THE
COASTAL MANAGEMENT PROGRAM. IF THE PROPERTY IS
EVER SOLD OR USED FOR PURPOSES CONTRARY TO THOSE
FOR WHICH IT WAS ACQUIRED THE FEDERAL AWARDING
AGENCY MUST BE COMPENSATED IN ACCORDANCE WITH
THE UNIFORM ADMINISTRATIVE REQUIREMENTS FOR
GRANTS AND COOPERATIVE AGREEMENTS TO STATE AND
LOCAL GOVERNMENTS (15 C.F.R. PART 24).
(d) All appraisals performed in connection with the acquisition of land under this
section shall be completed in accordance with the Uniform Appraisal .Standards for
Federal Land Acquisitions and the provisions of the CHIP attached Work Plan
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concerning land acquisitions. THE SURVEY, APPRAISAL, CONSERVATION
EASEMENT (IF ANY), AND DEED MUST BE APPROVED BY THE GLO. THE GLO
WILL NOT "HOLD" AN EASEMENT OR ACCEPT A THIRD-PARTY RIGHT OF
ENFORCEMENT.
2.08 IMPROVEMENTS
Prior to any construction undertaken under this Contract, Subrecipient shall deliver to the
GLO one (1) copy of the final construction contract documents, including the Project
manual containing the technical specifications, and the drawings (collectively the
"Contract Documents"). Any construction that will be undertaken with funding from this
Contract shall be completed in compliance with the final Contract Documents approved
by the GLO, and all applicable codes and standards. Upon completion of construction,
Subrecipient shall submit a set of record ("as-built") drawings to document the final
construction, as well as photographs of the completed construction, in the final report.
Subrecipient may not remove any improvements constructed with funds provided under
this Contract, unless the federal awarding agency is compensated in accordance with the
Uniform Administrative Requirements for Grants and Cooperative Agreements to State
and Local Governments (15 C.F.R. Part 24).
2.09 SIGNAGE
During the construction phase of projects. that include construction of facilities or other
permanent Improvements, Subrecipient shall provide and erect temporary signs that will
contain the following language:
CONSTRUCTION OF THIS FACILITY WAS MADE POSSIBLE BY A GRANT
UNDER THE COASTAL ZONE MANAGEMENT ACT OF 1972, AS AMENDED,
AND AWARDED BY THE OFFICE OF OCEAN AND COASTAL RESOURCE
MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC
ADMINISTRATION, U.S. DEPARTMENT OF COMMERCE, AND
ADMINISTERED THROUGH THE COASTAL COORDINATION COUNCIL AND
THE TEXAS COASTAL MANAGEMENT PROGRAM.
At the completion of the aforementioned projects, Subrecipient shall replace the
temporary signs with permanent signs, to be provided by GLO. Permanent signs must
also be erected for projects that include land acquisition.
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III. TERM
3.01 DURATION
This Contract shall be effective on October 1, 2009, and shall terminate upon completion
of the Project or on March 31, 2011, whichever is earlier. Upon receipt of a written
request and acceptable justification from Subrecipient, the GLO may extend this Contract
for a period not to exceed three (3) months. Any request for extension must be
received by the GLO at least forty-five (45) days before the .Contract's original
termination date.
3.02 EARLY TERMINATION
The GLO may terminate this Contract by giving written notice specifying a termination
date at least thirty (30) days subsequent to the date of the notice. Upon receipt of any
such notice, Subrecipient shall cease work, undertake to terminate any relevant
subcontracts, and incur no further expense related to this Contract. Such early
termination shall be subject to the equitable settlement of the respective interests of the
parties, accrued up to the date of termination.
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GLO Contract No. 10-055-000-3751
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IV. GRANT FUNDS
4.01 CONTRACT LIMIT, FEES, AND EXPENSES
(a) Subject to the Grant and the terms and conditions of this Contract, the GLO
agrees to grant to Subrecipient an amount not to exceed THREE HUNDRED
FOURTEEN THOUSAND NINE HUNDRED ONE DOLLARS ($314,901), payable in
installments as reimbursement of allowable expenses incurred by Subrecipient in
connection with Subrecipient's performance of the Project; and a third party shall
contribute TWO HUNDRED SEVENTEEN THOUSAND THIRTEEN DOLLARS
($217,013.00) in matching funds or in-kind services, for a total amount not to
exceed FIVE HUNDRED THIRTY-ONE THOUSAND NINE HUNDRED FOURTEEN
DOLLARS ($531,914.00) for the duration of the Contract.
(b) Allowable expenses will be reimbursed to Subrecipient in accordance with the
Budget included in Attachment A. The GLO will not provide reimbursement for
any expenses not contained in the Budget; and is not liable to Subrecipient for any
costs incurred by Subrecipient before the effective date of this Contract or after
the termination or expiration of this Contract.
(c) Further, it is expressly understood and agreed by Subrecipient that the GLO shall
have the right to recapture and have reimbursed to the GLO any payments made
by the GLO under this Contract that Subrecipient has not used in strict accordance
with this Contract. This recapture provision shall survive the termination or
expiration of this Contract.
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GLO Contract No. 10-055-000-3751
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V. REIMBURSEMENT /BUDGET /PURCHASES / RETAINAGE
5.01 REIMBURSEMENT REQUESTS
Each request for reimbursement shall:
(a) prominently display "GLO Contract No. 10-055-000-3751," the failure of which
may significantly delay payment under the Contract;
(b) be on the approved GLO forms, samples of which are attached hereto as
Attachment C. These forms maybe downloaded at:
http://www.glo.state.tx.us/coastaUgrants/subrecipient.html;
(c) be supported by an invoice detailing each expense by Budget category in
accordance with Attachment A;
(d) include a timesheet or a payroll clearing account spreadsheet; and
(e) provide such other information as the GLO may request.
Subrecipient may not charge "other operating costs" (i.e., administrative costs,
computer usage fees, etc.) in addition to indirect costs, if such costs are already
included in the calculation to determine Subrecipient's indirect cost rate.
Each invoice shall be supported by actual receipts, cancelled checks, and/or such other
documentation that, in the judgment of the GLO, allows for full substantiation of the
costs incurred. Requests for payment must be submitted in Word or WordPerfect format
via email to the Grants Administrator monthly on or before the 10th. day of each calendar
month.
REQUESTS FOR REIMBURSEMENT UNDER THIS CONTRACT MUST BE RECEIVED BY THE
GLO NOT LATER THAN SIXTY (6O) DAYS FROM THE DATE SUBRECIPIENT INCURS THE
EXPENSE. NOTWITHSTANDING THE PRECEDING, REQUESTS FOR REIMBURSEMENT FOR
EXPENSES INCURRED BY ANY SUBCONTRACTOR MUST BE RECEIVED BY THE GLO NOT
LATER THAN THIRTY (30) DAYS FROM THE DATE THE SUBRECIPIENT RECEIVES THAT
INVOICE FROM A SUBCONTRACTOR. FAILURE BY SUBRECIPIENT TO COMPLY IN A
TIMELY MANNER WITH THESE TWO REQUIREMENTS MAY, AT THE GLO's SOLE
DISCRETION, RESULT IN DENIAL OF THE REQUEST FOR REIMBURSEMENT.
5.02 BUDGET VARIANCE
Upon written request and justification by Subrecipient to the Grants Administrator,
reallocation among budget categories may be allowed. Subrecipient must use the GLO
Budget Amendment Form, a sample of which is attached hereto as Attachment D. This
form maybe downloaded at:
http://www.glo.state.tx.us/coastaUgrants/subrecipient.html.
Such reallocations may not increase the amount of the grant or total Budget, and shall be
effective only after approval by the GLO. Any request for a variance that changes the total
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budget amount or the project scope or outcome maybe allowed only through the formal,
written Contract amendment process. A FINAL, ACTUAL BUDGET, TO BE ATTACHED
HERETO AS ATTACHMENT A-1, SHALL BE SUBSTITUTED FOR THE EXISTING BUDGET IN
ATTACHMENT A, AND SHOULD BE SUBMITTED NO LATER THAN THIRTY (3O) DAYS FROM , _ ,,.
THE EXPIRATION OR TERMINATION OF THE CONTRACT.
5.03 PURCHASES
Subrecipient shall not purchase any equipment and/or computer software not included as
a reimbursable Budget item in Attachment A. Title and possession of any Equipment
will remain the property of Subrecipient unless and until transferred to the GLO, upon
written request by the GLO, or termination or completion of the Contract. Subrecipient
shall furnish, with its final request for reimbursement, a list of all Equipment purchased
with NOAH financial assistance under this Contract. The disposition of any Equipment, as
defined above, shall follow the Uniform Grants Management Standard Guidelines.
5.04 RETAINAGE
To ensure full performance, the GLO may retain an amount equal to thirty-three percent
(33%) of the Subrecipient grant amount until Subrecipient's delivery, and GLO's
approval, of all deliverables required herein. The GLO shall make a final disbursement
only upon receipt of documentation sufficient to determine that Subrecipient has
completed the project in accordance with the Work Plan and that all requirements of this
Contract and the relevant provisions of the Grant have been fulfilled by Subrecipient,
including, but not limited to, match documentation requirements.
5.05 MATCH DOCUMENTATION
Evidence of match documentation shall:
(a) be on the approved GLO forms attached hereto as Attachment C-1,1 which may
also be downloaded at:
http://www.glo.state.tx.us/coastaUgrants/subrecipient.html;
(b) be supported by an invoice detailing each expense by Budget category, in
accordance with Attachment A; and
(c) provide such other information as the GLO may request.
Match funding documentation must be identified clearly and may be submitted with or
separate from a payment request. Each invoice shall be supported by copies of receipts,
cancelled checks, or such other documentation that, in the sole judgment of the GLO,
allows for full substantiation of the costs incurred. Payment requests may be denied if
proper match has not been submitted.
~ Time for multiple volunteers may now be submitted on the Volunteer Timesheet form, a sample of which is
included in Attachment C-I.
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VI. STATE FUNDING
6.01 STATE FUNDING
This Contract shall not be construed as creating any debt on behalf of the State of Texas
and/or the GLO in violation of Texas Constitution, Article IlI, Section 49. In compliance
with Texas Constitution, Article VIQ, Section 6, it is understood that all obligations of the
GLO hereunder. are subject to the availability of state funds. If such funds are not
appropriated or become unavailable, this Contract may be terminated. In that event, the
parties shall be discharged from further obligations, subject to the equitable settlement of
their respective interests, accrued up to the date of termination.
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VII. COPYRIGHT /PUBLICATION
7.01 COPYRIGHT
The parties expressly agree that the GLO shall own all right, title, and interest in and to
any copyright or other intellectual property rights in any material or information
developed under this Contract including the right to use, reproduce, or publish any or all
of such information and other materials without the necessity of obtaining permission
from Subrecipient, and without expense or charge. Subrecipient shall not assert any legal
rights or otherwise seek to establish any claim to statutory copyright in any material or
information developed under this Contract. THIS PROVISION SHALL SURVIVE THE
TERMINATION OR EXPIRATION OF THIS CONTRACT.
7.02 PUBLICATION
(a) If Subrecipient or its employee(s) use NOAA financial assistance to publish
reports and other materials completed as a result of this Contract, the author shall
assure that the paper bears the following statement as well as the NOAA and CMP
logos on the front cover or title page of such document and other materials:
A PUBLICATION (OR REPORT) OF THE COASTAL COORDINATION
COUNCIL PURSUANT TO NATIONAL OCEANIC AND ATMOSPHERIC
ADMINISTRATION AWARD NO. NA09NOS4190165.
(b) If Subrecipient or its employee(s) use NOAA financial assistance to publish a paper
based in whole or in part on the work funded by this Contract, the author shall
assure that the paper bears the following statement as well as the NOAA and CMP
logos on the front cover or title page of the paper:
THIS PAPER IS FUNDED ("IN PART" IF APPROPRIATE) BY A
GRANT/COOPERATIVE AGREEMENT FROM THE NATIONAL
OCEANIC AND ATMOSPHERIC ADMINISTRATION. THE VIEWS
EXPRESSED HEREIN ARE THOSE OF THE AUTHOR(S) AND DO NOT
NECESSARILY REFLECT THE VIEWS OF NOAA OR ANY OF ITS SUB-
AGENCIES.
(c) If the Subrecipient or its employee(s) use NOAA financial assistance to produce
signage, the Subrecipient shall assure that the signage bears the following
statement as well as the NOAH and CMP logos on all signs:
THIS PROJECT IS FUNDED ("IN PART" IF APPROPRIATE) BY A
GRANT FROM THE COASTAL COORDINATION COUNCIL PURSUANT
TO NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
AWARD No. NA09NOS4190165.
(d) When issuing statements, press releases, requests for proposals, bid solicitations,
and other documents describing projects or programs funded in whole or in part
' with federal funds, including, but not limited to, state and local governments and
recipients of federal research grants, the Subrecipient shall clearly state (i) the
percentage of the total costs of the project or program which will be financed with
GLO Contract No.10-055-000-3751
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federal money; (ii) the dollar amount of federal funds for the project of program;
and (iii) percentage and dollar amount of the total costs of the project or program
that will be financed by nongovernmental sources. ALL DOCUMENTS AND
MATERIALS MUST CONTAIN THE NOAA AND CMP LOGOS ON THE FRONT OR
TITLE PAGE.
(e) THIS PROVISION SHALL SURVIVE THE TERMINATION OR EXPIRATION OF THIS
CONTRACT.
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VIII. RECORDS /ADMINISTRATIVE AND AUDIT /RETENTION
/ PUBLIC RECORDS
8.01 Booxs AND RECORDS
Subrecipient shall keep and maintain full, true, and complete records in accordance with
GAAP necessary to fully disclose to the GLO, the Texas State Auditor's Office, the
United States Government, and/or their authorized representatives sufficient information
to determine compliance with the terms and conditions of this Contract and all state and
federal rules, regulations, and statutes.
8.02 ADMINISTRATIVE AND AUDIT REGULATIONS
(a) The GLO, as apass-through entity, has the responsibility to ensure that
Subrecipients expending FIVE HUNDRED THOUSAND DOLLARS ($500,000.00) or
more in federal awards during each of the Subrecipient's fiscal years of funding
have met audit requirements in accordance with U.S. Office of Management and
Budget Circular A-133. Subrecipient shall complete and return the Audit Reporting
Form, attached hereto as Attachment E, no-later than September 1 of each year until
the Contract is terminated. Attachment E may be downloaded at:
http://www.glo.state.tx.us/coastaUgrants/subrecipient.html.
(b) In addition, Subrecipient agrees that all relevant records related to this Contract
and any Deliverables produced in relation to this Contract, including the records
and Deliverables of its Subcontractors, shall be subject to the Administrative and
Audit Regulations. Accordingly, such records and Deliverables shall be subject,
at any time, to inspection, examination, audit, and copying at any location where
such records and Deliverables maybe found, with orwithout notice-from the GLO
or other government entity with necessary legal authority. Subrecipient agrees to
cooperate fully with any federal or state entity in the conduct of inspection,
examination, audit, and copying, including providing all information requested.
Subrecipient will ensure that this clause concerning federal and state entities'
authority to inspect, examine, audit, and copy records and Deliverables, and the
requirement to fully cooperate with the federal and state entities, is included in
any subcontract it awards.
(c) Subrecipient understands that acceptance of state funds under this Contract acts as
acceptance of the authority of the State Auditor's Office to conduct an audit or
investigation in connection with those funds. Subrecipient further agrees to
cooperate fully with the State Auditor's Office in the conduct of the audit or
investigation, including providing all records requested. Subrecipient will ensure
that this clause concerning the State Auditor's Office's authority to audit state
funds and the requirement to fully cooperate with the State Auditor's Office is
included in any subcontracts it awards. Additionally, the State Auditor's Office
shall at any time have access to and the rights to examine, audit, excerpt, and
transcribe any pertinent books, documents, working papers, and records of
Subrecipient relating to the Contract for any purpose.
GLO Contract No. 10-055-000-3751
Page 15 of 22
8.03 PERIOD OF RETENTION
Subrecipient shall retain all records relevant to this Contract for a minimum of four (4)
years. If any federal funds are used in the Contract, Subrecipient shall retain said records
for a minimum of five (5) years. The period of retention begins at the date of payment by
the GLO for the goods or services or from the date of termination of the Contract,
whichever is later. The period of retention shall be extended for a period reasonably
necessary to complete an audit and/or to complete any administrative proceeding or
litigation that may ensue.
8.04 PUBLIC RECORDS
Pursuant to the Public Information Act, records received from Subrecipient maybe open to
public inspection and copying. The GLO will have the duty to disclose such records, unless
a particular record is made confidential by law or excepted from the Act. Subrecipient may
clearly label any individual records as a "trade secret," provided that Subrecipient thereby
agrees to indemnify and defend the GLO for honoring such designation. The failure to so
label any record shall constitute a complete waiver of any and all claims for damages caused
by release of the records. If a request for a labeled record is received by the GLO, the GLO
will notify Subrecipient of the request in accordance with the Public Information Act.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
GLO Contract No. 10-055-000-3751
Page 16 of 22
IX. EVENTS OF DEFAULT AND REMEDIES
9.01 EVENTS
Each of the following shall constitute an event of default ("Event of Default") under this
Contract:
(a) Subrecipient's failure to comply with any term, covenant, or provision contained
in this Contract;
(b) Subrecipient makes an assignment for the benefit of creditors or takes any similar
action for the protection or benefit of creditors; or
(c) If at any time, Subrecipient makes any representation or warranty that is incorrect
in any material respect to: (i) the Work Plan; (ii) any request for payment
submitted to the GLO; or (iii) any report submitted to the GLO related to the
Contract.
9.02 REMEDIES NO WAIVER
Upon the occurrence of any such Event of Default, the GLO shall be entitled to avail itself
of any legal remedy. Aright or remedy conferred by this Contract .upon either Party is not
intended to be exclusive of any other right or remedy, and each and every right and remedy
shall be cumulative and in addition to any other right or remedy given under this Contract,
or hereafter legally existing upon the occurrence of an Event of Default. The failure of the
GLO either to insist at any time upon the strict observance or performance of any of the
provisions of this Contract, or to exercise any right or remedy as provided in this Contract,
shall not impair any such right or remedy or be construed as a waiver or relinquishment
thereof with respect to subsequent defaults.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
GLO Contract No. 10-055-000-3751
Page 17 of 22
X. MISCELLANEOUS PROVISIONS
10.01 LEGAL OBLIGATIONS
Subrecipient shall procure and maintain for the duration of this Contract any state, county,
city, or federal license, authorization, insurance, waiver, permit, qualification or
certification required by statute, ordinance, law, or regulation to be held by Subrecipient
to provide the goods or services -required by this Contract. Subrecipient will be
responsible for payment of all taxes, assessments, fees, premiums, permits, and licenses
required by law. Subrecipient agrees to be responsible for payment of any such
government obligations not paid by its Subcontractors during performance of this
Contract. Subrecipient shall not commence construction of the Project until it has
obtained the requisite licenses and/or permits. COPIES OF SUCH LICENSES AND PERMITS
SHALL BE INCLUDED AS A PART OF THE PROGRESS REPORT, AS DEFINED IN THIS
CONTRACT, FOR THE PERIOD DURING WHICH THEY ARE OBTAINED.
10.02 INDEMNITY
SUBRECIPIENT AGREES TO INDEMNIFY AND HOLD THE GLO HARMLESS, TO THE FULL
EXTENT PERMITTED UNDER THE CONSTITUTION AND LAWS OF THE STATE OF TEXAS,
FROM AND AGAINST ANY AND ALL CLAIMS, DEMANDS, AND CAUSES OF ACTION ARISING
FROM THE NEGLIGENT ACTS OR OMISSIONS OF SUBRECIPIENT, ITS EMPLOYEES OR
AGENTS IN CONNECTION WITH THE PERFORMANCE OF SERVICES OR WORK BY
SUBRECIPIENT OR ITS SUBCONTRACTORS UNDER THIS CONTRACT. THE PROVISIONS OF
THIS SECTION 10.02 SHALL SURVIVE TERMINATION OF THIS CONTRACT. THIS SECTION
10.02 SHALL NOT BE CONSTRUED AS VIOLATING THE PROVISIONS OF ARTICLE III,
SECTION 52 OF THE TEXAS CONSTITUTION.
10.03 ASSIGNMENT AND SUBCONTRACTS
Subrecipient shall not assign, transfer, or delegate any rights, obligations, or duties under
this Contract not encompassed within the Work Plan without the prior written consent of
the GLO. Notwithstanding this provision, it is mutually understood and agreed that
Subrecipient may subcontract with others for some or all of the services or work to be
performed. In any approved subcontracts, Subrecipient shall legally bind any such
Subcontractors to perform and make such Subcontractors subject to all the duties,
requirements, and obligations of Subrecipient specified herein. Nothing in this Contract
shall be construed to relieve Subrecipient of the responsibility for ensuring that that the
goods delivered and/or the services rendered by Subrecipient and/or any of its
Subcontractors comply with all the terms and provisions of this Contract. Subrecipient
will provide written notification to the GLO of any such Subcontractor performing fifteen
percent (15%) or more of the work under this Contract, including the name and taxpayer
identification number of Subcontractor, the task(s) being performed, and the number of
Subcontractor employees expected to work on the task..
10.04 HISTORICALLY UNDERUTILIZED BUSINESSES (HUBS)
(a) In accordance with State law, it is the GLO's policy to assist HUBs whenever
possible, to participate in providing goods and services to the agency. The GLO
GLO Contract No. 10-055-000-3751
Page 18 of 22
encourages those parties with whom it contracts for the provision of goods and
services to adhere to this same philosophy in selecting Subcontractors to assist in
fulfilling Subrecipient's obligations with the GLO. In addition to information
required by this Contract, Subrecipient will provide- the Purchasing Department of
the GLO with pertinent details of any participation by a HUB in fulfilling the
duties and obligations arising hereunder.
(b) The GLO encourages Subrecipients to partner with certified HUBs that participate
in the Comptroller's Mentor Protege Program. For more information on the
program, and how it can assist your firm in meeting good faith effort goals please
visit:
http://www.window.state.tx.us/procurement/prog/hub/mentorprotege/.
(c) Subrecipient shall, not later than March 1 of each year until termination. of the
Contract, complete and return the HUB expense report, attached hereto as
Attachment H. Attachment H may also be downloaded at:
http://www.glo.state.tx.us/coastaUgrants/subrecipient.html.
10.05 RELATIONSHIP OF THE PARTIES
Subrecipient is associated with the GLO only for the purposes and to the extent specified
in this Contract, and, in respect to Subrecipient's performance pursuant to this Contract,
Subrecipient shall have the sole right to supervise, manage, operate, control, and direct
performance of the details incident to its duties under this Contract. Nothing contained in
this. Contract shall be deemed or construed to create a partnership or joint venture,. to
create relationships of anemployer-employee or principal-agent, or to otherwise create
for the GLO any liability whatsoever with respect to the indebtedness, liabilities, and
obligations of Subrecipient or any other party.
10.06 COMPLIANCE WITH OTHER LAWS
In the performance of this Contract, Subrecipient shall comply with all applicable federal,
state, and local laws, ordinances, and regulations. Subrecipient shall make itself familiar
with and at all times shall observe and comply with all federal, state, and local laws,
ordinances, and regulations that in any manner affect performance under this Contract.
10.07 NOTICEs
Any notices required under this Contract shall be deemed delivered when deposited either
in the United States mail, postage paid, certified, return receipt requested; or with a
common carver, overnight, signature required, to the appropriate address below:
GLO
Texas General Land Office
1700 N. Congress Avenue, Room 910
Austin, TX 78701
Attention: Legal Services Division
GLO Contract No. 10-055-000-3751
Page 19 of 22
Subrecipient
City of Corpus Christi
1201 Leopard Street
Corpus Christi, TX 78469-9277
Attention: Sally Gavlik, Director
Parks & Recreation Department
Notice given in any other manner shall be deemed effective only if and when received by
the party to be notified. Either party may change its address for notice by written notice to
the other party as herein provided.
10.08 GOVERNING LAW AND VENUE
This Contract and the rights and obligations of the parties hereto shall be governed by,
and construed according to, the laws of the State of Texas, exclusive of conflicts of law
provisions. Venue of any suit brought under this Contract shall be in a court of
competent jurisdiction in Travis County, Texas. Subrecipient irrevocably waives any
objection, including any objection to personal jurisdiction or the laying of venue or based
on the grounds of forum non conveniens, which it may now or hereafter have to the
bringing of any action or proceeding in such jurisdiction in respect of this Contract or any
document related hereto. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A
WAIVER OF SOVEREIGN IMMUNITY BY THE GLO.
10.09 SEVERABILITY
If any provision contained in this Contract is held to be unenforceable by a court of law,
this Contract shall be construed as if such provision did not exist and the non-
enforceability of such provision shall not be held to render any other provision or
provisions of this Contract unenforceable.
10.10 DISPUTE RESOLUTION
If a Contract dispute arises that cannot be resolved to the satisfaction of the parties, either
party may notify the other party in writing of the dispute. If the parties are unable to
satisfactorily resolve the dispute within fourteen (14) days of the written notification, the
parties must use the dispute resolution process provided for in Chapter 2260 of the Texas
Government Code to attempt to resolve the dispute. This provision shall not apply to any
matter with respect to which either party may make a decision within its respective sole
discretion.
10.11 ASSURANCES AND AFFIRMATIONS
Subrecipient shall complete and return the Assurances-Construction/Non-Construction
Programs form, attached hereto as Attachment F, assuring that it will comply with all
federal statutes listed thereon and, when applicable, shall obtain and return completed
assurance of compliance forms from its Subcontractors.
10.12 DEBARMENT
Subrecipient certifies that neither it nor its principals are presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in
GLO Contract No. 10-055-000-3751
Page 20 of 22
this Contract by any state or federal department or agency. Prior to engaging any
contractor or Subcontractor, Subrecipient shall verify the contractor's or Subcontractor's
eligibility for receiving state or federal funds, using (1) the Texas Comptroller of Public
Accounts' Vendor Performance Program available on the Internet at:
http://www.window.state.tx.us/procurement/prog/vendor~erformance/
for suspended and debarred vendors, and (2) the Federal General Services
Administration's Excluded Parties List available on the Internet at:
http://www.epls.gov/
in compliance with Executive Order 12549, "Debarment and Suspension;" and 15 C.F.R.
Part 26, Subparts A through E, "Governmentwide Debarment and Suspension."
10.13 LOBBYING
Subrecipient shall complete and return the Certification Regarding Lobbying, attached
hereto as Attachment G, Page 1, certifying that no federal funds have been or will be
paid to any person for influencing or attempting to influence any party named therein, and
that if any non-federal funds have been paid for such purposes, Subrecipient shall
complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying,"
attached hereto as Attachment G, Page 2.
10.14 CMP CONSISTENCY
Subrecipient shall complete the requirements of this Contract in compliance with the
CMP goals and policies and shall assure that the performance of all Subcontractors is in
compliance with the CMP.
10.15 PROPER AUTHORITY
Each party hereto represents and warrants that the person executing this Contract on its
behalf has full power and authority to enter into this Contract. Subrecipient acknowledges
that this Contract is effective for the period of time specified in the Contract. Any services
performed by Subrecipient before this Contract is effective or after it ceases to be effective
axe performed at the sole risk of Subrecipient.
10.16 COUNTERPARTS
This Contract may be executed in any number of counterparts, each of which shall be an
original, and all such counterparts shall together constitute but one and the same Contract.
If the Contract is not executed by the GLO within thirty (30) days of execution by the
other party, this Contract shall be null and void.
10.17 ENTIRE CONTRACT AND MODIFICATIONS
This Contract, its integrated attachment(s), and any purchase order issued in conjunction
with this Contract constitute the entire agreement of the parties and are intended as a
complete and exclusive statement of the promises, representations, negotiations,
GLO Contract No. 10-055-000-3751
Page 21 of 22
discussions, and other agreements that may have been made in connection with the subject
matter hereof. Any additional or conflicting terms in such attachment(s) and/or purchase
order shall be harmonized with this Contract to the extent possible. Unless such integrated
attachment or purchase order specifically displays a mutual intent to amend a particular part
of this Contract, general conflicts in language shall be construed consistently with the terms
of this Contract.
SIGNATURE PAGE FOLLOWS
GLO Contract No. 10-055-000-3751
Page 22 of 22
SIGNATURE PAGE FOR GLO CONTRACT NO.10-055-000-3751
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GENERAL LAND OFFICE
Larry L. Laine, Chief Clerk/
Deputy Land Commissioner /_
Date of execution: ~ ~ ~ W S
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G.C.
CITY OF CORPUS CHRISTh TEXAS
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Date of execution: P D ~.'~ B ~
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ATTACHMENTS FOR GLO CONTRACT NO. 10-055-000-3751
ATTACHMENT A
ATTACHMENT A-1
ATTACHMENT B
WORK PLAN AND BUDGET
FINAL, ACTUAL BUDGET (TO BE SUBMITTED
PROGRESS REPORT FORMZ
ATTACHMENT C INVOICE FOR FEDERAL EXPENDITURES, MONTHLY GRANT
PROJECT EQUIPMENT SHEET, AND MONTHLY GRANT PROJECT
TIMESHEET
ATTACHMENT C-1 LOCAL MATCH EXPENDITURES, MONTHLY GRANT PROJECT
EQUIPMENT SHEET, MONTHLY GRANT PROJECT TIMESHEET,
AND VOLUNTEER TIMESHEET
ATTACHMENT D BUDGET AMENDMENT FORM
ATTACHMENT E AUDIT REPORTING FORM
ATTACHMENT F ASSURANCES -CONSTRUCTION /NON-CONSTRUCTION
PROGRAMS
ATTACHMENT G CERTIFICATIONS REGARDING LOBBYING
ATTACHMENT H HISTORICALLY UNDERUTILIZED BUSINESSES (HUB) EXPENSE
REPORT FORM
z Forms, which maybe updated from time to time, maybe downloaded at:
http://www.glo.state.tx.us/coastaUgrants/subrecipient.html
Attachment A
GLO Contract No. 10-055-000-3751
Page 1 of 3
Attachment A -Work Pian and Budget
Contract Number: 10-055-000-3751
Project Name: Oso Bay Wetland Preserve -Property Acquisition
Entity: City of Corpus Christi
Project Description:
The City of Corpus Christi proposes to acquire 49.53+/- acres, known as the Gaines tract, of
uplands, floodplain, wetlands and sand flats, formerly used for grazing, as part of the
development of the new 162 +/-acre Oso Bay Wetland Preserve. The city will acquire the
property for $542,533, a cost significantly below the fair market value of $820,000. A
Phase I Environmental Assessment has been completed for the proposed acquisition and is
included with this application. The project is located at 8011 Holly Road, Corpus Christi,
Texas 78414; Latitude 27040' 16.16"N, Longitude 97019'52.18"W.
Serving as match for the acquisition will be a fee simple donation of 77+/- acres of
adjoining property which includes wetlands, uplands, and bayfront owned by the Coastal
Bend Bays & Estuaries Program (CBBEP) and purchased without federal funds. The
bayfront CBBEP-owned property is valued at over $700,000. Additionally, the city is
dedicating adjoining 33.5 acres ofcity-owned, non-parkland property to the preserve. The
three parcels of property comprising the project will be protected by a conservation
easement. Approximately two acres of public tidelands/beaches abuts the wetland preserve
site. A map is included in the application that shows how the tracts relate spatially to each
other.
The project fulfills several CMP goals and policies including the acquisition of: (1}Coastal
Natural Resource Areas (CNRAs); (2) areas that provide access to coastal waters; and (3)
lands prone to coastal hazards such as windstorms, storm surge and flooding. Importantly,
Hurricane Ike has reminded the Texas coastal community how important it is to keep areas
prone to coastal hazards, like this acquisition immediately adjacent to Oso Bay,
undeveloped.
The project will be the newest and one of the largest city-owned nature preserves along the
Texas coast. The project serves the state's second largest coastal city, and importantly,
meets the Coastal Management Program's desire to address the needs of underserved
communities. Corpus Christi, with a population 285,175 (LT.S. Census Bureau, 2006), has a
poverty rate of 18.2 percent, or nearly double the national average.
The Texas Parks and Wildlife Department has awarded the city a $500,000 Outdoor
Recreation Grant in July 2008 for preserve development including construction of nature
trails, wildlife observation decks, and other nature preserve facilities. The city intends to
build a nature center for environmental education on a small upland portion of the property.
Future preserve development (nature trails, the nature center, etc.) will be built to the U.S.
Green Building Council's LEED (Leadership in Energy and Environmental Design) Green
Building Rating SystemTM standards. Environmental enhancements planned for future
phases of the project include invasive species removal, construction of freshwater wetlands
Attachment A
GLO Contract No. 10-055-000-3751
Page 2 of 3
Attachment A -Work Plan and Budget
to filter nonpoint source runoff, and restoration of existing wetlands that have been
degraded.
Project Budget:
CMP Subrecipient Third Party Project Total
Salaries $0.00 $0.00 $0.00 $0.00
Fringe $0.00 $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00 $0.00
Supplies $0.00 $0.00 $0.00 $0.00
Equipment $0.00 $0.00 $0.00 $0.00
Contractual $0.00 $0.00 $0.00 $0.00
Other $314,901.00 $0.00 $217,013.00 $531,914.00
Subtotal: $314,901.00 $0.00 $217,013.00 $531,914.00
Indirect $0.00 $0.00 $0.00 $0.00
Total: $314,901.00 $0.00 $217,013.00 $531,914.00
' ~ ' Attachment A
GLO Contract No. 10-055-000-3751
Page 3 of 3
Attachment A -Work Plan and Budget
Special Award Conditions:
1. This project must be completed as described in this work plan. The GLO and/or NOAA
must approve any changes in the scope of work or budget requests that change the total
project cost. 2. In the event that the GLO and NOAA determine that the project or property
is no longer used for its original purpose, the recipient shall reimburse NOAH for the federal
funds received for the project.
Task 1 Description:
Fee simple acquisition of the Gaines tract and donation transaction of the matching
property owned by the CBBEP
Prior to closing, the city will conduct real estate appraisals, surveys and other necessary
due diligence activities. The city will receive title to the property owned by the CBBEP.
Deliverable(s)/Milestone(s):
1. Real estate appraisal to federal standards, surveys, etc. February 2010
2. Purchase of the Gaines tract. March 2010
3. Transfer CBBEP-owned property (match) to the City of Corpus Christi. June 2010
Deliverable Due Date(s): 6/30/2010
Attachment B
Page 1 of 2
PROGRESS REPORT
(Project Name)
(GLO Contract No.)
(Reporting Period)
Task 1: (Name of task as identified in Attachment A of your contract)
• Status of the task during this reporting period: Din progress ^completed
• Briefly describe major accomplishments for this reporting period.
• List the deliverable(s)/milestone(s) completed during this reporting period. (Submit a copy of your
completed deliverable(s)/milestone(s) with this report.)
• Were there any problems or obstacles encountered during this reporting period (e.g., delays, remedial
action taken, schedule revision}. ^Yes ^No If yes, please explain:
• Briefly describe plans for the next reporting period.
(Repeaf for each task, if necessary. If work on a particular task has not begun or has been completed, do not
include in progress report.)
Page 1 of 2
Attachment B
Page 2 of 2
Please provide a current budget breakdown. (Double Click on budget tables to activate Excel.)
Current
Federal/ CMP
Bud et Billed to Date Obligated* CMP
Budget Remaining
CMP Budget
Personnel $ - $ - $ - $ -
Fringe $ - $ - $ - $ -
Travel $ - $ - $ - $ -
Supplies $ - $ - $ - $ -
E ui ment $ - $ - $ - $ -
Contractual $ - $ - $ - $ -
Other $ - $ - $ - $ -
Subtotal $ - $ - $ - $ -
Indirect Costs $ - $ - $ - $ -
Totals $ - $ - $ - $ -
Current Local
Budget Billed to Date Obligated*
Local Budget Remaining
Local Budget
Personnel $ - $ - $ - $ -
Fringe $ - $ - $ - $ -
Travel $ - $ - $ - $ -
Su lies $ - $ - $ - $ -
E ui ment $ - $ - $ - $ -
Contractual $ - $ - $ - $ -
Other $ - $ - $ - $ -
Subtotal $ - $ - $ - $ -
Indirect Costs $ - $ - $ - $
Totals $ - $ - $ - $ -
Current 3rd
Party Budget Billed to Date Obligated* 3rd
Party Budget Remaining 3rd
Party Budget
Personnel $ - $ - $ - $
Frin e $ - $ - $ - $ -
Travel $ - $ - $ - $ -
Su lies $ - $ - $ - $ -
E ui ment $ - $ - $ - $ -
Contractual $ - $ - $ - $ -
Other $ - $ - $ - $ -
Subtotal $ - $ - $ - $ -
Indirect Costs $ - $ - $ - $ -
*Obligated includes -funds that have been incurred by the recipient but have not been paid by the recipient,
such as executed contract agreements or acquired supplies/materials/equipment.
Page 2 of 2
Attachment C
Page 1 of 3
INVOICE FOR FEDERAL EXPENDITURES
Entity Name
Department
Address
City, State Zip
Contact Name
Phone
Fax
CLO Contract #
Federal ID#
Amount
CIVIP Amount Expenditures Previously Amount
Budget Category Budgeted this Invoice Invoiced Remaining
?ersonnel $0.00 $0.00 $0.00 $0.00
ringe $0.00 $0.00 $(1.00 $U.00
('ravel.. $0.00 $0.00 $0.00 $0.00
supplies $0.00 $0.00. $0.00 $0.00
?quipment $0.00 $0.00 $0.00 $0.00
contractual $0.00 $0.00 $0.00 $0.00
Jther i~ $0.00 $0.00 $0.00 $0.00
>ubtotal $0.00 $0.00 $0.00 $0.00
ndirect Costs $0.00 $0.00 $0.00 $0.00
0.00 _~O:OU $0.00 $0.00
_/ Subrecipient may not charge "other operating costs" (i.e., administrative, computer costs, etc.,
.n addition to indirect Costs, if such costs are already included in the calculation to determine
tubrecipient's Indirect Cost rate.
attach timesheets/receipts/cancelled checta for all expenditures that ,you arc submitting for rcimbursement.V
'roject Manager Signature
Date
Universities may submit their standard invoice in lieu of this documentation.
^or GLO Use Only:
`ontract Number:
~. _.
;CCl~ InV01Ce Anlt~' , ~ ~ _~
:ed:# Invoice AmtS!_______._..._
>ate Service Date
Invoice reviewed by Contracts Specialist^
Invoice revie~~'ed by Project Manager.
Okay to Pay Datc
Grant Manager
Attachment C
Page 2 of 3
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- Page 1 of 4
LOCAL MATCH EXPENDITURES*
Entity Name
Department
Address
City, State Zip
Contact Name
Phone
Fax
GLO Contract # Federal ID#
Amount
Local Amount Expenditi2res this Previously Amount
Budget Category Budgeted Submission Submitted Remaini~tg
Personnel $0.00 $0.00 $0.00 $0.00
Fringe $0.00 $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00 $0.00
Supplies $0.00 `60.00 $0.00 $0.00
Equipment $0.00 $0.00 $0.00 $0.00
Contractual $0.00 $0.00 $0.00 $0.00
Other i~ $0.00 $0.00 $0.00 $0.00
Subtotal $0.00 $0.00 $O.UU $0.00
Indirect Costs $0.00 $0.0() $0.00 `.60.00
Totals $0.00 $0.00 50.(10 $O.UU
Attach timesheets/receipts/cancelled cJtecls for all expenditures that ~~ou .are submitting for
reimbursement.
Project Manager Signature Date
*Universities may submit their standard invoice in lieu of this invoice form.
1/ Subrecipient may not charge "other operating costs" (i.e., administrative, computer costs, etc.,
in addition to Indirect Costs, if such costs are already included in the calculation to determine
Subrecipient's Indirect Cost rate.
Attachment C-1
Page 2 of 4
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Attachment D
Page 1 of 1
BUDGET AMENDMENT REQUEST
Subrecipient
Department
Address
City, State Zip
Contact Name
Phone
Fax
GLO Contract # Federal ID#
Current Requested Requested Requested Revised
Current CMP Current Other CMP Local Other Revised CMP Revised Local Other
Budget Category Budget Local Budget Budget Changes Changes Changes Budget Budget Budget
Personnel $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00
Fringe $0.00 $0.00 $0.00 $O.OU $0.00 $0.00 $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Supplies $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 . $0.00 $0.00
Othcr 1/ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Totals 50.00 $0.00 $0.00 $0.00
Please justify your request below (include additional sheets, as necessary).
Signature of Authorizing Official
$o.oo $O.oo $o.oo $o.oo $o.oo
Date
GLO Use Only:
,Your informal budget amendment is approved. Please retain a copy of this form with your project file.
Informal Budget Amendment Approved by: Date:
Contract Specialist
Note: This copy of this form will become part of your permanent GLO legal file.
1/ Subrecipient my not charge "other operating costs" (i.e., administrative costs,
computer usage fees, etc.) in addition to indirect costs, if such costa are already
included in the calculation to determine Subrecipient's indirect coat rate.
Attachment E
Page 1 of 2
Audit Reporting Form
Subrecipient: t~eccio•ing (gramed;a++arded) federal funds. through the Genera) Land Office (GLO). are subject to the requirements of the
Single Audit Act of 1996. Off ice of Management and (iudget (ONlB) Circular No. A-133, (htt~/+v+v+v.omb.~~o~~J,'rl, ants). Subrecipients
expending (spending/reimbursed) federal funds totaling $00.000 or more in a fiscal year are required to conduct an audit in accordance
with the Single Audit Act.
Please complete this questionnaire and send by facsimile to 512-475-U68U attn: Coastal Management Program or mail to:
General Land Office
Attn: Coastal Management Program
Coastal Resources Division
P.O. Box ] 2873
Austin. Texas 787 1 1-2873
Section 1: Cntity Inform:-tion
Name of Entity (Subrecipient)
What is your entity's fiscal year'?
Monlh;'Year
Project Title and GLO Contract Number
(additional grants may be listed on a separate page)
through
Montle /fear
Section 2• Single Audit Requirement
For your most recently completed fiscal year. account I"or all federal funds (awards/grants) expended (spenUreimbursed)regardless of
the .ounce. (Provide your nu~st recentl+ completed fiscal year belo++')
For Fiscal 1'car 20_:
\Vhat ++:u the total amount ul' federal funds (a+vards/grants) expended (spent/reinbursed)° ti
if I_ti, than 5~0(I.QOI) in iata~! federal funds (a++'arclslJrant>) ++ere expended: four entity is c+~rniht from feather audit
requirement. for the reportin~~ period. Complete Sections 4 and ~ (Federal Awards Information and Signature Section>).
^ if $SOO.CIO0 or more in total federal funds (awards/grants) were expended: Con~lete all remaining sectiotr.
Section 3: Audit lnformation
• Date of your Entity"s Lta completed audit: _.__.. (Date)
• Period C'o+ered by Audit: through _.......
NlnnUrl'ear Nlonth/Year
• Audit Findings: ^ No findings (it is not necessary to submit a copy of your audit report package)
^ Finding> (provide a copy of your audit reporting package if findings were related to funds issued through the GLO.
II~ findings +vere unrelated to GLO issued funds submit the schedule of findings and quesuoned costs.)
• Next audit scheduled for (Month/Year)
• Period to be covered by nest .chcduled audit: through
t~1onlh~Year Nlonth'1'ear
Section ~: hederal r1~~ttrtls lnformation
For the fiscal year pro+idcd. account Ivr all ledtral fund: (a+vards~grants) recei+•ed (ranted/a+vardecf) regardless ol'the source.
For t iseal Year 20_: (li~~al +rat must match fiscal yrar prop tded m section 3)
11"hat ++•as the total amount of hedcrxl funds (a++al-ds/gr•.utts) rccei+"ed(;;ratntcd/a+~•arded)' ~ _.....,_.,_-,.~.
.~ .-- --~ _.. ~......~ ... .. ~i... t.,u.,,, ;,,.. ~,.+,tY-~n-dice rhr f~~dcral fmids (a~~ 1€`d:r8nts) your entity recetvcd)
. -
Nrime ofitdctal a~~arci(,)~~rantcc('
Period o('Award
(month/~ r nrontlr+i')
-
Rtnotwt _ --
t'('D'A'v+utnber
.~.,~
t `-- - --- -
-
- - --
Sectlo?l S: ~I~~niltnl'C ~l`Ct10n
Signature of I'reparer
I'rinled Name of Preparer and Title
Uat~
Pr~e~arer'aContact 1+3formation:
Email:
Phone:( ) - ext.
Attachment E
Page 2 of 2
Instruction Sheet for the Audit: Reporting Form
The purpose of-the Audit Repo+~ing (AR) Fortn is to a>sia the General Land Otticr (GLO) in it; obligations to adhere to
federal guidelines for pass through entities issuing federal funds. The AR Form is equally beneficial in assisting entitle:
receiving federal Funds. through the GLO. to meet their audit reporting requirement. Federal guidelines for pass through
agencies issuing federal awards and the subrecipients of those funds are set forth in the Single Audit Act of 1996.Office of
Management and Budget (OMB) Circular No. A-133. The UMf3's website. httu:'.'avww.omb.EO+~/grants. contains information
regarding the Single Audit Act and its requirements.
Review the following insu•uctions for assistance in completing the Audit Reporting Form.
Section 1: Entit~~ Information.
• Name ofEntity - The'`Name of Entity" should match the name on [he Brant contract.
• Project Title and GLO Contract Number- Provide the "Project Title and GLO Conn~act Number" for your entity's grant.
The project title must match the title of d,e project found in "Attachment A" of the grant conu~act. A separate sheet
listing additional project titles and contract numbers may be attached ifnecessary.
• Fntit~s Fiscal Year -Provide the period covered by your entity's fiscal year. (i.e. Jan. '06 through Dec. •0(>)
Section 2: Single Audit Requirement.
following the text °For Fiscal Year 20 •'. insert your entity's fiscal year end for the reporting period (the most recently
complete fiscal year). For the fiscal year•listed, provide the total. amount of federal funds (a~~ards/,rants) expended
(spent/reimbursed). Account for all federal funds expended. re~~ardlea of the source.
Choose one of the lollopring option>:
1 Mark the first box. if your rntit~- has expended Irk than SiUO.(10t) in tot~f Icderal Ilmd>. Y"our entity i~ c ~em}~t.from
further audit requirements for the reporting period- but must comple+r Sections ~ ai,d 5.
Z. Mark the second box. if your entity. has expended .~3UO.Q00 or more in rotas federal fund>. four entity is not;exemt,t
ti•om further audit requirements and must complete all remaining sections of the form.
Section 3: Audit information.
• Dote of Laa Completed Audit -Indicate the date of your entity's laa completed audit.
• Period Covered by Audit -Provide die period covered by your entity-s last completed audit. This period should
correspond to the audit. indicated on the previous line.
• audit Findin~zs --Choose one of the followinb option,:
t . Mark the. box before "No findings" if your entity's last completed audit disclosed no findings. II~ there were no
tindinss. it is not necessary to provide a copy of your audit reporting package.
2. Mark the boy before ''Findings" ifyour entity's last cvmpleted audit disclosed finding.. If there were findings. submit
a copy of the audit reporting package. if the findings were related to GLO issued funds. If the findings were unrelated
to GLO issued funds submit a copy of the schedule of f indings and questioned costs.
• 'vcxt Audit Scheduled toi -Provide the month and year of your entity's next scheduled audit.
• Ne+iod Cv~ ereYi tia \e~t Audit Indicate the period to br covered by your entity's next scheduled audit.
Section a: Feder~tt :~~~au-cis lnfonualion.
• follo~~•ing the text "For Fiscal fear 20 ". insert your tntity-, fiscal year end for the current reporting period (should
match the fiscal year prop ided in Section ?). For the fiscal year listed. provide the total amount o1• federal funds
(awards/grants) your entity ha: received (grantediawarded). Account for all federal Fund> received. regardless of the
<c,urce. It is uossitile for the amount of lederal Funds received;aa-arded to not a~_ree to the amount expended/spent.
• 1'.tdrraf Grant; -falilr -For the fiscal year listed. u.e the table to pro~+dc: f) the !rant.,%a~~ard. that con,pri:e the total amount
oC federal fund: your entity received: 2) d,c period of a~+ards (i.e. Mav 'UG -May 'OS): 3) amount ol~awaids: and. 4) the
C atala, of Federal Domestic ~\s;istance (('fDA) numher~ for each air:ird. If the CT:DA number is unknown. you may contact
the issuing a~sency. II•additional space is needed. attach a separate sheet listing the abovemcntioned federal Brant information.
Section ~: Signature Section.
• .ft'~nature of Pret~arer - Thr person who prepared the AR form mull ,i~~n and date the form.
• Prjnted ?~ati,e o(' Preparer -Print the name and title of the person who prepared the :'1R Form.
• Pr•c~aret ~sfontact lnlormataon =Provide an email address and phone number for the preparer.
Form Return Information -Use the return information near the top of the Audit Reporting Fonn.
For additional assistance contact Melissa Porter. C'MP Team Leader, at 512-475-1393 or by email at melssa.Poi'er>'{t.~_=lostate tx,u.
Attachment F
Page 1 of 2
OMB Approval No. 0348-0042
ASSURANCES -CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average i5 minutes per response, including time -for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional
assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act
and the institutional, managerial and financial capability of 1970 (42 U.S.C. §§4728-4763} relating to prescribed
(including funds sufficient to pay the non-Federal share standards for merit systems for programs funded
of project costs} to ensure proper planning, under one of the 19 statutes or regulations specified in
management and completion of the project described in Appendix A of OPM's Standards for a Merit System of
this application. Personnel Administration (5 C.F.R. 900, Subpart F).
2. Will give the awarding agency, the Comptroller General
of the United States and, if appropriate, the State,
through any authorized representative, access to and
the right to examine aU records, books, papers, or
documents related to .the assistance; and will establish
a proper accounting system in accordance with
generally accepted accounting standards or agency
directives.
Will not dispose of, modify the use of, or change the
terms of the real property title, or other interest in the
site and facilities without permission and instructions
from the awarding agency. Will record the Federal
interest in the title of real property in accordance with
awarding agency directives and will include a covenant
in the title of real property squired in whole or in part
with Federal assistance funds to assure non-
discrimination during the useful life of the project.
4. Will comply with the requirements of the assistance
awarding agency with regard to the drafting, review and
approval of construction plans and specifications.
5, Will provide and maintain competent and adequate
engineering supervision at the construction site to
ensure that the complete work conforms with the
approved plans and specifications and will furnish
progress reports and such other information as may be
required by the assistance awarding agency or State.
6. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
7, Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
9. Will comply with the Lead-Based Paint Poisoning
Prevention Act (42 U.S.C. §§4801 et seq.) which
prohibits the use of lead-based paint in construction or
rehabilitation of residence structures.
10. Will comply with all Federal statutes relating to non-
discrimination. These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race,
color or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. §§1681-
1683, and 1685-1686), which prohibits discrimination
on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C.
§794), which prohibits discrimination on the basis of
handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. §§6101-6107), which prohibits
discrimination on the basis of age; (e) the Drug Abuse
Office and Treatment Act of 1972 (P.L. 92-255), as
amended, relating to nondiscrimination on the basis of
drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-
3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the
Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.}, as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
made; and, G) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
Standard Form 424D (Rev. 7-97)
Previous Edition Usable Authorized for Local Reproduction Prescribed by OM8 Circular A-102
Attachment F
Page 2 of 2
11. Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of
1970 (P.L. 91-646) which provide for fair and equitable
treatment of persons displaced or whose property is
acquired as a result of Federal and federally-assisted
programs. These requirements apply to all interests in real
property acquired for project purposes regardless of
Federal participation in purchases.
12. Will comply with the provisions of the Hatch Act (5 U.S.C.
§§1501-1508 and 7324-7328) which limit the political
activities of employees whose principal employment
activities are funded in whole or in part with Federal funds.
13. Will comply, as applicable, with the provisions of the Davis-
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract
Work Hours and Safety Standards Act (40 U.S.C. §§327- 16.
333) regarding labor standards for federally-assisted
construction subagreements.
National Environmental Policy Act of 1969 (P.L. 91-
190) and Executive Order (EO) 11514; (b) notification
of violating facilities pursuant to EO 11738; (c}
protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance
with EO 11988; (e) assurance of project consistency
with the approved State management program
developed under the Coastal Zone Management Act of
1972 (16 U.S.C. §§1451 et seq.); (fj conformity of
Federal actions to State (Clean Air) Implementation
Plans under Section 176(c) of the Clean Air Act of
1955, as amended (42 U.S.C. §§7401 et seq.); {g)
protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as
amended (P.L. 93-523}; and, (h) protection of
endangered species under the Endangered Species Act
of 1973, as amended (P.L. 93-205).
Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. §§1271 et seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
14.. Will comply with flood insurance purchase requirements of
Section 102(a) of the Flood Disaster Protection Act of 1973 17. Will assist the awarding agency in assuring compliance
(P.L. 93-234) which requires recipients in a special flood with Section 106 of the National Historic Preservation
hazard area to participate in the program and to purchase Act of 1966, as amended (16 U.S.C. §470), EO 11593
flood insurance if the total cost of insurable construction (identification and protection of historic properties), and
and acquisition is $10,000 or more. the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. §§469a-1 et seq.).
15. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of 18. Will cause to be pertormed the required financial and
environmental quality control measures under the compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non-Profit
Organizations."
19. Will comply with all applicable requirements of all other
,,, ~ Federal laws, executive orders, regulations, and policies
f ' governing this program.
~.,
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SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL (TITLE
APPL~1~Nl~ORGANIZATiON - ATE SUBM1TTl'D
\ ~ n~~ t~~.~A~ ~ ~ ~~ ~ 1
~~l ~ I r ,/~` `~ (c~ , a S SF-424D (Rev. 7-97) Back
-t'~~Ivs~ ~~ SUBRECIPIENT MUST SIGN THIS FORM
Attachment G
Page 1 of 3
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FORM CD-512 U.S. DEPnRTMENT OF COMMERCE
()-91) LF
CERTIFICATIONS REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION-LOWER TIER COVERED TRANSACTIONS
AND LOBBYING
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest.
Applicants should also review the instructions (or Certification included in the regulations before completing this form. Signature
on this form provides for compliance with certification requirements under 15 CFR Part 26, "Governmentwide Debarment and
Suspension (Nonprocurement)" and 15 CFR Part 28, "New Restrictions on Lobbying"
1. DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION-LOWER TIER
COVERED TRANSACTIONS
As required by executive Order 72549, Debarment and
Suspension, and implemented at 15 CFR Part 26, Section 26.510,
Participants responsibilities, for prospective participants in lower tier
covered transactions (except subcontracts for goods or services
under the $25,000 small purchase threshold unless the subtler
recipient will have a critical influence on or substantive control over
the award), as defined at 15 CF Part 26, Sections 26.105 and
26.110-
(1}The prospective lower tier participant certifies, by submission of
this proposal, that.neither it nor its principals is presently debarred,
suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any
Federal department or agency.
{2) Where the prospective lower tier participant is unable to certify
to any of the statements in this certification, such prospective
participant shall attach an explanation to this proposal.
(2) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency. a Member of
Congress, an officer or employee of Congress, or an employee of a
member of Congress in connection wish this Federal contract, grant,
loan, or cooperative agreement, the undersigned shall complete and
submit Standard Form-LLL, "Disclosure Form to Repoli Lobbying."
in accordance with its instructions.
(3) The undersigned shall require that the language of this
certiflcatlon be included in the award documents for all subawards at
all tiers (inGuding subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements} and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S.
Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than
$100,000 tar each such failure.
2, L088YING
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 15 CFR Part 28, for persons entering into a grant,
cooperative agreement or contract over $100,000 or a loan or loan
guarantee over $150,000 as defined at 15 CFR Part 28, Sections
28.105 and 28.110, the applicant certifies that to the best of his or
her knowledge and belief, that:
(1} No Federal appropriated funds have been paid or will be paid,
by or on behalf of the undersigned, !o any person for influencing or
attempting to Influence an officer or employee of any agency, a
Member Of Congress in conncection with the awarding of any
Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative
agreement.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge and
belief, that:
In any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with this
commitment providing for the United States to insure or guarantee a
loan, the undersigned shall complete and submit Standard Form-
LLL, "Disclosure Form to Report Lobbying;' in actxxdance with its
Instructions.
Submission of this statement is a prerequisite for making or entering
into this transaction imposed by section 1352, title 31, U.S. Code.
Any person who faits to file the required statement shall be subject to
a civil penalty of not less than 310,000 and not more than $100,000
for each such taiture.
As the duly authorized representative of the applicant, 1 hereby certify that the applicant will comply with the
above applicable certification(s).
NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME
~1 0~ r ~~ ~(~ ~~ l~~
PRINTE AME AND TITLE OF AUTHORIZED REPRESENTATIVE
1~.~~~ '~ . ~S C~v (~ Q~ , ~i~l l~~ttGt~3(Jv
SIGNA REV rr ~- ~'~ '' V DATE
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.A~ ,.~- ~' •1-~ A~-1-,,,dui. MTJ~T nIGN TiiI~ FORSK
Attachment G
Page 2 of 3
DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 o3a&ooas
__ (See reverse For public burden disclosure)
1. Type of Federat Action: 2. Status of Federal Action: 3. Report Type:
a. contract ~a. bid/offer/application ~ a. initial filing
b. grant b. initial award b. material change
c. cooperative agreement c. post-award For Material Change Only:
d. loan year quarter
e. loan guarantee date of last report
f. loan insurance
4. Name and Address of Reporting Entity: 5. If Reporting Entity In No. 4 is a Subawardee, Enter Name
^ Prime ^Subawardee and Address of Prime:
Tier if known:
Con. ressional District, ifknawn: Con resslonal D)strlct, if known:
6. Federal DepartmentlAgency: 7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known; 9. Award Amount, ifknawn:
10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if
(ifindividual, last name, firstname, Ml): different from No. 10a)
.
I (last name, frrstname, Ml):
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auojad v • ovit partalry ar not,baa Oat 170.000 and-not ntxa Yun f100.000 br
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Telephone N,o.:.,,__~___ Date:
_ . _ ._ ,~ ,_ . Auti-orized for Local Reproduction
' ~ r.. ,. Standard Forth LLL {Rev. 7-97)
Attachment G
Page 3 of 3
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardae or prime Federal recipient, at the Initiation or receipt of a covered Federal
action, or a materlalchange to a previous fitir-g, pursuant to title 31 U.S.C. section 1352. The filing of a lone is required for each payment ar agreementto make
payment to any lobbying entity for Intluendng or attempting to influence en officer or employeeof any agency, a Member of Congress, en officer or employeeof
Congress, or an employeeof a Memberof t,,ongress in connectionwith a covered Federal adion. Complete aq items that apply for both the initial filing and material
change report Refer to the implementing guidance published by the Office of Management and Budget for additional (nfortmalton.
1. Identify the type o/ covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identity the appropriate class~caUon of this report. 1/ this is a foliowup report caused by a material change to the information previousiyreported, enter
the yearend quarterln which the change occurred. Enter the dale of the fast previouslysubmiHed report by Ibis reporting entity for this covered Federal
action.
4. Enter the full name, address, city, Stale and zip code o(the repotting entity. Include Congressional District. U known. Check the appropriate dass~catiom
of the reporting entity that designates if It is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee,e.g., the first subawardee
of the prime is the tsl Uer. Sutrawards indude but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organaation filing the report in item 4 checks "Subawardee,"then enter the full name, address, aty, Slate and zip code of the prime Federal
redpient Include Congressional District, if known.
5. Enter the name of the Federal agency making the award or loan cornmitmenl Indude at least one organizationallevel betowagency name, K known. For
example, Department of Transportation, United Stales Coast Guard.
7. Enter the Federalprogram name or description for the covered Federal action (item 1 }. if known, enter the full Catalog of Federal Domestic Assistance
(CFDA) number for grants, cooperative agreements, loans, and loan commitments.
t3. Enter the most appropriate Federal identifying number availablefor the Federal action Identified In item 1 (e.g., Request for Proposal (RFP) number;
Invitation for Bid (IF8) number, grant announcement number; the contract, grant, or loan award number, the applicationfproposalccntrol number
assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-0Ot
9: For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan
commitment for the prime entity identified in item 4 or 5. ,
10. (a) Enter the /uA Hama, address, city, State and ztp code of the bbbying registrant under the lobbying Disclosure Ad of 1995 engaged by the reporting
entity identified In Item 4 to influence the covered Federal action.
(b) Enter the full names o/ the individual(s) performing services, and include full address i(ditTerenl from 10 (a). Enter Last Name, First Name, and
Middle initial (MI).
1 t. The certifying officiai shall sign and date the forth, print hislher name, title, and telephone number. '
According to the Paperwork Reduction Ad, as amended, no persons are required to respond to a coledion of InfortnaUon uMess it displays a valid OM8 Control
Number. The valid OM8 control number for ibis information colledion is OMB No. 034ti-0048. Public reporting burden for this collection of infonnaUon is
estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed. and completing and reviewing the coUedion of InfortnaUon. Send comments regarding the burden estimate or any other asped of this collection of
information, Including suggestions !or reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (03413-004&), Washington,
DC 20503.
Attachment H
Page 1 of 1
HISTORICALLY UNDERUTILIZED BUSINESSES (HUB}
EXPENSE REPORT
(Project Name)
(Subrecipient Name)
(GLO Contract No.)
(Reporting Period)
In accordance with state law, it is the General Land Office's (GLO) policy to assist Historically
Underutilized Businesses (HIJBs), whether minority or women-owned, whenever possible in
providing goods and services to the GLO. The GLO encourages you to adhere to this same
policy when selecting subcontractors to assist your organization in fulfilling its contractual
obligations with the GLO.
In that regard, please provide us with the estimated amount of project funds your organization
paid to HUB vendors during the FY 20 (the state's fiscal year is September 1 to August
31).
PROJECT AMOUNT PAID: VENDOR NAME: TYPE OF HUB VENDOR:
American Women (WO)
Hispanic Americans (Hl)
Black Americans (BL)
Asian Pacific Americans (AS)
Native Americans (NA)
Other
I am not sure if the following vendor is a HUB:
Vendor's name
Amount paid: $
or
No project funds were paid to a HUB vendor during the stated time period.
Please fax this page to Ms. Monica Simien, Contract Specialist, fax number: (512) 475-0680.
If you have questions,~please contact Ms. Simien at (512) 463-5187, or via electronic mail at:
monica.simien@gio.state.tx.us.