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HomeMy WebLinkAboutResolution 2003-114 cooperative agreement with BLMMARANA RESOLUTION NO. 2003-114 A RESOLUTION OF THE MAYOR AND COUNCIL OF THE TOWN OF MARANA, ARIZONA, RATIFYING THE TOWN MANAGER'S EXECUTION ON BEHALF OF THE TOWN OF MARANA OF A COOPERATIVE AGREEMENT WITH THE BUREAU OF LAND MANAGEMENT TO RECEIVE FUNDING TO MITIGATE THE IMPACTS OF ILLEGAL IMMIGRATION IN THE IRONWOOD FOREST NATIONAL MONUMENT AND TO COORDINATE A ND PLAN TOGETHER TO SEEK AND UNDERTAKE MUTUALLY BENEFICIAL ACTIVITIES ON TOWN AND BUREAU LANDS. WHEREAS, the United States Bureau of Land Management (the "BLM") manages and operates the Ironwood Forest National Monument; and WHEREAS, the Town of Marana finds that it is in the best interests of its citizens to cooperate with the BLM for the purpose of providing safe, enjoyable and environmentally compatible recreational opportunities to local citizens and others who visit Town property and adjacent and nearby lands of the Ironwood Forest National Monument; and WHEREAS, the Town Manager, on behalf of the Town of Marana, has executed a Cooperative Agreement with the BLM (Agreement No. AAA-030019) for the purposes of receiving $25,000 for repair of damage caused by undocumented immigrant traffic in and near Ironwood Forest National Monument and coordinating and planning together to seek and undertake future mutually beneficial activities on Town and BLM lands; and WHEREAS, the Town of Marana desires to ratify and confirm the Town Manager's execution of the Cooperative Agreement on behalf of the Town. NOW, THEREFORE, BE IT RESOLVED by the Mayor and Council of the Town o f Marana, Arizona, ratifying and confirming the Town Manager's execution of the Cooperative Agreement with the BLM (Agreement No. AAA-030019), and authorizing the Town Manager to execute any and all further documentation and undertake all other tasks required to carry out the terms, obligations and objectives of the Cooperative Agreement. PASSED AND ADOPTED by the Mayor and Council of the Town of Marana, Arizona, this 7th day of October, 2003. ~#'~o~O~rd~-~,~ ;UTTON, JR. celynt~. Bronson, Town Clerk Form 1511-1 (Fabrua3/19891United States Department of the Intedor Bureau of Land Management ASSISTANCE AGREEMENT PAGE 1 OF PAGES I.AGREEMENTNO. AAA-030019 2. TASKOROER NO, 3. TYPE OF AGREEMENT (Check one) [] GRANT [] COOPERATIVEAGREEMENT 4. NAME, ADDRESS AND PHONE NO. OF ASSISTANCE, OFFICER Janeil Reifel Arizona State Office Bureau of Land Management 222 North Central Avenue Phoenix, Arizona 85004-22003 (602) 417-9266 5. NAME, ADDRESS AND PHONE NO. OF RECIPIENT Town of Marana 3696 W Orange Grove Road Tucson, Adzona 85741 (520) 382-2708 6, NAME, ADDRESS AND PHONE NO. OF ASSISTANCE REPRESENTATIVE Darrell Tersey Tucson Field Office Bureau of Land Management 12661 E Broadway Blvd. Tucson~ Arizona 85748 PROGRAM STATUTORY AUTHORITY 1S;,EFFECTIVE DATE ~12', TYPE OF RECIPIENT (Checko~e) [] STATE [] LOCAL GOVERNMENT [] INDIAN TRIBAL GOVERNMENT [] EDUCATIONAL INSTrFUTION [] INDIVIDUAL [] FOR-PROFiT ORGANIZATION [] NON-PROFIT ORGANIZATION [] OTHER (SPECIFY) 7. NAME, ADDRESS AND PHONE NO. OF REClPIENT'S PROJECT MANAGER Leslie Liberti 3696 W. Orange Grove Road Tucson, Arizona 85741 (520) 382-2708 9. STARTING DATE September 8, 2003 1 t. COMPLETION DATE August 1, 2008 t3, FUNDING iNFORMATION This obligation $ 0 $25,000 Previous obligation $ $ Total obJigation $ $ Share Ratio % 100 % 14. ACCOUNTING AND APPROPRIATION DATA t 5. PROJECT TITLE AND BRIEF SUMMARY OF TH E PURPOSE AND OBJECTIVES Southeastern Arizona Undocumented immigrants Environmental Mitigation. Restoration and repair of damage caused by undocumented immigrant traffic in or near Ironwood Forest National Monument. The purpose of this project is to restore and -repair damage to natural resources and property relate to the foot and vehicular traffic of undocumented aliens in the vicinity of the U.S./Mexico Border. This damage includes soil erosion along heavily used travel routes, damage to fences and water lines which are cut by undocumented aliens, and cleaning up of trash and debris left in the area. The work to be done includes .i~n~taIling small erosion control structures, naturalizing disturbed areas, repair of damage to fences and water lines which are cut by undocumented aliens, and cleaning up of trash and debris left in the area. The work will be done in areas in o; near the Ironwood Forest National Monument and/or in or near the Town of Marana. 1Sa. NAME AND TITLE OF SIGNER (Type orprint) Mike Reuwsaat-Town of Marana 16b. RECIPIENT 16c DATE SIGNED 17a. NAME AND TITLE OF ASSISTANCE ORDERJNG OFFICER (Type orpdnt) Jannell Reifel / 17b. UNITED STATES OF ~ / 17C. DATESIGNED AMER /'} COOPERATIVE AGKEEMENT Between the Bureau of Land Management Tucson Field Office and The Town of Marana I. Statement of Joim Obiectives A. Purpose. This agreement is made and entered into by the Bureau of Land Management (BLM), Tucson Field Office and the Town of Marana for the purpose of providing safe, enjoyable, and environmentally compatible recreational opportunities to local citizens and others who visit town property and adjacent lands of the Ironwood Forest National Monument. This agreement provides the BLM, a federal agency and the Town of Marana, an opportunity for mtergovernmental cooperatton and parmership m reahzmg their respective goals and objectives. B. Obieetive. The primary objectives of the agreement are: 1. To transfer funds to the Town of Marana as necessary to assist BLM with mitigation of the impacts of illegal immigration in the Ironwood Forest National Monument (IFNM). Specific objectives include: (1) repair damaged fences; (2) clean up trash related to undocumented immigration; (3) perform reclamation work in disturbed areas; and (4) construct or repair fences damaged by illegal immigration activities. 2. To allow the BLM ~nd Town of Marana to coordinate and plan together to seek mutually beneficial activities on our adjacent lands. C. Authority. Federal Land Policy and Management Act of 1976 (Public Law 94-579, Section 307 (a)) and A.R.S. 11 952. D. Benefits. This agreement will allow the parties to share pursue opportunities for mutually beneficial projects such as: 1. Interpretation and protection of natural and cultural resources; 2. Assistance with on the ground maintenance activities; 3. Joint participation in our respective planning efforts to seek opportunities for location of visitor/administrative facilities to provide cost efficient visitor services, maintenance, interpretation, and resource protection. 4. Constructive dialogue on land management issues, such as target shooting, whleh occur within each of our respective management areas -- to allow for the development of more effective solutions. II. Definitions. A. Agreement: means this cooperative agreement B. Town: means the Town of Marana C. BLM: means the Bureau of Land Management D. IFNM: means Ironwood Forest National Monumem E. TFO: means Tucson Field Office F. Assistance Officer (AO): The BLM's Assistance Officer. The AO is the only individual authorized to obligate funds, award, modify or terminate the agreement or any task order (TO) thereto. The AO is responsible for issuing TOs, monitoring the agreement and TOs for compliance, enforcing the agreement provisions, issuing timely performance and payment approvals, terminating the agreement or any TO thereto and closing out the agreement. G. Assistance Representative (AR): The BLM's Assistance Representative. The AR will be designated for the purpose of administering the technical aspect of the agreement. The AR is authorized to clarify technical requirements, and to review and approve work which is qlearly witl~in the scope of the work specified in this agreement. The AR is not authorized to issue changes or in any other way modify this agreement. H. Fiscal Year (FY): The Federal fiscal year which extends from October 1 of one year through September 30 of the following year. I. Not-to-Exceed (NTE) Amount: The maximum Federal funding mount. J. The Office of Management and Budget (OMB). K. Project Inspector (FI): The BLM's project inspector. At the time of award, a BLM employee(s) may be appointed as the Pl. If appointed, the PI will be responsible for providing on-slte inspection of the work and for giving the representative any special insauetions, guidance, or training necessary to complete or peffonu the work. The PI will not be authorized to issue changes or in any way modify the agreement. L. Project Manager: This individual is responsible for the day-to-day operations of the agreement and coordinates regularly with the BLM to schedule work locations and ensure accomplishment of the tasks. M. Responsible Official: The recipient's Responsible Official. The responsible official is the individual who is authorized to act for the recipients organization and commit the recipient to compliance with the terms and conditions of this agreement. N. Task Order (TO): The order which is issued against the agreement to obligate funds for specific services or work to be accomplished. Project Manasement Plan A. The Town of Marana agrees to: 1. Coordinate re~m~larly and participate as necessary in the Ironwood Forest National Monument planning effort. 2. Assist with maintenance such as trash pick-up, fence repair, road. restoration, supervision of prison crews for the above including providing equipment and training when funding is provided under specific TO's. 3. Explore and pursue through planning efforts opportunities for mutually beneficial projects; such as a joint visitor center, administrative facilities, and share resources for interpretation of natural and cultural resources. 4. Coordinate on issues that affect our mutual land properties such as off-road vehicles (ORV), target shooting and others. 5. Share positions for public outreach, interpretation, maintenance and other duties that are mutually beneficial and that promote organizational efficiency. B. The BLM agrees to: 1. Participate in the Town ofMarana's plauning efforts. 2. Provide payments to the Town of Marana in accordance with Section VI, Financial Support, and Section VII, Payments, of this agreement and applicable OMB and Treasury Regulations. 3. Explore and pursue through the planning effort opportunities for mutually beneficial projects such as a joint visitor center-administration facilities and interpretation of natural and cultural resources. 4. Coordinate on issues such as ORV, target shooting and others. 5. Share positions for public outreach, interpretation, maintenance and other duties that are mutually beneficial and that promote organizational efficiency. 6. Provide project oversight and environmental analyses for any shared efforts. IV. Term of Agreement. This agreement shall become effective on the date of signature of the BLM Assistance Officer and shall remain in effect until August 1, 2008, unless terminated in accordance with the provisions of 43 CFR, Subpart F, Section 12.961. V. Task Orders (TO). A. Issuance. If any TOs are issued they will be issued in writing by the Assistance Officer and must be signed by both the authorized responsible official and the AO to be effective. B. Contents. A TO will contain: 1. The specifications or statement of work which specifies what will be performed under this TO. 2. A list of any daliverable items that are required. 3. Any necessary drawings and/or location maps. 4. The delivery schedule or completion time which has been negotiated based on the level of difficulty, site location, etc. 5. A detailed budget submitted on form SF-424A, Budget Information - Non- construction Programs with a NTE amount for the task. 6. Any other detail or information necessary. VI. Financial Support. A. This agreement shall be funded by issuance of TOs based on the availability of BLM funding. The Town of Marana hereby releases the BLM from all liability due to failure of Congress fo appropriate funds for this agreement. B. Funds obligated for a specific TO but not expended in that FY can be carded forward and expended in the subsequent FY. C. TOs will specify the NTE amounts. The BLM shall not be obligated to pay for nor shall be obligated to perform any effort that will require the expenditure of Federal funds above the NTE amount specified in that TO. VII. Payments. A. Electronic Funds Transfer Payments 1. Payment under this agreement will be made by the Government by electronic funds transfer (through the Treasury Fediine Payment System (FEDLINE) or the Automated Clearing House (ACH)). 2. After award, but no later than 14 days before an invoice or agreement financing request is submitted, the Recipient shall designate a financial institution for receipt of electronic funds transfer payments (SF-3881), and shall submit this designation to the following address: Bureau of Land Management National Business Center, BC-630 Denver Federal Center, Bldg. 50 PO Box 25047 Denver, CO 80225-0047 3. Ifa designation has been sttbmitt~d to the BLM under a previous agreement it is not necessary to complete another 8F-3881 unless you are changing your designation of financial institution. B. The Town of Marana shall be entitled to advance payment at least quarterly upon submission of an original Request for Advance or Keimbursement, Standard Form (SF) 270 to the AK. Payments shall be governed by the provisions of 43 CFR Subpart F, Section 12.922 and 12.952. C. If advance payments are made the Town of Marana must submit a Federal Cash Transaction Report, SF 272 to the Assistance Officer 15 working days following the end of each quarter. D. Advance payments shall be made only in amounts necessary to meet current disbursement needs and shall be scheduled so that the funds are available only immediately prior to their disbursement. VIII. Property Management and Disposition. Any BLM property used or other property acquired under this agreement, including intangible property such as copyrights and patents shall be govemed by the provisions of 43 CFR, Subpart F, Section 12.930 through 12.937. IX. Deliverables and .Reports. Submit one copy of an annual performance report to the Assistance Representativ~ within 90 days after the end of the FY. The performance report must be prepared in accordance with 43 CFR, Subpart F, Section 12.951 and address items such as a comparison of actual accomplishments with established goals, reasons why goals may not have been met, cost overruns and any other pertinent information. X. Key Officials. A. Assistance Officer (AO) Janeil Reifel Bureau of Land Management Arizona State Office 222 N. Central Avenue Phoenix, AZ 85004 (602) 417-9266 B. Assistance Representative (AK) Darrell Tersey Bureau of Land Management Tucson Field Office-Ironwood Forest National Monument 12661 E. Broadway Blvd. Tucson, AZ 85748 (520) 258-7218 C. Project Inspector (PI) Maile Adler Bureau of Land Management Tucson Field Office 12661 E. Broadway Blvd. Tucson, AZ 85748 (520) 258-7244 D. Responsible Official Mike Reuwsaat Town of Marana 13251 N. Lon Adams Rd. Tucson, Arizona 85653 (520) 682-3401 E. ProjectManager ' Leslie Liberti Town of Marana 3696 W. Orange Grove Road Tucson, Arizona 85741 (520) 382-2708 XI. Special Terms and Conditions. A. Order of Precedence Any inconsistency in this agreement shall be resolved by giving precedence in the following order: (a) Any national policy requirements and administrative management standards; (b) requirements of the applicable OMB Circulars and Treasury regulations; (c) 43 CFR Part 12; (d) special terms and conditions; (e) all Agreement sections, documents, exhibits, and attachments; and (f) all TO sections, documents, exhibits, and attachments. B. Modifications This agreement may be modified by written agreement signed by both a Responsible official and the Assistance Officer. Administrative changes (i.e. AO name change) which do not change the project management plan, NTE amount, etc. or otherwase affect the recipient may be signed unilaterally by the AO. XII. General Provisions. A. National Policy Requirements and Administrative Management Standards. All applicable national policy requirements and administrative management standards as set forth in the Office of Management and Budget, Financial Management Division, Directory of Policy Requirements and Administrative Standards for Federal Aid Programs are incorporated by reference. B. 43 CFR Part 12, Administrative and Audit Requirements and Cost Principles for Assistance Programs is incorporated by reference. C. OMB Circular A-122, Cost Principles for Nonprofit Organizations is incorporated by reference. D. 43 Code of Federal Regulations (CFR) Part 12, Appendix A to Subpart D, Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transaction and completed Form DI-2010 are incorporated by reference. E. 43 CFR Part 12, Appendix C to Subpart D, Certification Regarding Drug-Free Workplace Requirements, Alternate I (Grantees other than individuals) and completed Form DI-2010 are incorporated by reference. F. Single Audit Act Amendments of 1996, Public Law I04-156, 110 Stat. 1396, 31 U.S.C. 750 1-7 and 43 CFR, Part 12, is incorporated by reference. G. Compliance with Buy American Act. Pursuant to Sec. 307 of the Department of the Interior and Related Agencies Appropriations Act of 2000, Public Law 106-113, be advised of the following: 1. None of the funds made available in this agreement may be expended by a recipient unless the recipient agrees that in expending the funds the recipient will comply with sections 2 through 4 of the Act of March 3, 1933 (41 U.S.C. 10a-10c; popularly known as the "Buy American Act"). 2. Purchase of American-made equipment and products. In the case of any equipment or product that may be authorized to be purchased with financial assistance provided using funds made available in this Act, it is the sense of the Congress that entities receiving the assistance should, in expending the assistance, purchase only American-made equipment and products. 3. Recipient also agrees to follow the procedures in 43 CFR Part 12, Subpart E, Section 12.700 - Buy American Requirements for Assistance Programs. H. Opposition to Any Legislation. Recipient shall not use any part of the Governments funds for any activity or the publication or distribution of literature that in any way tends to promote public support or opposition to any legislative proposal on which Congressional action is not complete. I. Increasing Seat Belt Use inthe United States. Recipients of grants/cooperative agreements and/or sub-awards are encouraged to adopt and enforce on-the-job seat belt use policies and programs for their employees when operating company-owned, rented, or personally owned vehicles. These measures include, but are not limited to, conducting education, awareness, anCl other appropriate programs for their employees about the importance of wearing seat belts and the consequences of not wearing them. J. Conflict of Interest. This agreement is subject to A.K.S. 38 511, which provides for cancellation of government contracts in certain instances involving conflicts of interests. AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS AND OTHER NON-PROFIT ORGANIZATIONS 1112112000 Version The following forms are completed by the applicant before the Statement of Programmatic Involvement and Instrument Selection Determination are completed. The SF forms and applicable OMB Circulars may be found on the Internet at the following site: http://www, whitehouse, qov/OMB/qrants/index, html SF-424, Application for Federal Assistance SF-424A, Budget Information - Nonconstruction Programs SF-424B, Assurances - Nonconstruction Programs DI-2010, Certification Regarding Debarment, Suspension and Other Responsibility Matters, Drug-Free Workplace Requirements and Lobbying (This form is located at the end of this model) A. Information will need to be filled in that is specific to each agreement. Some of the sections, such as Section I, I1, and III, are obvious and the others are marked with a *. The following procedures will help you find all the spaces that require a fill-in: 1. Start with your cursor at the be.qinnin.q of the model agreement and hit the F2 (Find and Replace) key. At the bottom of the screen you will see the Find and Replace text box appear. 2. In the Find box type in the * (all the spaces to be filled are marked with *). 3. With your mouse click on Find Next and your cursor will automatically move to'the first *. You will need to backspace (to erase the *) and type in the information for your agreement. 4. With the mouse click on Find Next to move to the next * and the next * will appear. 5. Keep doing this until you reach the end of the document. B. Edit the Agreement Number in the Header. Once you have filled in the new number, you will need to exit out of the Header by clicking on File, Close. The first page number in "Page of "in the Header will start with Page 2. The second page number is created by a code on the last page of the document (Target (Pages)). Do not delete this code. This page number does not automatically change as pages are added. You must generate the document (Control F9) in order for it to change. If you do not generate the document before you print, WordPerfect will ask you if you would like to "generate" before you print, just answer "Yes". C. "Comments" have been added throughout this document with helpful information to assist you in completing the agreement easier and faster. The comments are within an oval in the left margin and show up in full text only when you use the mouse and click on the oval. Click on the oval on the left of this paragraph now. D. As you go through the document delete the paragraphs not needed. Select one of the paragraphs if similar paragraphs are allowed. If you have any questions, comments, or suggested changes please contact your State Procurement Analyst or Marc Gress at (406) 896-2916. APPLICATION FOR 2. DATE SUBMITTED Applicant IdenUfier FEDERAL ASSISTANCE 3. DATE RECEIVED BY STATE State Application identifier 1. TYPE OF SUBMISSION Pre-Application Applicaf~on [] Construction E] construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier [] Non..Conafl'ucflon [] Non-Construction 5. APPLICANT INFORMATION Legal Name: Town of Marana Organizational Unit: Address (give city, county, state, and zip code): Name and telephone number of the person to be contacted on matters involving application (g/ve area code) Leslie Liberti Town of Marana Leslie Liberti 3696 W. Orange Grove Road (520) 382-2708 Tucson, Arizona 85741 (520) 382-2708 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate /etter in box) A. State H. independent School Dist. 8. TYPE OF APPLICATION: B. County I. share Controllad Institution of Higher [earning ~ New [] Continuation [] Revision C. Municipal J. PtSvate University D. lownship K. Indian Tribe  E. Interstate L. Individual If Revision, enter appropriate letter(s) in box(es): F. Intermunicipal M. Profit Organization G. Special District N. Other (Specify) 9. NAME OF FEDERAL AGENCY: A. Increase Award B. Decrease Award C. Increase Duration Bureau of Land Management D. Decrease Duration Other (specify): Tucson Field Office 12661 E. Broadway Blvd. Tucson, AZ 85748 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: [~ E~ -- ~ ~ ~ Southeastern Arizona mitigation for environmental damage due to Undocumented Immigrants. TITLE: 12. AREAS AFFECTED BY PROJECT (cities, countries, states, etc.) ironwood Forest National Monument, Town of Marana, Pima County, Arizona. 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant I b. Project August 1, 2003 September 30, 2004 Districts 1 and 7I Districts I and 7 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal 25,000.00 a. YES.' THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: b. Applicant lo,ooo.oo DATE C. State b. NO. [] PROGRAM IS NOT COVERED BY E.O, 12372 d. Local [] OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e. Other 17, IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? f. Program Income [] Yes lf"Yes," attach an explanation. [] No I g. TOTAL 25,000.00 j 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS I BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHEDASSURANCES IF THE ASSISTANCE IS AWARDED. a. Typed Name of Authorized Represer~tative b. Title j c. Telephone Number Michael Reuwsaat Town ManagerI (520) 652-3401 d. Signature of Authorized Representa '~"~ j~ Ia. Date Signed j Previous Editions Not Usable Authorized for Local Reproduction Standard Form 424 (Rev. 7-S7) Prescribed by OMB Circular A-102 INSTRUCTIONS FOR THE SF 424 This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item: Entry: Item: 1. Self-explanatory. 12. 2. Date application submitted to Federal agency for State if applicable) & applicant's control number (if applicable). 10. 11. State use only (if applicable). If this application is to continue or revise an existing award, enter present Federal Identifier number. If for a new project, leave blank. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. Enter the appropriate letter in the space provided. Check appropriate box and enter appropriate letter(s) in the space(s) provided: -"New" means a new assistance award. -"Continuation" means an extension for an additional funding/budget period for a project with a projected completion date. -"Revision" means any change in the Federal Government financial obligation or contingent liability from an existing obligation. Name of Federal agency from which assistance is being requested with this application. Use the Catalog of Federal Domestic Assistance number and the title of the program under which assistance is requested. Enter a brief descriptive title of the project. If more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. Entry: List only the largest political entities affected (e.g., State, counties, cities). 13. Self-explanatory. 14. 15. 16. 17. 18. List the applicant's Congressional District and any District(s) affected by the program or project. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in- kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) SF 424 (REV 4-88) BACK U.S. Department of the Interior Certifications Regarding Debarment, Suspension and Other Responsibility Matters, Drug-Free Workplace Requirements and Lobbying Persons signing this form should refer to the regulations referenced below for complete instructions: Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions - The prospective primary participant further agrees by submitting this proposal that it will include the clause titled, "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transaction," provided by the department or agency entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. See below for language to be used or use this form for certification and sign. (See Appendix A ofSubpart D of 43 CFR Part 12.) Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions - (See Appendix B of Subpart D of 43 CFR Part 12.) Certification Regarding Drug-Free Workplace Requirements - Alternate I. (Grantees Other Than Individuals) and Alternate II. (Grantees Who are Individuals) - (See Appendix C of Subpart D of 43 CFR Part 12) Signature on this form provides for compliance with certification requirements under 43 CFR Parts 12 and 18. The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of the Interior determines to award the covered transaction, grant, cooperative agreement or loan. PART A: Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions CHECK X IF THIS CERTIFIC.~TION IS FOR ,,I PRIM. tRY COVERED TIMNS, dCTION /tND IS APPLICABLE. (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: (2) (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)Co) of this certification; and (d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. PART B: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions CHECK._IF THIS CERTIFICATION IS FOR .,4 LOWER TIER CO V'ERED TR~NS.~CTIO.:V..~rD IS APPLICABLE. (1) (2) 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. Where the prospective lower tier participant is unable to certify to an3' of the statements in this certification, such prospective participant shall attach an explanation to this proposal. DI-2010 June 1995 (Thi~ form replaces DI-1953, DI-1954, D1-195.~, DI-1956 and DI-1963) PART C: Certification Regarding Drug-Free Workplace Requirements CHECK X IF THIS CERTIFICATION IS FOR AN APPLICANT WHO IS NOT AN INDIVIDUAL. Alternate I. (Grantees Other Than Individuals) A. The grantee certifies that it will or continue to provide a drug-free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an ongoing drug-free awareness program to inform employees about-- (l) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee inthe statement required by paragraph (a) that, as a condition of employment under the grant, the employee will -- :(1) Abide by the terms of the statement; and (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; (e) Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification numbers(s) of each affected grant; (0 Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted -- (I) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a) (b), (c), (d), (e) and (0. B. The grantee may insert in the space provided below the site(s for the performance of work done in connection with the specific grant: Place of Performance (Street address, city, county, state, zip code) 3696 W Orange Grove Tucson, Arizona 85741 Pima County (520) 382-2708 Check if there are workplaces on file that are not identified here. PART D: Certification Regarding Drug-Free Workplace Requirements CHECK IF THIS CERTIFICATION IS FOR AN APPLICANT WHO IS AN I. VDIVIDUAL Alternate II. (Grantees Who Are Individuals) (a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant; (b) If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant actMry, he or she will report the conviction, in writing, within 10 calendar d~'s of the conviction, to the grant officer or other designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made to such a central point, it shall include the identification number(s) of each affected grant. DI-2010 Juae 1995 (T'nb form replaces DI-1953, DI-1954, DI-19.a$. DI-1956 and DI-1963) For. 1511-2 (February 1989) United States Department of the Interior Bureau of Land Management PAGE 1 OF 1 PAGES 1. AMEN DMENT/MODIFICATION NO. 2 AMENDMENT OF REQUEST FOR 2. EFFECTIVE DATE APPLICATION/MODIFICATION OF Date of Last Siqnature ASSISTANCE AGREEMENT 3. REQUISITION NO. R-0409623 4. ISSUED BY Bureau of Land Management-ASO 222 North Central Avenue Phoenix, Arizona 85004 Janell Reifel (602) 417-9266 6. NAME AND ADDRESS OF RECIPIENT (No., street, county, state, andZIP) Town of Marana 3639 W. Orange Grove Road Tucson,Arizona 85741 (520) 297-2920 THIS ITEM APPLIES TO AMENDMENTS OF REQUEST FOR APPLICX 5. ADMINISTERED BY (If other than Item 4.) Bureau of Land Management-TFO 12661 E. Broadway Tucson,Arizona 85748 Derrell Tersey (520) 258-7200 (T) I 7A. AMENDMENT OF REQUEST FOR APPLICATION NO. 76.DATED X 8A. MODIFICATION OF ASSISTANCE AGREEMENT NO. 4AA030019 8B.DATED GThe above numbered Request is amended as set forth in Item 10. The hour and date specified for receipt of Applications / / is extended, / / is not extended. Applicants must acknowledge receipt of this amendment prior to the hour and date specified in the Request or as amended, by one of the following methods: a) By completing Items 6 and 13, and returning _ copies of the amendment; b) By acknowledging receipt of this amendment of each copy of the Application submitted or c) By separate letter or telegram which includes a reference to the Request for Application and amendment numbers. FAILURE OR YOUR ACKNOWLEDGEMENT TO BE REC?IVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF APPLICATIONS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR APPLICATION. If by virtue of this amendment you desire to change an application already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the Request for Application and this amendment, and is received prior to the hour and date s ecified. 10. DESCRIPTION OF AMEN DM ENT/MODI FICATION (attach additional pages if needed) Town of Marana UDI clean-up and reclamation project. See attached Task Order. Except as provided herein, all terms and conditions of the document referenced in Item 7A or 8A above, as heretofore changed, remain unchanged and in full force and effect. Except as provided herein, all terms and conditions of the document referenced in Item 7A or BA above, as heretofore changed, remain unchanged and in full force and effect. 11. ACCOUNTING AND APPROPRIATION DATA (if required) AZ910-1630HB-061 A-254B $30,000-00 12. IMPORTANT: Recipient / / is not, Ix / is required to sign this document and rr tt m 2 copies to the issuing office._ 13A. NAME AND TITLE OF SIGNER (Type orptint) 14A. NAME AND TITLE OF ASSISTANCE OFFICER (Type or print) Janell Reifel, Assistance Officer 0 r) F36 R71E T(PP ICAV VNTED - 14C. DATE SIGNED 'o STATES tO AXMIGA4 13C. DATE SIGNED I 14B. at (11 BY i a 'IT,)- ?,a Dre of A sistanc I ?) / 0/,? & /1)y i Town of Marana 3696 West Orange Grove Road Tucson, Arizona 85741 Assistance Agreement #: AAA-030019 Town of Marana Contact: Dennis Dolan: 520-382-2501 or Jennifer This task order is to transfer funds in the amount of $30,000.00 to the Town of Marana, under the existing Assistance Agreement for labor, supplies, tools, equipment and work to be performed as described below: This funding is to be used to acquire supplies, tools, equipment, labor and management necessary to safely perform the work of Reporting Cleaning up Coordinating with BLM This funding is also to be used to cover labor expenses associated with managing and implementing the workload described above. The Ironwood Forest National Monument is managed under the existing Phoenix Resource Management Plan (1989), Interim Management policies, and the Presidential Proclamation (Proclamation 7320, June 9, 2000). All reclamation work performed within the boundaries of Ironwood Forest National Monument (IFNM), will be consistent with the "Standards for Reclamation on Ironwood Forest National Monument" (see Appendix A). For reclamation work, all efforts must be coordinated through Maile Adler, Tucson Field Office, prior to workday. This task order requires reports on the following from the Town of Marana monthly: Date of work, location of work site, number of bags (or weight) of debris removed, total weight of debris removed (daily), if available, photos of a site "before" and "after" clean-up photo of same site. -APPENDIX A Standards for Reclamation on Ironwood Forest National Monument February 23, 2004 Goal: To reclaim areas where vegetation and soils have been trampled by off highway vehicle use with a minimum of disturbance to present vegetation and soils. The impacts to these areas would be substantially less noticeable after reclamation is complete. Reclamation work should be natural looking. Recommended implementation protocol: Rake soils to erase burms and tracks left from vehicle tires. Restore rock cover to represent natural surrounding area, Plant dead and downed trees limbs and other dead vegetation (i.e. plant dead saguaro ribs upright in reclamation area). Plant these dead and downed plants in naturally occurring positions: please do not align plants parallel to open road. Some plant species may be transplanted to reclamation site including prickly pear and cholla. These transplants should represent what is naturally occurring in that specific site, For example, cholla should not be used if there is no indication that cholla would naturally occur in that site. No other plant species may be transplanted. To plant prickly pear, cut a full pad off at its base, near the base of the plant. Plant the entire pad upright and bury nearly halfway. Water new plant. To plant cholla, partially bury a limb from a live plant. Be sure to off-set the alignment of the limb (new cholla will sprout from along this limb in a line) from the road to as to appear more naturally occurring.