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HomeMy WebLinkAboutNorth Liberty - West Forevegreen Rd Trail Page 6 Project Sponsor: _____________________________________________________________________ Contact Person (Name and Title): _______________________________________________________ Street Address: ______________________________________________________________________ City: _____________________________________State: _______ ZIP Code:_____________________ Phone Number: ________________________ Email Address: _______________________________ Unique Entity Identifier (UEI): __________________________________________________________ (To verify existing UEI or to register, go to System for Award Management at https://SAM.gov. The entity name associated with the UEI must match the entity listed on this application as the project sponsor.) Metropolitan Planning Organization (MPO):_______________________________________________ If more than one Agency or Organization is involved in this project, please state the agency or organization, contact person, mailing address, and telephone number of the second agency. (Attach an additional page if more than two agencies are involved.) Agency or Organization:_______________________________________________________________ Contact Person (Name and Title): _______________________________________________________ Street Address:______________________________________________________________________ City:________________________________ State:___________ ZIP Code:______________________ Phone Number: ___________________________ Email Address: ____________________________ Unique Entity Identifier (UEI):___________________________________________________________ Project Title: ________________________________________________________________________ Project Description: (Provide summary details of only the project scope that is the subject of the funding request. Do not provide details of completed or future phases of a larger project.) If this project includes the construction of a trail, what is the length of the trail in miles? ________ The following information must be provided for all Transportation Alternatives Program project proposals and will be provided to the MPOJC Transportation Technical Advisory Committee (TTAC) and Urbanized Area Policy Board for evaluation. MPOJC staff may contact you if additional information is required. You will have the opportunity to explain the project at a meeting of the MPOJC TTAC. MPOJC staff will score the projects; the TTAC may modify scores. PROJECT SPONSOR INFORMATION PROJECT INFORMATION The project proposes constructing 4,680 linear feet of 8-foot-wide, multi-use trail along the south side of West Forevegreen Road, which is classified as a major arterial roadway. The trail would be constructed out of of portland cement concrete (PCC) and would extend from the western edge of the Fox Valley Subdivision to the east terminus of the west Forevergreen Road/South Jasper Avenue roundabout. City of North Liberty Ryan Rusnak, Planning Director 360 North Main Street North Liberty Iowa 52317 319-626-5747 rrusnak@northlibertyiowa.org EQNKTW1PCN66 Metropolitan Planning Organization of Johnson County West Forevergreen Road Trail (Covered Bridge Road to South Jasper Avenue) .89 Page 7 If this project includes land acquisition, how many acres? ______________ What Federal Fiscal Year will this project need funding for? 2027 2028 2029 2030 Is this application intended to be considered for funding as a Safe Routes to School (SRTS) project? Yes No If yes, Attachment B of this application must be included with the application. The project must be located within 2 miles of a school serving students K-12. Upon completion, will the project be open to the public? Yes No Do you intend to charge a fee to users? Yes No If yes, how much will the fee be and how will the revenue be used used?_______________ Not applicable Not Applicable ✔ ✔ ✔ ✔ Page 8 Project Costs: Complete the table below by identifying the estimated project costs. Costs should reflect estimated costs in the execution year when funds are anticipated to be programmed and the project is ready to proceed. COLUMN 1 is the total project cost to the project sponsor and will include all costs whether TAP reimbursement is intended or the costs will be paid entirely with local or other funds. Most project sponsors do not intend to request reimbursement toward all project costs. The amount listed in COLUMN 1 for each type of cost should also be placed in either COLUMN 2 or COLUMN 3. The costs listed in COLUMN 2 are those that are not intended to be claimed for TAP reimbursement. Costs listed in COLUMN 3 are costs the project sponsor does intend to claim for reimbursement. No row should have costs in all three columns and the total of COLUMN 2 plus the total of COLUMN 3 should equal the total of COLUMN 1. COLUMN 1 Total Estimated Project Cost to Project Sponsor COLUMN 2 No TAP Reimbursement Planned COLUMN 3 Intend to Claim TAP Reimbursement Right-of-way Acquisition: $$$ Preliminary Design/Engineering: $$$ Construction: $$$ Construction Engineering: $$$ Other (please identify):$$$ Other (please identify):$$$ Total: $$$ LINE A: Total to be Claimed for Reimbursement (Total COLUMN 3)Ψ LINE B:Transportation Alternatives Program Funding Request (Maximum 80% of Total COLUMN 3)Ψ LINE C:Required Local Match (Difference LINE A –LINE B; Minimum 20% of Total COLUMN 3)Ψ LINE D:Total Cost to Project Sponsor*(LINE C + Total COLUMN 2)Ψ * The Project Sponsor is also responsible for all cost overruns Funding Gap: After completing the Matching Funds section below, return to this section to show your calculation of the existing funding gap that exists on your project. LINE E:Total SECURED matching funds (Sum of all match sources listed as secured below)Ψ LINE F:Existing funding gap (Difference LINE D –LINE E)Ψ Matching Funds: Please list each funding source separately (including your own local funds secured for the project) and provide all of the following information: x Amount: List the funding amount secured or anticipated from each funding source. x Source: Identify the funding source. x Funds are secured or anticipated: A grant amount that has been confirmed by a funder in writing is a secured funding source. In identifying the applicant’s own contribution, the amount must be identified as a line item in an internal budget document or some other documentation must be able to be provided for the funding to be considered secured versus anticipated. Identifying funds under the presumption that a board or council will commit a certain amount through a future action would be considered an anticipated funding source. If you intend to apply for or have not yet received written confirmation of an award, these are consid ered anticipated.Only funding sources marked as secured should be included when calculating the total matching funds identified in LINE E above.All funding sources listed as secured will be required to provide proof that the award has been made or funds have otherwise been secured for your project. If ESTIMATED PROJECT COSTS, FUNDING GAP, AND MATCHING FUNDS 0 90,000 90,000 666,000 666,000 76,000 76,000 832,000 166,000 666,000 666,000 465,500 200,500 366,500 0 366,500 Page 9 you check secured and do not provide documentation, adjustments will be made to accurately reflect only secured and documented funding sources in scoring your application. x Funding type: Identify if funds are from a federal, state, local, or private source. x Intended use of these funds: In many cases, the intended use will be the same as this application; however, if the funds are for a particular item (e.g. benches, trailhead only, etc.) then indicate the funder’s intent. x Conditions on the use of funds: If the funder has any conditions on the funding, please list these. A common condition may be a date funds need to be spent by or a date the project must be completed by. Amount:Source: Funds are: Secured܆Anticipated:܆Funds are: Federal:܆State:܆ Local:܆Private:܆ Intended use of these funds: Conditions on the use of funds: Amount:Source: Funds are: Secured܆Anticipated:܆Funds are: Federal:܆State:܆ Local:܆Private:܆ Intended use of these funds: Conditions on the use of funds: Amount:Source: Funds are: Secured܆Anticipated:܆Funds are: Federal:܆State:܆Local:܆ Private:܆ Intended use of these funds: Conditions on the use of funds: Amount:Source: Funds are: Secured܆Anticipated:܆Funds are: Federal:܆State:܆ Local:܆Private:܆ Intended use of these funds: Conditions on the use of funds: Amount:Source: Funds are: Secured܆Anticipated:܆Funds are: Federal:܆State:܆ Local:܆Private:܆ Intended use of these funds: Conditions on the use of funds: Amount:Source: Funds are: Secured܆Anticipated:܆Funds are: Federal:܆State:܆ Local:܆Private:܆ Intended use of these funds: Conditions on the use of funds: Amount:Source: Funds are: Secured܆Anticipated:܆Funds are: Federal:܆State:܆ Local:܆Private:܆ Intended use of these funds: Conditions on the use of funds: Amount:Source: Funds are: Secured܆Anticipated: ܆Funds are: Federal:܆State:܆ Local:܆Private:܆ Intended use of these funds: Conditions on the use of funds: $366,500 GO Bonds For costs related to the City's portion of the trail construction. Not applicable. ✔✔ Page 10 Please provide a timeline of your project milestones below.For a construction project (or as applicable), estimated dates should be identified for major milestones such as: submittal of a concept statement, anticipated NEPA clearance, initiation of preliminary design, acquisition of right-of-way, completion of final design, planned project letting date, start of construction, estimated construction completion date, completion of a final construction audit, and when final closure of the project is expected. Add any additional milestones as appropriate for your project. Upon award and execution of a project funding agreement, projects that fail to make satisfactory progress may be terminated by Iowa DOT. DATE PROJECT MILESTONE Has any part of this project been started? Yes No If yes, please explain: ESTIMATED PROJECT DEVELOPMENT SCHEDULE 2025 - December Concept Statement Submittal 2026 - April Anticipated NEPA Clearance 2026 - June Preliminary Plans Submittal 2026 - August Check Plans Submittal 2026 - September Final Plan Submittal 2026 - December Bid Letting (DOT) 2027 - January Award Construction Contract 2027 - March Construction - START 2027 - October Construction - END 2028 - February DOT Audit Complete 2028 - May FHWA Project Closed While no work for this particular project has occurred, planning and construction work (at other locations) has been completed to implement a continuous pedestrian trail along Forevergreen Road that will connect North Liberty and Coralvile to the City of Tiffin on the west side of Interstate 380. When the new Forevergreen Road interchange and bridge was constructed over the interstate, the trail crossing was already constructed across the bridge. This project will provide the trail connection on either side of the interstate bridge. The University of Iowa hospital project constructed paved trail along Forevergreen Road last year that connected into the existing trail system at Ranshaw Way and to the east on Forevergreen Road. In 2026, the City of North Liberty will extend the paved trail from the hospital site to the existing trail system at the Jones Boulevard intersection. The City of North Liberty, in conjunction with Tiffin, Coralville, and Johnson County will construct a roundabout at the Forevergreen Road and Jasper Avenue intersection (west of the interstate) starting in 2026. This project will provide the receiving trail connection for this proposed West Forevergreen Road trail project. This project will complete the final trail connection along Forevergreen Road to connect Tiffin, North Liberty, and Coralville. ✔ Page 11 The following documents and narratives must be submitted with this application. In the upper right corner of each document or narrative write the corresponding letter shown below. A. An APPLICATION FORM with all parts completed. B. A NARRATIVE discussion of the project (five-page limit). Your narrative should incorporate answers to the following questions. 1. Detailed Description of the Project: Provide a clear description of the concept of the proposed project, including such information as existing site conditions, trail length, number/acreage of parcels to be acquired, general construction activities planned, etc. For a nonconstruction project, provide a summary of the planned activities to be part of the project with a description of each. Remember to provide summary details of only the project scope that is the subject of the funding request. Do not provide details of completed or future phases of a project. 2. Impact of the Project: If this is an application to a regional program, what is the project’s value to the region and how will it be a functional addition to the transportation system and region as a whole if no additional development funds are received? If this is a statewide or multi-regional project, assess the value of this project from a statewide or multi-regional perspective. How does the proposed project meet the intent of the program? Upon completion, will the proposed project contribute to the quality of life, utility of the transportation system, or tourism appeal? What degree of planning has been implemented to complete the project? 3. Alignment with Local, Regional, or Statewide Planning Documents: What is the relationship of the proposed project to a local, regional, or statewide plan? For example, how does the proposed project align with the Iowa Bicycle and Pedestrian Long-Range Plan and any applicable adopted regional, county, or municipal trail plan? It is preferred that links to documents publicly available online and specific page references be provided. 4. Federal-aid Highway Project Development Process, Understanding, and Capacity: What previous experience does existing project sponsor staff have with the federal-aid highway project development process? Has past performance resulted in successful projects that delivered the projects in a timely and compliant manner? Does existing staff have the capacity to administer the proposed project? Has the project sponsor demonstrated an understanding of the program rules? What strategies will be implemented to deliver the proposed project successfully? 5. Contribution Toward Safety for All Transportation Modes: How would the proposed project address the safety of all users such as those who walk, bike, drive, ride transit, or travel by other modes? To what degree will the proposed project address any existing safety needs or concerns? 6. Enhancement of Statewide Tourism Benefits: How will the prop osed project enhance tourism in Iowa by attracting visitors from out-of-state? What are the economic benefits of the proposed project to the state? 7. Need for the Proposed Project: Why is the project needed in the area and what population will it serve? How will the proposed project satisfy that need? Provide adequate project justification based on existing or estimated future use of the facility. In addition to general need, please focus on how the project impacts high need areas such as low-income, transit-dependent, rural, or other areas? How will the proposed project improve the overall mobility of these areas and how has this population been engaged in the planning for the proposed project? DOCUMENTATION AND NARRATIVE INFORAMTION Page 12 8. Improve Accessibility: What efforts have been made to go beyond compliance with the Americans with Disabilities Act (ADA) of 1990 to ensure the proposed project will be accessible and usable by individuals with disabilities? 9. Long-Term Maintenance Plan: What arrangements have been made to continue operation and maintenance of the proposed project after the project is complete? For example, has a maintenance fund or an endowment been established? 10. Project Readiness: Is the project ready for development? Please describe efforts taken to prepare for developing the project, How has the project sponsor prepared for the proposed project by resolving any potential obstacles? Will the project proceed without delay upon award of funding? 11. Public Input Process: Please describe the public input process that was followed and the extent to which adjacent property owners and others have been informed of the proposed project and an assessment of their acceptance. Also include discussion of any partnerships among local organizations and stakeholders that this project may help to facilitate or how these entities or individuals have contributed to the development of the project concept or have committed financial or other support to the project. 12. To what degree will the proposed project fulfill the goals and/or priorities of the most recent MPO long-range transportation plan? C. A DETAILED MAP identifying the location of the project. The project scope should be clear and the map may also include other important information referred to in the narrative such as important transportation linkages, clearly marked completed or future project phases, etc. If the project is a SRTS project, the map shall indicate the K-12 school(s) to be served by the project, show a 2-mile radius of the school, identify neighborhoods served by the school, and hazards for children to walk or bike to school. More than one map may be submitted if the scope of the project is such that the desired detail is not feasible to be included on just one map. Limit map sizes to no larger than 8.5-by-11-inches. D. A SKETCH PLAN of the project, including cross section for bicycle or pedestrian facilities. If the cross section of your facility varies across the project (width, number of lanes, etc.) include a cross section for each situation and identify its location. (Required for construction projects only.) E. DIGITAL PHOTOGRAPHS (limit to five) that will help to explain the existing site conditions of the proposed facility. It is not necessary to include photographs of all aspects or the entire route of a project. Photos submitted should be representative of the project as a whole or should support any particularly compelling or complex description included in the narrative provided in item A above. F. An ITEMIZED BREAKDOWN of the total project costs (reference Attachment A). This documentation does not need to be a detailed, line item type estimate or formal engineer's opinion of probable cost. However, it must accomplish two objectives: 1) it must show the method by which the cost estimate was prepared; and 2) it must enable a reviewer to determine if the cost estimate is reasonable. The manner in which these objectives are achieved may vary widely depending on the type, scope, and complexity of the project. Absent a fully itemized list of costs, some general guidelines for possible methods of estimating each type of project cost are provided on Attachment A. The itemized breakdown should reflect costs in the planned project execution year estimated in your time schedule provided as part of item F below. It is preferable that this breakdown be provided by a licensed professional. If not, it is the responsibility of the applicant to explain the rationale and source of the assumptions used to develop the cost breakdown to allow a reviewer to have confidence in their accuracy. G. An OFFICIAL ENDORSEMENT of the project from the authority to be responsible for the project's maintenance and operation. The authority must provide written assurance it will Page 13 adequately maintain the completed project for its intended public use following project completion. For most construction projects, this will be a minimum of 20 years. The endorsement must also acknowledge the intent of the authority to provide the match funds required for the project. For cities, counties, or other political subdivisions, this should be in the form of a fully executed resolution by the elected body or board, as applicable. H. If applicable, a LETTER OF SUPPORT of the project from the scenic or heritage byway board. The board's letter should also address the project's relationship to the byway's intrinsic qualities, how the project will also have a statewide or multiregional impact, and whether the project is included in the byway's current corridor management plan. I. If applicable, the ITEMS LISTED IN ATTACHMENT B shall be provided. If this project application is for a SRTS project, the applicant will complete and address the items provided in Attachment B, which are required only if the project is applying as a SRTS project. Failure to provide this information may result in the project not being considered as a SRTS project under the Statewide TAP program. J. A LETTER OF CONSENT TO SUBMIT the application from the Iowa DOT District Engineer if the project will include construction within Iowa DOT right of way. K. FUNDING SOURCE DOCUMENTATION for each funding source identified as secured by the applicant. L. This CERTIFICATION signed by an official authorized by the project sponsor. M. A completed MINORITY IMPACT STATEMENT as required by Iowa Code section 8.11. The undersigned is an official authorized to represent the applying organization. The person signing this document must have the authority to contractually bind the organization. Certification I certify that all proposed activities will be carried out; that all grant money received will be utilized solely for the purposes for which it is intended; that records documenting the planning process and implementation will be maintained and submitted when requested, and the Iowa DOT is hereby granted access to inspect project sites and/or records. To the best of my knowledge and belief, all information included in this application is true and accurate, including the commitment of all physical and financial resources. This application has been duly authorized by the applying organization. I understand that the attached official endorsement(s) binds the participating authority to assume responsibility for adequate maintenance of any new or improved facilities. The award of Transportation Alternatives Program funds; any subsequent funding or letting of contracts for design, construction, reconstruction, improvement, or maintenance; or the furnishing of materials shall not involve direct or indirect interest, prohibited by Iowa Code 314.2, 362.5, or 331.342, of any state, county, or city official, elective or appointive. Any award of funding or any letting of a contract in violation of the foregoing provisions shall invalidate the award of funding and authorize a complete recovery of any funds previously disbursed. If funding assistance is approved for the project described in this application, I understand that an executed agreement between the applicant and the Iowa DOT is required before the project can be started, costs incurred, or such funding assistance authorized for use in implementing the project. Printed Name _______________________________________ Title ___________________________ Signature ______________________________________________________ Date _______________ Ryan Rusnak Planning Director 2/26/2025 • • • Johnson County GIS Web Printing Printed: 2/21/2025 The information presented herein is intended to be an accurate representation of existing records. Johnson County assumes no liability for errors or omissions. Users relying on this information do so at their own risk. .0 500 1,000 ft 1 inch = 800 feet West WEST FOREVERGREEN ROAD TRAIL - COVERED BRIDGE ROAD TO JASPER AVENUE 1 Inch = 900 Feet 0 14 + 0 0 15+ 0 0 16 + 0 0 17 + 0 0 18 + 0 0 19 + 0 0 20 + 0 0 21+ 0 0 22 + 0 0 253+00 254+00 255+00 256+00 257+00 258+00 259+00 260+00 261+00 26 253+00 254+00 255+00 256+00 257+00 258+00 259+00 260+00 261+00 26 0 14 + 0 0 15+ 0 0 16 + 0 0 17 + 0 0 18 + 0 0 19 + 0 0 20 + 0 0 21+ 0 0 22 + 0 0 0 14 + 0 0 15+ 0 0 16 + 0 0 17 + 0 0 18 + 0 0 19 + 0 0 20 + 0 0 21+ 0 0 22 + 0 0 79 0 79 0 780 800 790 790 780 800 P A R K R O A D JA S P E R A V E N U E LD P A R K R O A D EXISTING RIG PROPOSED RIGHT OF WAY PROPOSED STORM SEWER . GRADING LIMITS EXISTING FIBER OPTIC EXISTING OVER HEAD ELECTRIC EXISTING FLARED END SECTION PROPOSED STORM SEWER PROPOSED FLARED END SECTION PROPOSED DRAINAGE EASEMENT P R GRADING FOR FUTURE 8' PCC TRAIL THROUGH PROJECT LMITS JASPER AVENUE IMPROVEMENTS CITY OF CORALVILLE CITY OF NORTH LIBE HI G H P O I N T PR O J E C T L I M I T FU L L W I D T H RO A D W A Y L I M I T LI F T S T A T I O N A C C E S S 8' W I D E T R A I L 41 ' P C C R O A D W A Y 31 ' P C C R O A D W A Y PR O P O S E D 1 0 0 ' R O W EX I S T I N G 6 6 ' R O W LO W P O I N T JA S P E R A V E N U E 12 " W A T E R M A I N NORTH FOREVERGREEN ROAD JO N E S B L V D RA N S H A W W A Y NO R T H L I B E R T Y T R A I L IOWA HOSPITAL AND CLINICS CO R A L R I D G E A V E N U E KA N S A S A V E N U E JA S P E R A V E N U E IN T E R S T A T E 3 8 0 CITY OF TIFFIN FOREVERGREEN ROAD PA R K R O A D JA S P E R A V E N U E IN T E R S T A T E 3 8 0 CO V E R E D B R I D G E R O A D EXISTING TRAIL NETWORKS (TYPICAL) 2026 CONSTRUCTION: FOREVERGREEN ROAD 8-FOOT PCC TRAIL 2027 CONSTRUCTION: RANSHAW WAY PHASE 6 10-FOOT PCC TRAIL 2026 CONSTRUCTION: FOREVERGREEN ROAD AND JASPER AVENUE ROUNDABOUT 8-FOOT PCC TRAIL 2026 CONSTRUCTION: JASPER AVENUE ROADWAY IMPROVEMENTS 8-FOOT PCC TRAIL WEST FOREVERGREEN ROAD TRAIL COVERED BRIDGE ROAD TO JASPER AVENUE 45' B-B (TYPICAL) EXISTING ROW 1.5% 22.5'22.5'4' VARIES VARIES (10' - 18') TYPICAL SECTION --- FOREVERGREEN ROAD TRAIL --- SOUTH SIDE1 8' TRAIL 6" TOPSOIL (TYP) 6" TOPSOIL (TYP) 6" PCC TRAIL ROCK SUBBASE SPECIAL COMPACTION FOR RECREATIONAL TRAIL WEST FOREVERGREEN ROAD TRAIL - COVERED BRIDGE ROAD TO JASPER AVENUE FOREVERGREEN ROAD TRAIL OPINION OF ANTICIPATED CONSTRUCTION COSTS Concept Phase - February 2025 2027 ITEM DESCRIPTION UNIT QUANTITY UNIT COST EXTENDED COST 1 PAVEMENT REMOVAL SY 250 21$ 5,250$ 2 RECREATIONAL TRAIL, PCC, 6-IN.SY 2,460 67$ 164,820$ 3 MODIFIED SUBBASE CY 350 63$ 22,050$ 4 DETECTABLE WARNINGS SF 64 78$ 4,992$ 5 TRAFFIC SIGN ADJUSTMENTS EA 4 525$ 2,100$ 6 PAVEMENT, PCC, 10-IN.SY 0 105$ -$ 7 DRIVEWAY, PCC, 7-IN.SY 70 73$ 5,110$ 8 TRAFFIC CONTROL LS 1 9,000$ 9,000$ 9 UTILITY AND DRAINAGE ADJUSTMENTS LS 1 10,500$ 10,500$ 10 EARTHWORK AND GRADING CY 1,500 16$ 24,000$ 11 SEEDING, RESTORATION, SWPPP, EROSION CONTROL AC 1.30 15,500$ 20,150$ 12 MOBILIZATION LS 1 21,000$ 21,000$ OPINION OF CONSTRUCTION COST - EAST SEGMENT 289,000$ 2027 ITEM DESCRIPTION UNIT QUANTITY UNIT COST EXTENDED COST 1 PAVEMENT REMOVAL SY 50 21$ 1,050$ 2 RECREATIONAL TRAIL, PCC, 6-IN.SY 2,000 67$ 134,000$ 3 MODIFIED SUBBASE CY 285 63$ 17,955$ 4 DETECTABLE WARNINGS SF 64 78$ 4,992$ 5 PAVEMENT MARKINGS, DURABLE STA 18 210$ 3,780$ 6 TRAFFIC SIGN ADJUSTMENTS EA 4 525$ 2,100$ 7 TRAFFIC SIGNAL - DETECTION ADJUSTMENTS LS 1 2,100$ 2,100$ 8 TRAFFIC SIGNAL - PEDESTRIAN SIGNALS AND PUSHBUTTONS EA 4 3,200$ 12,800$ 9 TRAFFIC SIGNAL - HANDHOLES EA 6 800$ 4,800$ 10 TRAFFIC SIGNAL - ELECTRICAL CIRCUITS LF 500 6$ 3,000$ 11 TRAFFIC SIGNAL - ACCESSIBLE PEDESTRIAN SIGNALS (AUDIBLE)EA 4 3,200$ 12,800$ 12 PAVEMENT, PCC, 10-IN.SY 50 105$ 5,250$ 13 DRIVEWAY, PCC, 7-IN.SY 0 73$ -$ 14 TRAFFIC CONTROL LS 1 15,500$ 15,500$ 15 UTILITY AND DRAINAGE ADJUSTMENTS LS 1 10,500$ 10,500$ 16 EARTHWORK AND GRADING CY 1,200 16$ 19,200$ 17 SEEDING, RESTORATION, SWPPP, EROSION CONTROL AC 1.00 15,500$ 15,500$ 18 MOBILIZATION LS 1 21,000$ 21,000$ OPINION OF CONSTRUCTION COST - WEST SEGMENT 287,000$ OPINION OF CONSTRUCTION COST - SUBTOTAL 576,000$ CONTINGENCY (15%)90,000$ OPINION OF CONSTRUCTION COST - TOTAL 666,000$ PROPERTY ACQUISITION AND EASEMENTS -$ PRIVATE UTILITY RELOCATIONS -$ OPINION OF PROJECT COSTS - SUBTOTAL 666,000$ ENGINEERING FEDERAL-AID (DESIGN | BID | CONSTRUCTION)166,000$ * OPINION OF PROJECT COSTS - TOTAL 832,000$ * Costs for easements, acquisitions, and utility relocations are not anticipated based on conceptual stage project information DESCRIPTION: Construct 8-foot wide PCC trail on the south side of Forevergreen Road from Covered Bridge Road to Jasper Avenue (approx. 5,000 linear feet). Project will connect existing trails on Ranshaw Way to existing 8-foot walks within Tiffin west side of I-380. Work includes pedestrian actuated crossings at the I-380 interchange, utilizes the existing wide sidewalk already constructed on the Forevergreen interchange bridge, and connects with the roundabout walks to be constructed at the Jasper Avenue intersection. WEST SEGMENT - KANSAS AVENUE TO JASPER AVENUE EAST SEGMENT - COVERED BRIDGE ROAD TO KANSAS AVENUE Page 14 Minority Impact Statement Form 105101 (02-20) Pursuant to 2008 Iowa Acts, HF 2393, Iowa Code 8.11, all grant applications submitted to the State of Iowa that are due beginning Jan. 1, 2009, shall include a Minority Impact Statement. This is the state's mechanism for requiring grant applications to consider the potential impact of the grant project's proposed programs or policies on minority groups. Please choose the statement(s) that pertains to this grant application. Complete all the information requested for the chosen statement(s). Submit additional pages as necessary. The proposed grant project programs or policies could have a disproportionate or unique positive impact on minority persons. Describe the positive impact expected from this project: Indicate which groups are impacted: Women Persons with a disability Blacks Latinos Asians Pacific Islanders American Indians Alaskan Native Americans Other__________ The proposed grant project programs or policies could have a disproportionate or unique negative impact on minority persons. Describe the negative impact expected from this project: Present the rationale for the existence of the proposed program or policy : Page 15 Provide evidence of consultation with representatives of the minority groups impacted : Indicate which groups are impacted: Women Persons with a disability Blacks Latinos Asians Pacific Islanders American Indians Alaskan Native Americans Other__________ The proposed grant project programs or policies are not expected to have a disproportionate or unique impact on minority persons. Present the rationale for determining no impact: I hereby certify that the information on this form is complete and accurate, to the best of my knowledge. Name Title Definitions "Minority Persons,” as defined in Iowa Code 8.11, means individuals who are women, persons with a disability, Blacks, Latinos, Asians or Pacific Islanders, American Indians, and Alaskan Native Americans. “Disability,” as defined in Iowa Code 15.102, subsection 7, paragraph “b,” subparagraph (1): b.As used in this subsection: (1)"Disability" means, with respect to an individual, a physical or mental impairment that substantially limits one or more of the major life activities of the individual, a record of physical or mental impairment that substantially limits one or more of the major life activities of the individual, or being regarded as an individual with a physical or mental impairment that substantially limits one or more of the major life activities of the individual. "Disability" does not include any of the following: (a)Homosexuality or bisexuality. (b)Transvestism, transsexualism, pedophilia, exhibitionism, voyeurism, gender identity disorders not resulting from physical impairments or other sexual behavior disorders. (c)Compulsive gambling, kleptomania, or pyromania. (d)Psychoactive substance abuse disorders resulting from current illegal use of drugs. “State Agency,” as defined in Iowa Code 8.11, means a department, board, bureau, commission, or other agency or authority of the State of Iowa.