PART B – Project Document Checklist Uploaded N/A Document Type FEMA Project Worksheet or other federal agencies documentation. Force Account Labor, Equipment and Materials backup documentation (timesheets/payrolls/equipment logs or usage records, invoices, receipts, work orders). Contractor/Sub-Contractor Invoices and proof of payments. Weekly certified payrolls from contractor if Davis Bacon was followed. Proof of payment received from FEMA or other federal agencies. Proof of payment received from State. Proof of payments from other funding sources (insurance, donation, etc.). Environmental Review completed by FEMA or other federal agencies. Map of service area boundaries including census tract and block group. If LMI percentage was determined by survey, provide documentation of survey results/methodology. Other Documents (Please list below) Certifications: The undersigned participating government (collaborative member) assures fulfillment of all requirements of the Boulder County CDBG-DR Collaborative Infrastructure Program as contained in the program guidelines and that all information contained herein is true and correct to the best of my knowledge. The Participating Entity and Special District understands that the project may proceed ONLY AFTER the Request for Release of Funds has been issued. Approved for Submittal by (Signature) Title Telephone Number Print Name of Authorized Collaborative Partner/Special District Date Signed
PART B – Project Document Checklist Uploaded N/A Document Type FEMA Project Worksheet or other federal agencies documentation. Force Account Labor, Equipment and Materials backup documentation (timesheets/payrolls/equipment logs or usage records, invoices, receipts, work orders). Contractor/Sub-Contractor Invoices and proof of payments. Weekly certified payrolls from contractor if Davis Bacon was followed. Proof of payment received from FEMA or other federal agencies. Proof of payment received from State. Proof of payments from other funding sources (insurance, donation, etc.). Environmental Review completed by FEMA or other federal agencies. Map of service area boundaries including census tract and block group. If LMI percentage was determined by survey, provide documentation of survey results/methodology. Other Documents (Please list below) Certifications: The undersigned participating government (collaborative member) assures fulfillment of all requirements of the Boulder County CDBG-DR Collaborative Infrastructure Program as contained in the program guidelines and that all information contained herein is true and correct to the best of my knowledge. The Participating Entity and Special District understands that the project may proceed ONLY AFTER the Request for Release of Funds has been issued. Approved for Submittal by (Signature) Title Telephone Number Print Name of Authorized Collaborative Partner/Special District Date Signed
priority_infrastructure_project_application_only.docx