HomeMy Public PortalAboutBox 512 - J-Ditch paymentsV
17 Revised 18 Revised
Lei
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4,451,416.196
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Outlays uefure this applications
Seulsert Invoice
$ 1,126,024 50
-less deductions $
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242,121.28
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DEB --flan Fetle
441,830.55
112,730 0U $
112.730 00 $
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112 730 00
16,45560 $ 1,128,324.50 $
709,920.00 $
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5,275 323.97
4,581,610.06 $
4,564.146.0E $ 4,763 738.45 $
S 3,826,347.00 $ 4,954,E71.50 $ 4,746,324.45 $
Nun Federal
Funds Returned to BCR
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iquidated Damages
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732.405 02
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15 17 Revised
Estimated Net Cash
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$ 3,809,892.00
$ 3,099,972.00
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636,553.00
636 553.00
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4,581,610.06
4,468,880.06 $
4,451,116.06 $ 4,404,379.84 $
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112 730.00 $
359,408.61 $
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Outlays before this application
341,644.61 $
709,920.00 $
Outlays this applic
Seubcrt Invoice
441,630.55
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112,730.00 $
$ 1,127,724.50 $
Construction --less d,ductions $
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DEQ--Non Federal
Wausau Payment Due
112,730.00 $
636,553 00 $
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709,929 00 $
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Amount requested from BOR
5,275 323 97
4,561,610.06 $
4,563,846.06 $ 4,763,788.45 $
50 $ 4,746,1124.45 $
$ 3,826,347.00 $ 4.954,
Non Federal
549,991.66 $
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Funds Resumed to BUR
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iiylydaled Damages
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193,919 63 $
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112,730.06 $
16,455 00 $ 1,128,024.50 $
709,920.00 $
Outlays this applic
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441,530.55
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Wausau Payment Due
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5 274.546 30
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836.553 00 $
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709,920.00 $
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Amount requested from 130R
4 581,610.06
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4,563 846 06 $ 4,763,788.45
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549,991.66 $
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315,000 00 $
uidated Damages
JIJB Casts associated with the
193,919 63 $
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100,147.10
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527,523.63 $
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appl 10 xioBOR ACCOLI
Additional deductions from
application 8:
Liquidated Damages April 1, 2001—
June 14 2001: $
Additional costs associated with
the delavldefauft:
Construction Observation --April 14-
-June 2 $
21,000.00
73,958.00
Engineering costs associated with
defective work April 14--June 2 $ 5,189.10
Total withheld. $ 100,147.10
Paid to Wausau: $ 145,267.27
REQUEST FOR ADVANCE
OR REIMBURSEMENT
Z`
(See instructions on back)
OMB APPROVAL NC.
034E-000.1
1. TYPE OF PAYMENT
REQUESTED
Standard Form 270
a. one or both nosey
JX ADVANCE
PAGE. 1
OF PAGES
RFC .LIRE,_ (VJ 7
b. 'X' the apOTicablr. bar
❑ FINAL Q.x PARTIAL
BASIS OF REQUEST
CASE
❑ ACCRUAL
3. FEDERAL SPONSORING AGENCY AND ORGANrz T!OH FS Eve 4, FEDIRAL. GRAATT OR OTHER rDENTIFYING NUMBER 5. PARTIAL PAYMENT
TO WJJ1CIi THIS REPORT IS SUBMITTED ASSIGNED BY FEDERAL AGENCY REQU3 STa NUMBER FOR
THIS REQUEST
Department of Interior — Bureau of Reclamation
6. EMPLOYER IDENTIFICATION
NUMBER
826000223
7_ RECa1'BElT'S
ACCOUNT NUMBER OR
IDENTIFYING NUMBER
153390111844
B.PERIOD COVERED BY THIS REQUEST
FROM (mond; day, yeas[
9. RECIPIENT.'" ORGANi2ATION 1L. I'AYE (Where check is to be sent If different than irem 9)
Name : City of McCall
Number
and Street : PO Box 986, 216 E. Park- Sr.
Coy, Stare
and ZIP Code. : McCall, ID 83638
Name
N"tunber
and Street
City, Sane
and TIP Codes :
11.COMI"TJTATION OF AMOUNT Or REIMBURSEMENT/ADVANCES REQUESTED
r•ROGRAMSIF1TNCTIONS ACTIV11IEi i
a. Total program (As of ante)
outlays to day.
0. Lens? Cunw1auye program income
E- Net program o;nlays (Gene a mows lrtre
b)
d. fstimaLc J art cash outlays for advancr
i od
C. Total (Stan opines : & d)
T. Non -Federal share of amount of dine e
Federal share of amount on line e
h. Federal payments previously requr9retf
i. Federal share now rr.qnrsicd (Lint g
mints line h)
Advances acquired by
mature, wrxn rcgtrrated tr'
l'ederaf granter agency for 1
use in making
prrscheduled advances j
1st month
2nd moons
3rd month
(a)
ALfl RNATY coMp1n',trroN FOR ADVANCES ONLY
a. Fsnmated1 Fea ran cast. outlays that will be mane thrum period covered by tnn advance
b. Less• Esomatat balance: of F-zaerak stash on hand as of oeeuuvnr. of advance venal
L. Amount reams -fed (line rr mina! IM b)
TO (march. day year;
Is
Is
TOTAL
Standard Form 270
•
OMB APPROVAL NO.
• 'REQUEST FOR ADV‘LNCE
OR RELVIBERSEVIENT :. 'IYPE OF P A rmENT a. e.rit tztil Dales
'A-WOES-TED
A.DvANCE 1/71 ItEaME LIRSEWEIVI
"17 dre appitcabie
PAGE OF
! =.1 JX
— PARTIAL
(See insanancns an back)
BASIS Di= RECuRy:
I-LAS/2
ACCRUAL
FERAL SPONSORING AGTENCY AND DROANILATI.ON LDMT 4. 7EDE4A.L. GRANT ntr' OiER ID.E.1^r=NG HLTNIBER f. PARTIAL
TO WHICII 71313 REPOT: :s SLIBMITTL;L .LSSIGNED BY. =VIAL AGING?' ..1EQUE.ii NUMBED FOR
rraS REQUZ7
DeDaParaeLlE of Iracrior BurLau atIZcziamaton
EMPLOYER mEl\rM. 7iCATICN
NDMBER
r6ceo2a7.
REC.7.PIENT ORGANIZATION
Name
Mower
and Lreer
ACCOUN7 NUMBER OR
! IDENTIFYING NUM3E
f.:-.7:9011]84-1-
. 2-'0 Bat 986, 2_16 E. Park Si.
Qty., Siam.
and ;LT tez :214cCa1L 35.61
S.PERIOD COVERE'D Y 'MIS 11EQ'U'EST
ROM 4'rrian1k, &. yearL1
09/05/00
10. PAYEE 'Whrre orrier_g ro 1071 cr atiffl-r-ra than a= 5.1
iValnE
IYunizier
arta Sired
ary, Stare
arui ZIP awe -
.compunknoN or Amouvr DRE/MBURSEMENT/ADVANCS ILECFITESTED
(a) (b) (c)
,•ROGR-A_M-SiFINC-TIONS ACTIVITIES
3_ •lb= program
(maws tire
(As of awe,
ativc brogron2 Enzuree:
Net broarard cruttays (Lice a rrizrucs iie
'6umated • outttv^..wr adVatlf.::
• M-100.•
Sumorime-; c ei}
snare of =nem cr.'ir
;. StiZreo 31113U11[ hric
FraCral paVn=nts nrevunalv rtqLSESZLi
Fi share rIfiw reauestce
immilllne )
Auvances rnatureLt L) 1 1st:nun-I
menu:. udEell V...73ued by
E-csiErai LDagrno; Tz1:ai
-
LIZe .in
3rn11.1E:11:11:1vanC.C5
:-.7•2111,3.A.T.2 otorm.-5,Tra"4 FOR AJWANCES ONLY
gusiays rack wtnpc catic,,t _ 9 ........
cri s .17 .•[.....-age,":
Lee .2. /10.111-5'
O vronz,z. dtivvear
09 / 05 / 0(
TOTAL
g92 •
16,455. -----
-16 455
r -
16 , 455
16 , 4_55
Deductions from application
9&10:
Liquidated Damages June 15--
August 9: S 82,500.00
Additional costs associated with
the delay/default
Construction Observation --June 2--
July 27 $
10.250.93
Engineering costs associated with
defective work June 2--July 27 $ 11,983.36
Total withheld: $ 104,734.29
Payable to Wausau; $ 554.560.28
(Amount for application 9: $ 112,729.73
(Amount for application 10: S 441,830.55
Application 8
Application 9
Application 10
Due application 8--before
deductions:
Deductions for liquidated
damages and costs associated
with default:
Payable to Wausau --application
8
Due application 9--before
deductions:
Deductions for liquidated
damages and costs associated
with default:
Payable to Wausau --application
Due application 10--before
deductions:
Deductions for liquidated
damages and costs associated
with default:
Payable to Wausau --application
10
Total completed and
stored to date:
Less retainage:
rNet:
Total completed and
stored to date:
Less retainage:
Net:
Net change in total
completed and stored to
date:
Total completed and
stored to date:
Less retainage:
Net:
Net change in total
completed and stored to
date:
772,938.00
527,523.63
245,414.37
$ 112.729.73
Amounts to be
deducted from
application 10--See
below
$
$
$
112,729.73
546,564.84
104,734.29
441.830.55
$
3,022,706.83
151,135.34
2.871.571.49
3,141,369.71
157,068.49
2,984,301.22
112,729.73
3,716,701,06
185,835.00
3,530,866.06
546,564.84
Deductions from application 8:
Liquidated Damages Nov 3, 2000—
May 31. 2001 $ 315.000.00
Additional costs associated with
the delay/default'
Testing costs $ 52,902.17
Construction ❑bservation--thru
November 4, 2000 $ 28,649.94
Survey work: $ 15,362.26
Sub total: $ 96,914.37
Construction ❑bservahon--
November 4, 2000--April 14. 2001 $ 91,300.74
Engineering costs associated with
detective work November 4--Apnl
14 $ 5,704.52
City and Legal $ 18,604.00
Total withheld: $ 527.523.63
Payable t❑ Wausau: $ 245.414.37
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City of McCall, Idaho
Budget Line Item Transfer
Date: 8/9/2001
Request Initiator: Cathleen Koch Dept: Finance
Transfer Amount: 1,500.00
From: Account #: 10-50-136 To: Account #: 10-50-140
Account Title: Underage Grant OT Account Title: Overtime
Budget 1,500.00 Budget 26,038.00
Actual 0.00 Actual 30,805.73
YTD Unexpended 1,500.00 YTD Unexpended (4,767.73)
Transfer Amount 1.500.00 Transfer Amount 1.500.00
Revised Budget 0.00 Revised Budget (3,267.73)
STATE REASON FOR TRANSFER:
STATE ITEMS TO BE PROCURED AND JUSTIFICATION
For transfers of appropriation from one budget line item to another within a fund, the City Manager's approval is sufficient. Transfers of
appropriation from one fund to another must be approved by City Council, by Ordinance. Either type of transfer is a budget amendment and
will be reflected in the financial reports, budget to actual comparison accordingly.
Date Received by Treasure::
TREASURER RECOMMENDATION:
Date Approved: or Disapproved:
Department Head Signature City Manager Signature
Date Entered in Books (Bud - CY). Initials:
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Liquidated Damages Nov 3, 2000--May 31, 2001:
Additional costs associated with the delay/default:
Testing costs:
Cxstruction Observation--thru November 4. 2000
Survey work:
Sub total:
Construction Observation --November 2, 2000--April 14, 2001
Engineering costs associated with defective work
City and Legal
Total withheld:
8/9/200112:46 PMapp 8.xlsSheetl
B.315,000.00
S 52,902.17
S 28.649.94
15,362.26
5 96,914.37
$ 91,300.74
S 5,704.52
$ 18,604.00
5 527,523.63
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City of McCall, Idaho
Budget Line item Transfer
Date: 8/9/2001
Request Initiator: Cathleen Koch Dept: Finance
Transfer Amount: 1,500.00
From: Account #: 10-50-136 To: Account #: 10-50-140
Account Title: Underage Grant OT Account Title: Overtime
Budget 1,500,00 Budget 24,538.00
Actual 0,00 _ Actual 30,805.73
YTD Unexpended 1,500.00 YTD Unexpended (6,267,73)
Transfer Amount 1,500,00 Transfer Amount 1,500,00
Revised Budget 0,00 Revised Budget (4,767.73)
STATE REASON FOR TRANSFER:
STATE ITEMS TO BE PROCURED AND JUSTIFICATION:
Far transfers of appropriation from one budget line item to another within a fund, the City Manager's approval is sufficient. Transfers of
appropriation from one fund to another must be approved by City Council, by Ordinance, Either type of transfer is a budget amendment and
will be reflected in the financial reports, budget to actual comparison accordingly.
Date Received by Treasurer:
TREASURER RECOMMENDATION:
Date Approved: _ or Disapproved:
Department Head Signature
Date Entered in Books (Bud - CY): Initials'
City Manager Signature
Application 8
Application 9
Application 10
Due application 8--before
deductions:
Deductions for liquidated
damages and costs associated
with default:
Payable to Wausau --application
8
❑ue application 9--before
deductions:
Deductions for liquidated
damages and costs associated
with default:
Payable to Wausau --application
9
Due application 10--before
deductions:
Deductions for liquidated
damages and costs associated
with default:
Payable to Wausau --application
10
Total completed and
stored to date:
Less retainage;
Net:
Total completed and
stored to date:
Less retainage:
Net:
Net change in total
completed and stored
date:
Total completed and
stored to date:
Less retainage:
Net:
Net change in total
completed and stored
date:
772,938.00
527.523.63
245.414.37
$ 112,729.73
Amounts to be
deducted from
application 10--See
below
112.729.73
546.564.84
104.734.29
441,830.55
3,022,706.83
151.135.34
2,871,571.49
3,141,369.71
157,068.49
2,984,301.22
112,729.73
3.716.701.06
185,835.00
3,530,866.06
546, 564.84
Deductions from application 8:
Liquidated Damages Nov 3. 2000--
May 31, 2001- $
315.000.00
Additional costs associated with
the delavldefault:
Testing costs: $ 52,902.17
Construction Observation--thru
November 4, 2000 $ 28,649.94
Survey work: $ 15.362.26
Sub total: $ 96,914.37
LConstruction Observation--
Novernber 4, 2000--April 14, 2001 $ 91,300.74
Engineering costs associated with
defective work November 4--April
14 $ 5,704.52
City and Legal $ 18,604.00
Total withheld: $ 527,523.63
Payable to Wausau: $ 245,414.37
Additional deductions from
application 8:
Liquidated Damages April 1, 2001--
June 14 2001: $
Additional costs associated with
the delay/default:
21,000.00
Construction Observation --April 14-
-June 2 $ 73,958.00
Engineering costs associated with
defective work April 14--June 2 $ 5,189.10
1Total withheld: $ 100,147.10
[Paid to Wausau: $ 145.267.27
Deductions from application
98,10:
Liquidated Damages June 15--
Auqust 9:
Additional costs associated with
the delay/default:
$ 82.500.00
Construction Observation --June 2--
July 27 $ 10.250.93
Engineering costs associated with
aefective work June 2--July 27 $
(Total withheld: $
Payable to Wausau: $
Amount for application 9: $
(Amount for application 10: $
11,983.36
104.734.29
554,560.28
112,729.73
441.830.55
lOutiays before this application
Outlays this application
fSeubertinvoice
Construction --less deductions
City Admin
JUB
1DEQ--Nan Federal
Amount requested from BOR
Outlays following this application
Non Federal
Funds Returned to BOR
Reductions in Payment to Contractor not also claimed as costs:
Liquidated Damages
1JUB Casts associated with the delay --not hilted to BOR yet:
ISub-totals:
Total:
Total Program Outlays in terms of work completed {less retainage):
14 161
3099972 14/14441#1#/4�
709920 $16.455.00
$16,455.00
709920 $ 16.455.00
////#4444#4I}
18'
trNt"t{+: hlie
$ 21,000.00
$ 79.147.10
.nl+lt.,.4hf Ml
191
Outlays before this application
Outlays this application
Seubert Invoice
Construction —less deductions
City Adrnm
JUB
!DEQ--Non Federal
+Amount requested from BOR
Outlays following this application
Non Federal
Funds Returned to BOR
Reductions in Payment to Contractor not also claimed as costs:
Liquidated Damages
JUB Costs associated with the delay --not billed to BOR yet:
Sub -totals:
Total:
Total Program Outlays in terms of work completed (less retamage):
14i
3099972 5
709920 $
5
$ 159,928.34
709920
161
3,809,892.00
16,455.00
16.455.00
5 16,455.00
$ 3.826,347,00
15 17 18
5 3,826,347.00 5 4.404.379.84 $ 4,451,118.06
$ 1,128,024.50 5 341,644.61 $ 112.730 00
5 1,127,724.50 5 145,267.27 5 112,730.00
5 300.00 5 18.212.10
5 160,401.24
S 17 ,764.00
5 1,128,024,50 $ 636,553.00 5 112,730.00
5 4,954,371.50 $ 4,746,024.45 5 4,563,846.06
$ 17,764.00
$ 549,991.66 $ 294,908.39
$ 315.000.00 $ 21.000.00
$ 193,919.63 $ 79,147.10
$ 508,919.63 $ 100,147.10
5 609,066.73
$ 5,172,912.79
11=11k)1(
BuMSL+ of � Officeabbn
She F� Sit/AO
214 1311,8dViay Ave
Boise 1D 83702
rT
:lull- 2. 20D1
Uruted States Department of the Interior
Bureau of Reclamation
Attention: Ron Golas
Snap River Arca Office
214 Broadway Avenur
Boise, Idaho 83702-7298
Rc- J-I)itch Payment Application
Dear Ron:
In our ongoing attempt to clarify the requests for reimbursement for funds, I have revisited the last
four applications for reimbursement. Shown in the table below is the revised information relevant to our
submissions. You will note that applications 13 .uzd Ili arc reversed, this is due to the timing of the work and
submission of the applications.
The key -to understanding this table is the assumption that pro:ram outlays do not reflect work
completed, but rather the actual expenditur_ of funds ro par for the project. 'This is important because we
have deducted SG06,066.73 from the amount paid tc) the contractor and surety for \lurk completed. Of this,
S336,000 is for liquidated damages, the remainder is for TUI', costs associated with the delay: that will be billed to
BOR on future applications, Vtihen those amounts are added to the actual outlays to date, the cost of the
project is S5.355,159.99, of which $17,764 has been paid nr DEQ, S336,000 is liquidated damages, S18,212.10
is legal and Grvcosts associated with the project, and S273,066.73 costs for in.
lOutlays before this application sz, 1-
(Outlays this application
ISeubert Invoice
(Construction --less deductions
ICity Admin
IDEQ--Non Federal
(Amount requested from BOR r ❑ '' �C
!Outlays following this application /re— .' c
!Non Federal
!Funds Returned to BOR for to be returned}
(Reductions in Payment to Contractor not also claimed as costs:
Liquidated Damages
1JUB Costs associated with the delay --not billed to BOR yet:
(Sub -totals:
(Total:
(Total Program Outlays in terms of work completed {less retainage).
161 f537%(715 47,
18
5 3,809,892.00 I $ $ 4,404,379.84, 1 $ 4.633.646.26
$ 16,455.001 $ 1,128,024.50! $ 441,791.71 $ 112,730.00
$ 16.455.00 !
$ 1,127.724.50: $ 245,414.37 $ 112,730.00
5—313070<71 $ 18,212.10
1 $ 160,401.24
15 17,764.00
$ `6,455.00 1,128.024.50' $ 636,553.00 1 5 112,730.00
I $ 3,826,347.00 $ 4,954,371.50 $ 4,846,171.55 ' $ 4,746,376.26
1 5 17,764,00
$ 549,991.661$ 212,525.29
I $ 315,000.00 ' $ 21,000.00
I $ 193,919.63 ; $ 79,147.10
$ 508,919.63 I$ 21,000.00
15 609,066.73
$ 5,355,442.99
R}-rrflectutg the program outlay!, u] terms of actual expenditure of funds arc accomplish Iwo things.
First, we can maintain a consistent accounting a_ BOIL funds in terms of actual payments related to the
project. Second. we eliminate the potential for liquidated damages ro bs received bt. the Cm- fur a project that
rs ftuided by BOR. E there are actual costs associated with the: delay or deiauil of tl:e contractor, wr will
inciude invoices for those costs as program outiays. If it is later determined than the costs we arc deducting in
addition to liquidated damages from tltc contactor or surety should have been included as a liquidated damage
16 15 17 18
Outlays before this application 3809892 3826347 4404379.84 4846171,55
Outlays this application 16455 1128024.5 441791.71 112730
Seubert Invoice 16455
Consrructian--less deductions 1127724.5 245414.37 112730
City Aomin 300 18212.1
JUB 160401.24
DEC --Non Federal 17764
Amount requested from BOR 16455 1128024.5 424027.71 112730
Outlays following this application 3826347 4954371,5 4846171.55 4958901.55
non Federal 17764
Funds Returned to BOF: 549991.66
Outlays before this application
Outlays this application
Seubert Invoice
Construction --less deductions
City Adniin
JUB
DECK --Non Federal
Amount requested from BOR
Outlays following this appiicatio
non Federal
Funds Returned to BOR
16
3,809,892.00
16,455.00
16.455, 00
16,455.00
3,826,347.00
15
3,826,347.00
1,128,024.50
1,127,724.50
300.00
1,128,024.50
4,954,371.50
549,991.66
17
4,404,379.84
441.791.71
245,414.37
18,212.10
160,401.24
17,764.00
424,027.71
4,846,171.55
17.764.00
18
4,846,171.55
112,730.00
112,730.00
112,730.00
4,958,901.55
United States Department of the Interior
'ry REPLY Rr1"ER t n
SR A-1200
WTR-1.1 0
Ms. Cathleen Koch
216 East Park Street
McCall II) 8363
BUREAU OF RECLAMATION
Snailce River Arca Office
214 Broadway Avenue
Boise, Idaho S3702-7298
May 14. 7001
Subject: McCall Area Wastewater Reclamation and Reuse Project
Dear Ms. Koch:
Enclosed for your inforrnarion is a copy ot'the McCa11 Area Wastewater Reclamation and Reuse
Project (Project! revised Standard Form 27{) request number 17.
Also enclosed is a copy of' Project Federal funding summan .
if you have questions. please contac, me al telephone number (208) 7 4-1751.
Sinccrcl',
Z-.nclosures
-
ROIL' 1Li ,l. GoFus
Plantain. and Special Duties Offiecr
MAY 1 5 2001 �i
December 4, 2000
St. Clair Contractors Inc.
111IL40'St
Boise, Idaho 8374E
re: Application for Payment
Dear. Mr. St. Clair,
We have received funds from BOR and will fonvanl vou a check for 5207,338.01 today.
We are reducing payment for Applications for Payment No. 5 and No. 6 hased on the information
contained in the attached letter from JUB. The reductions include amounts for Iiquidated damages,
work for which JUE revised their recotnniendation for payment, and work change directives as
follows:
JUB revised recommendation for the liner 5306,491.15
JUB revised recommendation for completion $527,000.0C
'ork change directive adjustments $86,895.34
Total: 59r,386, 49
We are not waiving our right to seek liquidated damages or any other rights under the contract.
Sincerely,
Rohert A. Strope
Cit ' Manager
Enclosures
cc: George Wagner. P.E...1UB Engineers. Inc.
REQUEST FOR ADVANCE
OR RELMBURSEMEENT
(se, instructions on back)
0,M1 APPROVAL NC.
:13 4.S-0004
'PE OF '..SYMENT
REQUESTED
Standard Form 2.70
one 6r vorh Data':
the apoixtuale bat:
E-12,1A1.,
PAGi CI= .PAG2.5
RENBURSEICE'r.7
. .
712DEI1A.L.UONSCRING AGENC-1 AND ORGANIZA.T.ION 17 .1-7r,E3AL GRANT OR CT1LER rD.RV:ZYTIV3 XIIMBER
O WHIC4iISinreezz.ISsUBMITT.ED ,LSS/GNED FELIERA.L. AGENCY
Denarotmear f Itumrior — Bureau a R=aulauon
IMPLOY..FIR
247617.0ELIZR
8.260002117
7.REC.13=47,7 3.2111ZIOD COVMUM BY THIS REQUEST
ACT:OUNT NUMBER OR
BDE6r7IFYING NUMUER ° ° °
15229011144
9. 1E7_7 '.1ErI" ORGANIZATION :C PAYEE (Where cheek zr) oe ,;(ra r gkrza than
Name ofMcfall
Nuniter
=I area
PC Bar 986, 2.16 E. _Park St,
ary, Stare
anci7IP Coal: • NECCaa.ID 83631
Name
Munger
and Siren -
Cry, Sloe
anci ZIP Code
1.`2.01VEPTIT.ATION OF AMOUNT OF REIMMURSEICENTTJADVANS REOUn
4OCILAMSRINCT7ONLIACITV/71M
lotai program (Ag of caw)
outJar. today
Catrzizuve otogram tusrne
Nct1)rus3 ran uuunys ellne a numer Line
aiscrszmo net cosh outlays .fnr adva.=
DtTICri
e. rota; dual f limes c
Non-i-4,-otrat snare rri =cam of line
Fultral hteat oi amount on 14101:
I: Farie--.1 1:awl:tuns nrevionalv =wise
1. Fenorzi share now reseumecri
Man22i arc n)
Aavanr-es 7u3Uord t.?
nsons..4, vow= mane= by
g-ranter -genn -nr
use ILI 13:1aiCLIg
Eirr-=d12.i= alrfar=5
1st on=
Tnensi;
mono:
(a)
ALIZERNA7.11 OOMPUTXrICN TO1jApVANC.775, ON-CY
'Esocnv.bu cms.ti outlays ttzr willne rriAcc an-inr• ZCiee-C..t :71 tit.'
bl•Lo.n.a.• :23.sn Qtclor2ni! Javnne.2
Ainnuin -neueet. lf-dte MIME ni
ar-m 1 7,77;,4
BASIS OF REQUEET
Accm•AL
5. PARTIAL PArACKT
REQUEST NUMBER FOR
TaS REX=
i 7
Tfl1,17h9nel rim veer
n
TOTAL
6F:7' MJa
,cv
1,1nfr.3ir
fir
-f,•72,f.
332,764
636 ,
McCall Area W astrwater Reclamation and Reuse Project
January 3. 2001 (Revised 5/8/0 1)(Revised 5/ 11/01 )
SF 270 Request Period Covered Federal Funds Federal Fund
Numher by Request Transferred Funds Transfer
to Cik• of Retuned to Accurrtulative
McCall Reclamation Total
from City
of McCall
1 4/1; 9S-9' 0'98 8 176.572
9/30/98-10/30/98 222.378
a 10/ 3 I/98-1 1 /26.'98 114,032
11
i - 9 r 1 -) ', r ' 1
.290
12127/ 98--1.`2 7/00 1.436,270
1 27/99-4/16/99 224 2
4/16199-7/19199 94.657
8 7/19/99-9/30/99 86.818
Returned to USBR
9 5/1/00-5/ 31 /'00 321,393
10 6' 1 /00-6/30/00 499
11 5/1 /00-6/30100 204,672
12 6/1 /00-6/30/0(1 242
1 ; 7/1/00-7/31/00 268,966
14 8 /1100-8.'31 /00 709.92()
15 9100-112/00 1.128.025
Returned to USBR
16 9/05/00 16.455
17 1 0/00 to 4/01 636,53
S 101.039
S549,992
8 176.572
398,950
512.982
563.272
1.999,542
723,764
2,318,421
2,405, 239
2.304.200
2,625,593
2.626,092
2,830.764
2.831,00(3
3.009,972
3,809.892
4.93 -_917
-1,387,925
4,404.3 80
5..040.933
Federal Funds transferred to City of McCall S5.040,933
Federal Funds Reclamation expended work-1m on
Ciry of -McCall Project as of 1 ,5/0; ti 6:1.0u0
F' 1998 Congressional Authorization
FY 1999 Congressional Authorization
S2.500.000
3.600.000
5t1,100.000
Federal Funds for City of McCall Project
Federal Funds transferred to Ciry of McCa11
Federal Funds Reclamation expended as of i /5/0 i
86,100.000
_040,933
V.0010
Balance of Federal Funds S 997,067 (rounded to SI )
SLanthird Farm ::70
. . . OMB APPROVAL NG. PAGIT: 014 -:. PAGES
. :I30-0110.1
'REQUEST FOR ADVANCE ------- — —
OR REEMVURSEMEENT 1 77PE, OI- PAYMENT L.... ' .7:-. me sr Witt 1.10Xtz 3AS/5 DP REQUEZ7
REQI.TESI-E--;
a-C,. A-OVAN OE :--1 auvuil.rRsamE,--n• =Ix
17. 7.. NM appncanle box ACORIIAL
-FINAL ARTAI
:11.strartions ou back) :
PEAL SFONSOILL-N-G AGENCY ,l.NU ORGANIZATION aa,47 Jr. FEDERAL. GRANT '1%.' IIDEN"TL"-Y. 1NG NOMBER PARTIAL ? AYMENT
-TO WINCH THIS Ruorrts suamr.,-.7-1a) AsSIGNE3 BY FF_IDERA,- AGENCY REQUEST NITht.F.S. F-OR
71.1.18 REQUF_17
Deparmatra of Imerior - Burma of Re -in motion
7-:•.%(1,3'LC"lE?, ICENTLFICATION
1UME ER
26OO(1223
RECTIENTT.
AC:CUNT NUMBE--R
; IDerrIFYING NUMBER
Is.13901118A4
.l'ER-100 COVERED BY THIS REOLTST
FROM {moan. aoy, Year.12:
"Iff31._
September, 20001 Tc`manik"n'''‘ejan 11/02/0
ThNT oriGAnuAro,,i :o PAYEE: (Where meat Ls la ye sent ;t. differenf thi um 91
: Ciry of McCall
Murtrp-r
cmit Sewer : PO ilca: 986, 216 E. Park St.
"'One
Nionaer
and Strut
Cicy, Cay„Ciare
n Zr.D Ca.cle :MCL21L ID 8361? ZIP (Tait
I 1 COMPI7TATION AZVICUIhr: OF RE'EARI.TREZYCENTIADVANCES REOUESTED
ABGTAILA:MI--,111.1-NUTIONS ACTIV1.1.15_S
Tam: Drograim (As ofdierk
mislays 1-13
C.u.r.Ulative Drrigrztn Income
Ne: nrograta outiclys iLirw a maws ,intr
"..f...ultuattu r an oaar r Laivaezu
palm{
7.. ....Ica: (Sum 1131eS ...1C
Non-Feuer:II 1:1arc =lot= of iinc
rf;.. Ft.nittrai snare ni nautum an line t.
Fecterza navn]llas prrnouSly ICLIUCSTIA
1. Federal =ire maw reatiestet t Um:
Ativancrs =lured h irnlarlth
n1kwrscri reuuested bv1
'6.1cerai rijt 3.9.L0Ly to Mont:-
utte.accitil=! aavancz5 rr: mac)
_
.1.7E1INATIS COMPITTATION FOR ADV,LLNICT:S ONLY
otways .5:12 7:13/1::IUfL"1-Tnt:.2. COVnr'•
tti tira:a.r,cz .•: 7-tet-t'3,L
A.r..1011,7t 7.•_1.r.strZ rrcrn., .
TOTAL
4,95a, 3 7
3,809,892
1,1,24,480
1,144,480
1,144,48fl
1E. 455
,
1,128,0'25
—
1
AI.Ti30RD:c1) FOR LOCAL 11 PRODUC'.10N(C,,Y7nwer1 a� iev i s; Stet 5r Form;'0 (14, 3-921
?•r^-"=� uy Q�Iec of Mrroft.men 4.113W tee
No..l-1L-
-- etmtdusr Nina'-'0 (cunt'dl
)3. CERTIFICATION
] ce:div OI2X to the best of cny icrowledgc and CC!ief the oats an tne rsycrsc arc Si i AItJRE OA-J-1-14C.ATIrate FF'ICL:r..
correct srn that ail outlays were mama in iletm:lance With the grant cnnditicjns t]r
other agreement and than payments dme and has not been previously :enuesterr.
This mace for agency eau
l s-.
DAtzE RE{W "sr.an J
iYP Z OR PRINTED NAME AND TITLE 7. SHONE (AREA C9CL•,
NUMBED. c.11T11NS;ON)
• Cathleen Koch, Acting TrEr. 208/632-7142.
Public reporting 'awnen for this colietnon er irdolmatmn Is estimated to average fi0 rrenuter per resmonsc, imciuding tsi* roc
reyfewin' :asttueaarts, searching esfsiurr; data seurcts, gathetin- and ommtainrng the data needed. ass co malumg and
7evietvtng ;he caliecnori of mfortnantaa. lcnn cnrnvrer u regarding the burden esuatate or any other asiDe4 ai this caiiecsfon
cf information. iacivaing suggrsucas for reamein r bus mu-dem, to the Unica Marragemeat and 13uoget, Pmperwots iieaOItor,
Protect (0348-0004 , Washington, DC'(15i13.
PIZA5i: DO NCT RETURN YOUR COMPLETED ;<O11.7.1 TO THE OFFICE O MANAGEMENT G3rMENT AND BUDGET,
amp IT rU TUT, ADDR_ESS PROVII313D BY TIB 5PONSORING AGENCY.
INSTRUCTIONS
P:ease-type at' prey legibly. perms :, !, =, 9. 1[S, . ;c, ] le. 1.11, i ] g II:, ::1 acid :3 -ire seal explanatory: socclac aectrucnotts Mr other lIessLS ate 15 follows.
nrry
isxticite whether rearrest Ts prepared on cash sr accrued c:,ptitail:ore ban,. Ail
requests :or anvsrr:.e+ snail oe prepared on a caul amass.
4 alter due Neutral grant roamer, or other rde:ltirvrnr aumtrcr assigned by the ret':rral
seoosnnnn agency. if the :Lovann or rerthar:rsemerit s for note ratan our. err:: or
Greer agreement, Insert N/A; ties.. isww the=perm:. amonnts. Or, sea•rut
meet, list eaca grams cr anrecrner.z rammer cod ;ne tiles u snare or' cutszys roads:
agauut the gram sr agreement.
Ferrer the employer trierinheaucm stomper assigned by the U.S. Inremal Revenue
Segyrce, Ur use riC9 ;Ixstttuttorrl cone :: reaueste:t ray use Famrernl agenc.,
ha spate :s n.ere 1 for an itrraunC runner o other luenurtongg steamer that may
be SsoigIrii by the recipient.
araer [lis mania, day, and year ter the bcrunung and ending at the nelson an'crecl
L. inns realest If Pin refines/ rs for an advance or for boll]. art adman°° anti
roomo rsetaent, snow toe period that me :taysnnn and rernlhrursement, show art
°coca that the advance 71111 Cnvt: if the rcauesi ;, 7cr lelrnnertemell:. snow the
pentad Tor whitii the remtiursc x x1f is a :fLitirel.
Note: ''e Federal sponsoring aeerloles crave Ike cation of renttiri,g rcnn[xerrts to complete
:terns 1 I or la, put not boil_ f te^.'1 :2 should ie nsc:[ when only a R1iwxnera arnonrlt
ci reform s:moo is rseded to ma= an y0w40Ce aao oultav inform:mon contained in
lava 11 one Se omitted its a Ismety ;manner from other rexsortn
The auroom of :he'Yemen1 columns (al, fb), s01d (c) ss to Provide spacc ter %Tar-2W
coal nrealcaowni when a em nnz leas been asanncl and buogetetl oy program.
:unnuQn, at cc[vlty. if rdditionru mumps axe tli;ae^, I= as uumy additional
gonna as neemro aria rmar= nage number in Sparms orovimea rn upper right:
nowevc:. the stuntman, :orals of ail nrovaras. c: acavine , should or snow:; so or
'ratan" Caivaln-nn l n ?1161 Pa0e.
er tit "as nc sa4.' d:: rnnnit, ,any, and: veer ai he ending of ore aecnuctur.
]etlnn to Wh1C1 L11S amour,: :,noires. ?llrr: atogr1rtr ❑ut:art :o [late I,ne[ ei rettermi.
rellate., and esscnl[tltgj, 11 1nc -ro o-o5rolate er1l11nms, f'o; rerL`CSti nreoaretl ❑n a drag:
aa515. oulia's are the sprit cf actual .:ash. d'.snursemeccs :or gaud!' a::d s.rviees. ,he
areoun: of innirecl e:Ccerees coarse:, are male. of '.IS -Con Cant: kr:uoe. :apil1i..gild
rite 5.mn Ili III Caml ;,myaIICCS Milt] 4ayczzooss r[L^11 u. IC
Item.
museums -actors and auorecinir_mts, Far 'aauesr prepared on an aettrsed carets/Nture oast:..
cu[rays are the rams. of the =Ltllal cyan disbar acme., the :sacrum ai .5orairect
menses rncllrr.C:, and Ile net increase :or decrease; us 111C :ur_ottnis awed ov :be.. red1tert
for Proms amp auger araperr+ received are :or services pail-i nn:ed ray employees. cataracts.
suograntero anti payees.
i 1i, bnsrr ;he ct1emlarive catn atonic rccenvcti to date. 'tt requests arc i1rr.oared an a
cash 'oasts. For seen exam prepared nn a, accnen e:teemc,ae basis. enter cite.
eurmttlslive lncnnrtr easre3 :n ante. [ironer :them roams enter :army Toe amount
applicable in er-ograrm tr.Cnire the: was reriuued la 'on users for the prrlletr sir
program ay Inc t rios of Jlrsnt ear other agreement.
Uri i my Noe: ntnkxeg ICCF.1 sts tar advance naytneurs, curer the ..e1Zi tam -Lilted aril n:
s! cast °inlays that will ^c rnaut: timing me ^_erloll covered ay Lac advanct.
Cornetetr= the cenilcztion before submit -Wag this reane5:-
4T.l NmnRA FU0.M1t ;ion FA t",C Par, _-�':
REQUEST FOR ADVANCE
OR REIMBURSEMENT
(See instructions an back)
OMIT APPROVAL NO.
034R-O004
1. TYPE OF PAYMENT
REQUESTED
Standard Form 270
3. FEDERAL SPONSORING AGENCY AND ORGANIZATION ELEME'T
TO WIDICH THIS REPORT LS SUBMITTED
Department of Inferior - Bureau of Reclamation
E. EMPLOYER ]DENTIFIGATION
NUMBER
82600022.
PAGE ] OF 2 PAGES
a. one or bcrli oozes
[..IX ADVANC R.EM13URSEMENT
b ;Y' tRr applicable bar
FfAL LX PARTIAL
4- FEDERAL GRANT OR OTHER MEN -TIP -MG NUMBER
ASSIGNED BY FEDERAL AGENCY
7. Itcapr Yes &PERIOD COVERED IW TRJS REQUTEST
ACCOUNT NUMBER OR
1DEN IFYTNG NUMBER PROM (month day. yearll
153390111844
9. RECIPIENT ORGANIZATION 1OE PAY: (Where check is to be sent rrfdtfereru than item 9)
Name : Ciry of McCall
MonPer
and Slreer : PO Box 986, 2.16 E. Park St.
City, stale
and ZIP Code : McCall. ID 83638
..COMPUTATION or AMOUNT 0
eROGRAMs/FUNCTIaNS ACTIVITIES
a. Two) program (As of claret
outnny3 to day
b. Leis Cumulative program income
c. Net program autLays (Lute a muucr line
bl
Estimated act curt outlays for advance•
period
e- Total (Sam of lines c di
f. Non-Fcdcrd! share of amount of lice e
Name
Manlier
and Screel
City, Stale
and 7n' Code
REMOURS rfi'N"T/ADVA 'CES REQUESTED
(a)
e firfir.
(c)
3
BASIS OF REQUEST
1z CASE
ACCRUAL
5. PARTIAL PAYMENT
REQUEST NUMBER FOR
TIi15 REQUEST
.0"
TO frnanii.. dal yegrl
i en.":P,,
( .,
TOTAL
g. Federal share of amount on line c.—
h. Federal payments previously renucsitd
i- Federal bharc now rrqu eel (Lint g
minus lint lt)
7•
Advances rcqutred by
malt, when =messed M
iedcrai gt nrnr agency ter
use in making
QRxe..heduled advances
1st mooch
3M mono:
3rd month
I i L
*di' •,
AI.T1D NATE COMPUTATION FOR ADVANCES ONLY
L
a. Estimated Fe.dcmf cash outlays that will br, mane doting period covered by tnc affront=
h- Less Estimated ballet= of Pederm cash ort hand as of ❑ct'oinine ni advance certod
t• Amours Teauestcd fUtne a minus kne bl
OMB APPROVAL NO.
REQUEST FOR ADVANCE o3as-0ona
OR REIMIIURSEMENT
(Sce Insn-uctions o11 back)
1- TYPE OF PAYMENT
REQUESTED
Standard Form 270
PAGE i OF 2 PAGES
:X" one at- bath bazef H.a_S/S OF REQUE.SI'
❑iIV t AANC :..I RarimuRSFi+ ENT raH.
b. "X" live appLt. ble box D�
❑ FINAL ^ PARTIAL,
❑ ACCRZIAL
]. FEDERAL SPONSORING AGENCY AND ORGANIZATION EIEMEN1 4 FEDERAL GRANT OR OTHER IDENTIFYING NUMBEN. 5. PARTIAL PAYMI7r7
TO WHICH THIS RETORT IS SUBMITTED ASSIGNED BY FEDERAL AGENCY REQUEST N31MBE_k FOR
TFIS REQLi
Departmcru of Inferior — Burcau of Reclamation
6. EMPLOYER IDIIYTTFICATION
NUMBER
S26000223
7. RECFPII:I" S
ACCOUNT NUMBER OR
IDENTIFYING NUMBER
153390111844
8.PERTOD COVERED BY TEM REQUEST
FROM (month, day, yen;})
Tq (mdvtth, gin vend
9- RECIPIENT ORGANIZATION 10 PAYEE (Where them- is to be sent of diXrnr than u4711 9)
Name : Cuy+ of McCall
Member
and sweet : PO Box 986, 216 E. Park St.
cry, Sfare
dnd ZIP Cade : McCa1'- ID 83638
Nance
Number
and Streu
City, Slate
mui ZIP Code
11-COMPUTATION OF AMOUNT OF RE URSEMENTIADVANCES REQUESTED
[al
?ROGRAMSJFUNCTIONS ACTIVIT1E -
a. Total program (As of dale)
outlays to day
b. Less': Currerlativr. program income
c_ Net program outlays i a moues Gnr
11
d- Esuntated net cab owla_vs for advance
lrthoc
c. Total (Sum a(fener c & d)
r. Nan -Federal shue of amens clime e;
g. Federal share o[ arrtpuru on lute
r. Federal pavmetuS previously requester!
I. Fcderai &hart now requested (1.43e.
mints lire h)
l•
Advances requires{ by
month. when requested tr
Federal gramor agency ha:
use m making
prrschcchded advances
ist mantle
2nd morn':
3rd month
•,s •
,S , ice• I
�,.. „�. $ i.e..
ALTr:RNATE COMPUTATION FOR ADVANCES ONLY
a Estimated Federal rail outlays th t will be msdc fj urur nenod CO.cowereil by tecAgvance
b Less- Eima nl balanr: of Federal cash an hand as of beemrunn of advance timed
c. Amount rettussmd (Lrne a,nuiw line bl
r,'
'rOrAL,
OMB APPROVAL: NC.
REQUEST FOR ADVANCE 0348-0004
OR REMBURSEMENT
(See instructions on back)
Standard Form 270
PAGE 1 ❑1= ? PAGES
TYPE OF PAYMENT I a_ X' one or both saxes 1 HASIS Di= REQUEST
REQUESTED 1 DX ADVANCE RE uksEJ rr 1 DX CASE
b.b.y "X' the applicable barn
J FINAL air. PARTIAL
3. FEDERAL SPONSORING AGENCY AND ORGANIZATION FW. ENT 1. FEDERAL GRANT OR OTHER IDENTIFYING NUMBEJ?
TO WHICH TIIISS REPORT IS SUBMITTED
Department o f Interior — Bureau of Reclamation
6. EMPLOYER. IDE TTFICATIDN
NUMIBER
F26000222
9. RECIPIE?{T ORGANL7.A ION
Name : Ciry of McCall
f7. RECIPIENT'S
ACCOUNT NUMBER OR
IDI N IFYTNG NUMBER
153390111844
Number
and Street = PO Box 986, 216 E. Path St.
Cy, State
and71P code : McCall, ID 83638
1. COMPUTATION OF AMOUNT or
eROGRAM.SIFUNCTIONS ACx'IYWTIIES
Total program
otivays to day
(.is of date)
a_ Less: C.unuLzuve program incr nit
c_ Net pmgram outlays pine a mthie tine
ht
d- Estimated net Bash outlays for advance
penal
ASSIGNED BY FEDERAL AGENCY
&PERIOD COVERED BY THIS ,REQUEST
FROM tmomlt, day. yearlJ
10. PAYE.% (Where check a to be sent tr cliprenl than am 9)
Name
Number
and Street
City, Stale
and ZIP Cane
REIMBURSEMENT/ADVANCES REQUESTED
(a)t •�„"+ (b)
e. Total (Boni of lines c & dj i� l
Non -Federal share of amcsant of lint r. CC 4
,0 r
g. Federal share of - • do line t go. t '
l:. Federal payments previously requested ' �' ��y
i. Federal share now nequeued (line e
rntmu tint b)
j. Advances required by
=Ma, when requesied by
Faaetat grantor agency ter
use in m>aiang
preacheduled advances
I marsh
If 7.nd moor.
3ed month
ALTERNATE CDtw'T1'TATJON FOR ADVANCES ONLY
7 j
(c.)
ACCRUAL
5, PARTIAL. PAYMENT
REQUEST HUMBER FOR
MS REQUEST
it 7
TO (month, da . year]
a. Esnrnatrtt Federal cash outtays that will be maae drain[ oerrod covered by the advance
n. Less: Etsmaat balance. of Federal crab on lurid ae of beetrfnine ofJirlvanre rent
c. Amount rt:vttr3ted (Lane a menus line bl
c
TOTAL
Standard Form 270
OMB APPROVALNO.
REQUEST FOR ADVANCE
OR REIMBURSEMENT
Q34M- fl 4
TYPE OF PAYMENT a. X' one or both hale
REQUESTED
(Sec :nsIruC.ions on back)
?AGE
El ADVANCE 0 RETh(BURSEMENT
h. the apph'cabie Dar
--7�
0 FINAL LJ PARTIAL
OF ?AO
BASIS OF REQUEST
0 CASii
ACCRUAL
F=DERAL SPONSORING AGENC4' AND ORGANIZATION ELEMENT 4. FEDERAL GRANT OR OTHER IDENTIF':'ING NUMBER S. PARTIAL PAYMENT
TO WHICH THIS REPORT [E SUBMITTED ASSIGNED BY FEDERAL AGENCY REQUE.S i NUMBER FOR
THIS REQUEST
❑. EMPLQYER IDENTIFICATION
NUMBER
P. RECIPIENT ORGANIZATION
Name
7. RECIPIENT'S ACCOUNT
NUMBER OR
IDENTRFYINC NUMBER
PERIOD COVERED BY THIS REQUEST
FROM lmnnrh, day, year) I TO !mown. air.. Tear)
10. PAYEE (Where cheek Is to be sere 4-different than hem gi
Nome
Momper ,Yumber
and Street and .itreet
Ctr., Stare
and ZIP Code
ay. Slate
and ZIP Code :
COMPUTATION OF ."..MOUNT OF REIMBURSEMENT/ADVANCES REQUESTED
PRGGRAMSIFUNCTIONS AC IVfl1ES
a. Total program f4sofdraw
outtays to day
h, Less- Cumulative oroeram income
c Net program outmays fllm a nano) liar
stltnated net cash outlays far advance
rr.•]rxl
Tu31)Sumcflines cd)
N n-Feneral share of amount of Tine
- . Federal share of amount an line e
Federal D2Vmerms previously requested
L. reuetnr snare now reguestrsi (Luc
:mmous line h1
i•
Advances required by 1st month
mow.. Whcn reQuocetl
Feuer.' Grantor agcnc.y for in month
use ;n malun;
areschululeI advane - 3rd month
(ay
1
(b)
tc)
ALTERNATE COMP!JTATION FOR ADVANCES ONLI
EEtimatei Federal cash outtays that will he inane during nertrxl covered by air -advance
47.54111114e_1 balance of Fec:erat c:--n on :tans as of ^)arming or advance tenor!
Amount requested !Lane a minus hoe al
r1UTHORIZED FOR LOCAL REPRODUCTION !Cowmen! on Reverse)
Standard Form 270 Wart' ci-J
!f tl r+ r7
r0TAL
1 2
Si no -d Form. 270 litre
PrtitatheLl by hex ,rc Yhougemenr attti Buu;r
C..-. N .A- l a_ avil A.4 t,
certify :hat :u the ocs: of my knowledge and belief me dam on tic reverse are
earn i and that ail outlays were woe to acerhrnance will Me grant connitujns or
OM; aereemerir arm gnat payrnent is due 411d fps ant been Previously rquesteu
Trus space for agency use
Please rype or prim legibly.
CERTIFICATION
S;ONATURE OF AUT}IORIZZD CERTIFYING GFE1CIAI-
TYPED OR PRINTED ~TAME AND TTI LB:
r i
colt c r-+[' �[, f ,- �c
Pubhc reporting burden for this collection of information is estimated in average 60 minuses per response, mesuding ome for
reviewing instructions. searching extern; data sources, gal nennP-, end mauntatmne the dam needed. and completing and
:eviewtng tee coiieciwn of morn:anon. Send comments regarding the burden t-atsriram or any other aspen of this collection
❑r Iniortnaaot• including suggestions for seeunng this burden. to the Office of Mnaagemer:. and 9tedget. Paperwork
Reauutou Project 111334F-+JtYk1], Washingtont. OC 21.15U3-
IPLEASE DO NOT RETURN' YOTJR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET,
SEND IT TO THY: ADDRESS PROVIDED BY THE SPONSORING AGENCY.
INSTRUCTIONS
Items 1, 3, 5. 4, 10. 11c, Ile, 11f, 1 ig, 11i. 12 and 13 are self-explanatory; specific instructions for other items ue as follows:
hem C`rur•
Indicate whether request is prepared on each or accrual expendinure basis. All
tequests ror ,tdvarces shall be prepared on a rasa barns.
Enter :he Federal grant pumper, or other identifying number assigned by the
,=Boost poriionng agertrr. 1f me advance or reimbursement is for more than one
Brant or other agreement, Insert NI A; ticn_ show tie aggregate amounts. On a
separate sheet. list cacii grant or agreenem aumder and the rvderal share of outlays
matte against the grant or agreement.
fi Enter ire employer identification tutmbe: assigned by the U.S. Iruernal Revenue
Service., OF the FICE Ilrisnmuon) cone if requested by the Federal agency.
This space is reserved for an account number o other iacnrifythg number that may
op assigned Py pie recipient.
$ Enter the month. day, aid year for the beguuung and ending of the period covered
in this revues:. 1f the request is for art advance or for both an. advance aril
relineurserner1L. tl1PW the period that the stVat = and t;rnbursemut, show The
period that the advance will :uvice. If the =near is for tcunuursemenu, show um
period for wntr.h Inc refmbursemert u rectum/ed.
etc•. The Festerat sponsoring ;amines nave the option of requiting rerdptenti tb complete
dents 11 or 12, but not bath. Item 12 should be used when only a minimum amount
tit information is needed :b mike an advance and outlay information Contained in
dear] 1 i can be obaincd in a unsay manner from other reports
11 The purpose of the vernal column! {a), lb), and () is to provide space for separate
cast oreakdowrrs when a project has been Manned and btaigeed by program,
ntecrton, or activity. If additional columns are needed, use as many additional
rams as needed and tndtcuc page number in space provtaen in upper right:
nnwever. the summary locals of all programs, or activism should be shown in the
':oral' cduunn on Inc first page.
la Erie: in 'as of date," die month, day, and year of the ending of the accnunang
period ;o wnteh this amount appinec. Fairer program outlays to date tau of tefund;,
:crates. and discounts). in me appropname coiumru. For retruesu prepared on a
aan oasis. outlays are tie sum of ac-tual case discuretnemt for goods and servum..
amount of irdi'c=t expenses :aargefi. the vazue cf m-ktnu coma -muttons appilec.
and the acrwunt of c:asn auvaices aria payments mace to
lief( Enrry
sooco factors and subreeiotents. Far request preparai tin an accrued expenditure basis.
7dtlay% are the sum of :he actual cash disnursernents. Ole amount or indirect
expenses dlc:l:red, and tie rmct increase tar decrease) do the annulus owed by the recipient
:tr Scads and o,ner property treci rl ant for sen'lces performed by employees. conrraers.
suegrintees and payees.
DATE a.EC,I.rE2T
sushi! i ,c
TELEPHONE (AREA. COOE.
NUMBER. EXTENSION)
7 ' •
I i h Enter die currad ttve cash income reecvee t0 date. if requests are prepared on a
cash bases. ?for requests prepared on an accrued expenditure bests, ester the
cumulative income tame; to dais_ Under etcher basil. rover only fee amount
applicable to program income mat was required to oc used !or the project or
program by Inc terms of the grant or other agreement.
I ld Only wnei snaking requests fur advance payments, enter Inc total estururoa amount
df man outlays :hat wilt be made during Inc period coverer siy the a tV0fce.
13 Complete the cenificinon berate subaurrscg this requcl.
STANn►oth FORM 210 BAC:.;Ref.:-92)
a Application! j 141 161 15117 Revised i
b Total Program Outlays $ 3.809.892.00 $ 3,826,347.00 $ 4,404,379.84 $ 4,746,024.45
Cumulative Program
c Income
d Net Program Outlays $ 3,809,892,00 $ 3,826,347.00 $ 4,404,379.84 $ 4,746,024.4:5
Estimated Net Cash
e Outlays for Advance Period
Total Program Outlays $ 3,809,892.00 $ 3,826,347.00 $ 4,404,379.84 $ 4,746,024.45
Non -Federal Amount of
Line e S - S - S - $ 17,764.00
Federal Payments
h Previously Requested S 3,099,972.00 $ 3,809,892.00 $ 3,826,347.00 $ 4,404,379.84
Federal Share Now
Requested $ 709,920.00 $ 16,455,00 $ 1,128,024.50 $ 636,553.00
Returned to BOR: $ {549,991.66) $ (294,908.39)
115 Revised
/9_1
S 4,858,754.45 $ 5,495,307.45
$ 4,858,754.45 $ 5,495,307 45
$ 4,858,754.45 $ 5,495,307.45
$ 4,746,024.45 $ 4,858,754.45
S 112.730.00 5 636,553.00
4
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BOR 270
a
b
c
d
e
h
Total Program Outlays
Less cumulative program income
Net Program Outlays
Funds returned to BOR
Total
Non -Federal Share
Federal Share
Federal Payments Previously Requested
Federal Share Now Requested
Program Outlays:
Construction
JIJB
City Legal
Liquidated Damages
Payabie to Contractor
14 15
5 3,809,892 S 4.937.917
5 3,809,892 5 4,937,917
S (549,991)
5 3,809.892 $ 4,387,926
$ 3.809.892
5 3,099,972
5 709,920
5 4,937,917
5 3,809,892
$ 1,128.025
16 17 18
S 4,404,381 $ 5,024,479 S 5,024,479
S 4,404,381 $ 5,024,479 $ 5,024,479
S 4,404,381 5 5,024,479 $ 5,024,479
S 17,764 $ 17,764
S 4,404,381 5 5,006,715 5 5,006,715
5 4,387,926 $ 4,404,381 5 5,040,934
$ 16.455 5 636,553
$ 772,938
5 193,920
5 18,604
$ 315,000
5 245,414
t o - " v n W - 0 p > " J ` a o 1 3 a a 2 i
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Standard Form 270
l !
OMB .,1PPROVAL NO. f PAGE i OF 2 PAGIE
REQUEST FOR ADANCE — — [T346 dada
`F I
OR REIl! BI RSE.MENT
(See instructions on back)
TYPE OF PAYMENT
REQUESTED
3 FI=DERA:. SPONSORING AGENCY AND ORGrlNIZATION ELEMENT
TO WHIC THIS REPORT IS S1JBMIT7E7
Department of Interior — Bureau of Reclamarion
d ENOS-C./Ye. IDENTiFIC ATION
NUM8F1t
826000223
i . RECII'IENIT'S
ACCOUNT NUMBER OR
IDENTIFYING NUMBER
153390111844
a. ,i"olle or both to
�"L�, ADVANCE REIMBURSEMENT
b. "X" tide appt catle box
FINAL PARTIAL.
BASIS DE, REQUEST
Dx CAST]
ACCRUAL
4. FEDERAL GRANT DR DTf ER IDENTIFYING NUMBER 5. PARTIAL PAYMENT
ASSIGNED BY FEDERAL AGENCY REQUEST NUMBER rOR
THIS REQUEST
&PERIOD COVERER BY TEIS REQUEST
:FROM mania.•, day. yearly
9- RECIPIENT ORGANIZATION 10. PAYEE Where check rs ro Ge sent ?rdr�ereru chart trap 9}
Name : City of McCall
Primer
and Sheer _ PO agar 986, .216 E. Prim
Cary, Slone
and?1P Code • McCall, ID 83638
Name
Ntonver
and Srreu
Ory, Stare
and2JPlad,. -
tI-COMPUTATION OF AMOUNT Cr RE MBITRSEMNTIADVANCES REOU STET)
eRUGRAMSIFENCTIONS ACTIVITIES Y
a Total program !As of dare)
outlays rn day
a. Less: Currwrauve program utwmc
c- tie•. program outlays (Lrne d hats tore
bl
d. E uotated net eon au:lays for advance
pennci
lotaI (Sum ofirrIn c & r11
1. Non -Federal &bare of amount of line e
g Federai share of amount on line
a. Federal payments nteviausly reoueseti
i. Federal share now requested (Line
minw Eta_ trj
l•
Advances required by
month. when mauenled by
Federal grater agency for
use in rnalong
nrescheduted advances
1st month
2ita manta
3rd mond.
(a)
/ 77C. y
// Z 729. 731
ALTERNATE COMPUTATTCH FOR ADVANCES. ONLY
a Esorrrated Federal each rnr!la"r that will he made durum -nod covered by vie advance
:J- Less: Estimated balanoo n! Feaerat Lasn 17R ]land .1s of beotnninv. G 1avan[c ner1t?:
TC) {nutr.h• day year)
TOTAL
Amount recuested !Lane a minus line b:
_?_
July 2, 2001
amount, we would be required to pay the contractor or surety that amount. Any remaining funds categorized
as strictly liquidated damage, would most !!melt remain with BOR.
(Total Program Outlays to Date:
Less: Cumulative Program Income.
/fir ; 16 15! 171
I $ 3,826,347,00
f' $ 3,809,892.00
!Net Program Outlays: ?7 O( S 12- 1$ 16,455.00
(Estimated Net Cash Outlays for Advance Period: t $
Total:
Non -Federal Share of Amount on Line e.
Federal Share of Amount on Line e. 5S.09 2— I1S
!Federal Payments Previously Requested: pg997`�t
Federal Payments Now Requested:
(Funds returned:
G'rltZ Is
7t) 9 i.c $
16,455.00
16,455.00
16,455.00
$ 4,954,372.00
II $ 3,809,892.00
$ 1,144,480.00 1
$ - I
$ 1,144,480.00
18.
$ 4,846,172.00 1$ 4,746,376.00
$ 4,404,381.00 i $ 4,846,172.00
$ 441,791.00 $ (99,796.00) 1
$ 441,791.00 I $ (99.796.(10)
I
$ 1,144,480.00 15
1 $ 16,455.00 1
I $ 1,128,025.00
IS (549.991.00)
17,764.00
424,027.00 IS 199,798.00)
$ 424,027.00 $ (99,796.00)
Enclosed is a revised Standard Form 270 number 18. The figures reflected on the revised form are
based on the information above. The table above shows thc last four applications for reimbursement as they
would have been submitted if -we were to operate as outlined in this letter. Flease note that the S549,991
returned to BOR is deducted from Line b under application 17. Given that we have in our account funds that
arc in excess of what should have been requested while we have outstanding applications, I am requesting
guidance on the return of those funds. Should we return thc full amount, or reduce the returned amount by
the open applications hut not release the funds to the surers•until yuu have approved thc applications? If v.e
hold the 5112,730 for the pending application, we 'would remit a check to BOR for 599,796, as shown on the
revised SF 270 and the table above. To avoid delay in returning funds to BOR, -we have enclosed a cheek for
that arnoura.
Best Regards,
Robert A. Strove
Carr' Manage r