HomeMy Public PortalAbout022-2023 - INDOT - grant agreement (references BOW-RES 3-2021) DocuSign Envelope ID:E2DE98EA-794B-4DDB-ACEE-8E2BB88F59E2
LOCAL ROADS AND :BRIDGES MATCHING GRANT AGREEMENT
Contract #0000000000000000000070351
This Grant Agreement (this "Grant Agreement"), entered into by and between the Indiana Department of
Transportation (the "State") and CITY OF RICHMOND, a Local Unit, (the "Grantee"), is executed
pursuant to the terms and conditions set forth herein, In consideration of those mutual undertakings and
covenants,the parties agree as follows:
1. Purpose of this Grant Agreement; Funding Source. The purpose of this Grant Agreement is to
enable the State to award a Grant of$196,935.00 (the "Grant"), representing 50% of the eligible costs of
the project(the"Project")described in Attachment A of this Grant Agreement,which is incorporated fully
herein. The funds shall be used exclusively in accordance with the provisions contained in this Grant
Agreement and in conformance with Indiana Code ch, 8-23-30 establishing the authority to make this Grant,
as well as any rules adopted thereunder. The funds received by the Grantee pursuant to this Grant
Agreement shall be used only to implement the Project or provide the services in conformance with this
Grant Agreement and for no other purpose.
FUNDING SOURCE
State Funds: Program Title: Local Road and Bridge Matching Grant Fund(LC. ch. 8-23-30).
2. Representations and Warranties of the Grantee.
A. The Grantee expressly represents and warrants to the State that it is statutorily eligible to receive these
Grant funds and that the information set forth in its Grant Application is true, complete, and accurate. The
Grantee expressly agrees to promptly repay all funds paid to it under this Grant Agreement should it be
determined either that it was ineligible to receive the funds,or it made any material misrepresentation on its
grant application.
B. The Grantee certifies by entering into this Grant Agreement that neither it nor its principals are presently
debarred, suspended, proposed for debarrnent, declared ineligible or voluntarily excluded from entering
into this Grant Agreement by any federal or state department or agency. The term"principal" for purposes
of this Grant Agreement is defined as an officer, director, owner, partner, key employee or other person
with primary management or supervisory responsibilities, or a person who has a critical influence on or
substantive control over the operations of the Grantee.
C. The Grantee has committed matching funds from one of the following revenue sources in accordance
with hid. Code § 8-23-30-3: (1) any money the local unit is authorized to use for a local road or bridge
project; (2) special distribution of local income tax under hid. Code § 6-3.6-9-17; or (3) local rainy-day
fund under lnd, Code § 36-1-8-5.I.
D. The Grantee uses an approved transportation asset management plan on file with the State.
3. Implementation of and Reporting on the Project.
The Grantee shall implement and complete the Project in accordance with Attachment A and with the
plans and specifications contained in its Grunt Application, which is on file with the State and is
incorporated by reference. Modification of the Project shall require prior written approval of the State.
4. Term. This Grant Agreement commences on the date approved by the State Budget Agency and shall
remain in effect for two (2) years. Unless otherwise provided herein, it may be extended upon the written
agreement of the parties and in conformance with Ind. Code§ 5-22-17-4, and as permitted by Ind. Code ch.
8-23-30,
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The Grantee understands that the Grantee must procure materials and/or a contractor for the Project no later
than four(4) months from the date of the award letter, attached hereto as Attachment B and incorporated
fully herein. Utile Grantee fails to procure a contractor by four(4) months from the date of the award letter,
the Grantee forfeits the Grant, the grant funds shall not be distributed to the Grantee but shall be
redistributed as all other funds under Indiana Code ch. 8-23-30.
5. Grant Funding. Pursuant to Ind.Code ch, 8-23-30, the Grantee agrees to the following:
A. It may use the State funds only for the Project described in Attachment A;
B. If it uses the grant funds for any purpose other than construction of the Project as described in
Attachment A, the Grantee:
must immediately repay all grant funds provided to the State;and
may not participate in the grant program during the succeeding calendar year.
C. It shall provide local matching funds equal to not less than 50"/o of the estimated project cost;
D. Disbursement of grant funds will not be tirade until the Grantee's submission of an accepted/awarded
Project Material Bid and/or an executed contract with the contractor;
F. The State's participation in the Project i strictly limited to the grant funds awarded herein. The Grantee
understands and agrees that the State is under no obligation to pay for or participate in any cost increases,
change orders,cost overruns or additional Project expenses of any kind,
6. Payment of Claims.
A.If advance payment of all or a portion of the Grant funds is permitted by statute or regulation, and the
State agrees to provide such advance payment, advance:payment shall be made only upon submission of a
proper claim setting out the intended purposes of those funds. After such funds have been expended,
Grantee shall provide State with a reconciliation of those expenditures. Otherwise, all payments shall be
made thirty-five (35)d.ays in arrears in conformance with State fiscal policies and procedures. As required.
by IC § 4-13-2-1.4.8, all payments will be by the direct deposit by electronic funds trans for to the financial.
institution designated by the Grantee in writing unless a specific waiver has been obtained from the Indiana
Auditor of State,
B. Requests for payment will be processed only upon presentation of a Claim Voucher in the form
designated by the State. Such Claim Vouchers must he submitted with the budget expenditure report
detailing disbursements of local funds.
C. The State may require evidence furnished by the Grantee that substantial progress has been made
toward completion of the Project prior to making the payment under this Grant. All payments are subject
to the State's determination that the Grantee's performance to date confonns with the Project as approved,
notwithstanding any other provision of this Grant Agreement.
D. Pursuant to Ind. Code ch. 8-23-30, Local Road and Bridge Grant Funds made available to the Grantee
by the State will be used to pay the Grantee for up to 50% of the eligible Project costs and not more than.
$1 million. The maximum amount of state funds allocated to the Project is $1.96,935.00. The Grantee
understands that maximum amount of Local Road and Bridge Grant funds may not exceed more than $1
million for all qualifying projects the Grantee may have in a calendar year.
F. Claims must be submitted with accompanying supportive documentation as designated by the
State. Claims submitted without supportive documentation will be returned to the Grantee and not
processed for payment. Failure to comply with the provisions of this Grant Agreement may result in the
denial of a claim for payment.
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F. Pursuant to Ind, Code § 8-23-30-3, the Grantee's 50% match shall he paid from one of the identified
revenue sources. The remainder of the Project costs greater than the total of the State's grant and the
Grantee's 5g% match shall be borne by the Grantee and may he paid how the Grantee chooses. In the
interest of clarity and to avoid misunderstanding, the State shall not pay the Grantee for any costs relating
to the Project except as specifically provided herein, unless the Parties enter into art amendment to this
Grant Agreement.
7. Project Monitoring by the State. The State may conduct on-site or off-site monitoring reviews of the
Project during the term of this Grant Agreement and for up to ninety (90) days after it expires or is
otherwise terminated, The Grantee shall extend its Mil cooperation and give full access to the Project site
and to relevant documentation to the State or its authorized designees for the purpose of determining,
among otherthings:
A. whether Project activities are consistent with those set forth in Attachment A, the Grant
Application, and the terms and conditions of the Grant Agreement;
B. that Grantee is making timely progress with the Project, and that its project management,
financial management and control systems, procurement systems and methods, and overall
performance are in conformance with the requirements set forth in this Grant Agreement and
are hilly and accurately reflected in Project reports submitted to the State.
8. Complia.n.ce with Audit and Reporting Requirements; Maintenance of Records.
A. The Grantee shall submit to an audit of funds paid through this Grant Agreement: and shall make all
books, accounting records and other documents available at all reasonable times during the term of this
Grant Agreement and for a period of three (3) years after final payment for inspection by the State or its
authorized designee. Copies shall be furnished to the State at no cost.
B. If the Grantee is a "subrecipient" of federal grant funds under 2 C.F.R. 200.331, Grantee shall arrange
for a financial and compliance audit that complies with 2 C.F.R. 200.500 et seq. if required by applicable
provisions of 2 C.F.R. 200 (Unitbrm Administrative Requirements, Cost 1)rinciples, and Audit
Requirements).
C. The Grantee shall file the annual financial report required by Ind. Code § 5-1.1.-1-4 in accordance with
the State Board of Accounts Uniform Compliance Guidelines for Examination of Entities Receiving
:Financial Assistance from Govemmental Sources. All grant documentation shall be retained and made
available to the State Board of Accounts if and when requested.
D. A final audit construction invoice detailing the actual costs of construction and proof of payment to the
contractor must he submitted to the State within thirty (30) days of completion of the Project. If for any
reason, including overpayment of grant funds to the Grantee, the Grantee is required to repay to the State
the sum or sums of state funds paid to the Grantee under the terms of this Grant Agreement, then the
Grantee shall repay to the State such sum or sums within forty-five (45) days after receipt of a billing from
the State, Payment for any and all costs incurred by the Grantee which are not eligible for state funding
shall he the sole obligation of the Grantee.
E. If for any reason the State finds noncompliance and requires a repayment of state funds previously paid.
to the Grantee,the Grantee is required to submit such sum or&dins within thirty(30) days after receipt of a
billing from the State. If the Grantee has not paid the full amount due within sixty (60) calendar days past
the due date, the State may proceed in accordance with Ind Code § 8-1.4-1-9 to compel the Auditor of the
State of Indiana to make a mandatory transfer or funds for the Grantee's allocation of the Motor Vehicle
Highway Account to the State's Local Road and Bridge Matching Grant Fund account until the amount due
has been repaid.
9. Compliance with Laws.
A. The Grantee shall comply with all applicable federal, state and local laws, rules, regulations and
ordinances,and all provisions required thereby to he included herein are hereby incorporated by reference.
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The enactment or modification of any applicable state or federal statute or the promulgation of rules or
regulations thereunder after execution of this Grant Agreement shall be reviewed by the State and the
Grantee to determine whether the provisions of this Grant Agreement require .forrrral modification.
B. The Grantee and its agents shall abide by all ethical requirements that apply to persons who have a
business relationship with the State as set forth in IC§ 4-2-6,et seq., IC§ 4-2-7,et seq.and the regulations
promulgated thereunder. If the Grantee has knowledge, or would have acquired knowledge with
reasonable inquiry, that a state officer, employee, or special state appointee, as those terms are
defined in IC 4-2-6-1, has a financial interest in the Grant, the Grantee shall ensure compliance with
the disclosure requirements in IC § 4-2-6-10.5 prior to the execution of this Grant Agreement. If the
Grantee is not familiar with these ethical requirements, the Grantee should refer arty questions to the
Indiana State Ethics Commission or visit the Inspector General's wehsite at http://www.in.gov/ig/. If the
Grantee or its agents violate any applicable ethical standards,the State may, in its sole discretion,terminate
this Grant immediately upon notice to the Grantee. In addition, the Grantee may he subject to penalties
under IC § 4-2-6, 4-2-7, 35-44.1-1-4, and under any other applicable laws.
C. The Grantee certifies by entering into this Grant Agreement that neither it nor its principal(s) is presently
in arrears in payment of taxes, permit fees or other statutory, regulatory or judicially required payments to
the State. The Grantee agrees that any payments currently due to the State may be withheld from payments
due to the Grantee. Additionally, payments may he withheld, delayed, or denied and/or this Grant
suspended until the Grantee is current in its payments and has submitted proof of such payment to the State.
D. The Grantee warrants that it has no current, pending or outstandutg criminal, civil, or enforcement
actions initiated by the State, and agrees that it will immediately notify the State of any such actions.
During the term of such actions,the Grantee agrees that the State may suspend funding.for the Project. "fa
valid dispute exists as to the Grantee's liability or guilt in any action initiated by the State or its agencies,
and the State decides to suspend funding to the Grantee, the Grantee tray submit, in writing, a request for
review to the Indiana Department of Administration (JDOA). A determination by [DOA shall be binding
on the parties. Any disbursements that the State may delay, withhold, deny, or apply under this section
shall not be subject to penalty or interest.
E. The Grantee warrants that the Grantee and any contractors performing work in connection with the
Project shall obtain and maintain all required permits, licenses, registrations, and approvals, and shall
comply with all health,safety,and environmental statutes,rules,or regulations in the performance of work
activities tor the State. Failure to do so may be deemed a material breach of this Grant Agreement and
grounds for immediate termination and denial of grant opportunities with the State,
F. The Grantee affirms that, if it is an entity described in IC Title 2.3, it is properly registered and owes no
outstanding reports to the Indiana Secretary of State,
(I As required by IC § 5-22-3-7:
(I) The Grantee and any principals of the Grantee certify that:
(A) the Grantee, except for de min inns and nonsystematic violations, has not
violated the terms of
(i) IC § 24-4.7 [Telephone Solicitation of Cons umers1;
(ii) IC § 24-5-12 ['Telephone Solicitations]; or
(iii) IC § 24-5-1.4 [Regulation of Automatic Dialing Machines];
in the previous three hundred sixty-five(365)days,even if IC 24-4.7 is
preempted by federal law; and
(B) the Grantee will not violate the terms of IC§ 24-4.7 for the duration of this
Grant Agreement, even if 1EC §24-4.7 is preempted by federal law.
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(2) The Grantee and any principals of the Grantee certify that an affiliate or principal of
the Grantee and any agent acting on behalf of the Grantee or on behalf of an affiliate or
principal of the Grantee, except for de minimis and nonsystematic violations,
(A.)has not violated the terms of IC§ 24-4.7 in the previous three hundred sixty-
five (365) days,even if IC § 24-4.7 is preempted by federal and
(B) will not violate the terms of IC § 24-4,7 for the duration of this Grant
Agreement even if IC § 24-4.7 is preempted by federal law,
.10. Debarment and Suspension.
A. The Grantee certifies by entering into this Grant Agreement that it is not presently debarred,suspended,
proposed for debarment, declared ineligible or voluntarily excluded from entering into this Grant by any
federal agency or by any department, agency or political subdivision of the State. The term"principal" for
purposes of this Grant Agreement means an officer, director, owner,partner, key employee or other person
with primary management or supervisory responsibilities, or a person who has a critical influence on or
substantive control over the operations of the Grantee.
B. The Grantee certifies that it has verified the suspension and debarment status for all subcontractors
receiving funds under this Grant Agreement and shall be solely responsible liar any recoupments or
penalties that might arise from non-compliance, The Grantee shall immediately notify the State if any
subcontractor becomes debarred or suspended,and shall,at the State's request,take all steps required by the
State to terminate its contractual relationship with the subcontractor for work to be performed under this
Grant Agreement.
11. Drug-Free Workplace Certification. As required by Executive Order No. 90-5, April 1.2, 1990,.
issued by the Governor of Indiana, the Grantee hereby covenants and agrees to mike a good faith effbrt to
provide and maintain a drug-free workplace. Grantee will give written notice to the State within ten (I.0)
days after receiving actual notice that the Grantee, or an employee of the Grantee in the State of Indiana,
has been convicted of a criminal drug violation occurring in the workplace. False certification or violation.
of the certification may result in sanctions including, but not limited to, suspension of grant payments,
termination of the Grant and/or debarment of grant opportunities with the State of Indiana for up to three
(3) years.
In addition to the provisions of the above paragraphs, if the total amount set forth in this Grant Agreement
is in excess of$25,000.00, the Grantee certifies and agrees that it will provide a drug-free workplace by:
A, Publishing and providing to all of its employees a statement notifying them 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 violations of such prohibition; and
B. Establishing a drug-free awareness program to inform its employees of: (I) 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 an employee for drug abuse violations occurring in
the workplace; and
C, Notifying all employees in the statement required by subparagraph (A) above that. as a
condition of continued employment the employee will: (I) abide by the terms of the
statement; and (2) notify the Grantee of any criminal drug statute conviction for a violation
occurring in the workplace no later than five (5) days after such conviction;and
D. Notifying in writing the State within ten (10) days after receiving notice from an
employee under subdivision (C)(2) above, or otherwise receiving actual notice of such
conviction;and
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E. Within thirty (30) days after receiving notice under subdivision (C)(2) above of a
conviction, imposing the following sanctions or remedial measures On any employee who is
convicted of drug abuse violations occurring in the workplace: (I) take appropriate personnel
action against the employee,up to and including termination; or (2) require such employee to
satisfactorily participate in a drug abuse assistance or rehabilitation program approved fbr
such purposes by a federal, state or local health, law enforcement, or other appropriate
agency;and
F. Making a good faith effort to maintain a drug-free workplace through the implementation
of subparagraphs(A)through(E) above.
12. Employment Eligibility Verification. As required by IC § 22-5-1,7, the Grantee hereby swears or
alTimis under the penalties of perjury that:
A. The Grantee has enrolled and is participating in the E-Verify program;
B. The Grantee has provided documentation to the State that it has enrolled and is
participating in the E-Verify program;
C. The Grantee does not knowingly employ an unauthorized alien.
a The Grantee shall require its contractors who perform work under this Grant Agreement
to certify to Grantee that the contractor does not knowingly employ or contract with an.
unauthorized alien and that the contractor has enrolled and is participating in the E-Verify
program.The Grantee shall maintain this certification throughout the duration of the term of a
contract with a contractor.
The State .may terminate default if the Grantee fails to cure a breach oEth is provision no later than thirty
(30) days after being notified by the State.
13. Funding Cancellation. As required by Financial Management Circular 3.3 and IC § 5-22-17-5, when
the Director of the State Budget Agency makes a written determination that fluids are not appropriated or
otherwise available to support continuation of performance of this Grant Agreement, it shall he canceled,
A determination by the Director of the State 'Budget Agency that .funds are not appropriated or otherwise
available to support continuation of perfOrrrrance shall be final and conclusive.
Li. Governing Law, This Grant Agreement shall be governed, construed, and enforced in accordance
with the laws of the State of Indiana, without .regard to its conflict of laws rules. Suit, if any, must he
brought in the State of Indiana.
15. Information Technology Accessibility Standards., Any information technology related products or
services purchased,used or maintained through this Grant must be compatible with the principles and goals
contained in the Electronic and In.formation Technology Accessibility Standards adopted by the
Architectural and Transportation Barriers Compliance Board under Section 508 of the federal
Rehabilitation Act of 1973 (29 U.S,C, §794d), as amended. 'The federal Electronic and Information.
Technology Accessibility Standards can be (build at: http://www.access-board,gov/508.htm.
11.6. Insurance. The Grantee shall maintain insurance with coverages and in such amount as may be
required by the State or as provided in its Grant Application.
17. Nondiscrimination. Pursuant to the Indiana Civil Rights Law, specifically IC § 22-9-1-10, and in.
keeping with the purposes of the federal Civil Rights Act of 1964, the Age Discrimination. in Employment
Act, and the Americans with Disabilities Act, the Grantee covenants that it shall not discriminate against
any employee or applicant for employment relating to this Grant with respect to the hire,. tenure, terms,
conditions or privileges of employment or any matter directly or indirectly related to employment.,because
of the employee or applicant's:race, color,national o rig in, religion,sex,age,disability,ancestry,status as a
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veteran, or any other characteristic protected by federal, state, or local law ("Protected Characteristics").
Furthermore, Grantee certifies compliance with applicable federal laws, regulations, and executive orders
prohibiting discrimination based on the Protected Characteristics in the provision of services.
The Grantee understands that. the ,State is a recipient of federal Muds, and therefore, where applicable,
Grantee and any subcontractors shall comply with requisite affirmative action requirements, including
reporting, pursuant to 41. CFR Chapter 60, as amended, and Section 202 of Executive Order .1.1.246 as
amended by Executive Order 13672.
1.t3. Notice to Parties. Whenever any notice, statement or other communication is required under this
Grant, it will be sent by E-mail or first-class U.S. .rrrail service to the .following addresses,unless otherwise
specifically advised,
A. Notices to the State shall be sent to:
Office of EPA/M PO and Grant Administration
Attention: Director of EPA/MPO and Grant Administration
1(X) North Senate Avenue,Room N758-LPA
Chief Legal Counsel/Deputy Commissioner
Indiana Department o f Transportation
1.00 N Senate Avenue,Room N758-Legal
Indianapolis. IN 46204-2216
B. Notices to the State regarding project management shall he sent to respective District
Office
Kelcie Bishop
Greenfield District
32 S. Broadway St.
Gre er).fie Id, IN 46140
Email: k.eb is hop(gndot.in.go v
C. Notices to the Grantee shall he sent to:
City of Richmond
ATrrN: David Snow
50 North Fifth Street
Richmond, IN 47374
Email: dsnow(arichnimdindiana.gov
As required by IC § 4-13-2-1.4.8, payments to the Grantee shall be rna.de via electronic funds transfer in
accordance with instructions filed by the Grantee with the Indiana Auditor of State.
19. Order of Precedence; incorporation by Reference. Any inconsistency or ambiguity in this Grant
Agreement shall be resolved by giving precedence in the following order: (I) this Grant Agreement, (2)
Exhibits prepared by the State, (3) Invitation to Apply for Grant; (4) the Grant Application; and (5)
Exhibits prepared by Grantee. All of the foregoing are incorporated fully herein by reference.
20. Public Record. The Contractor acknowledges that the State will not treat this Grant as containing
confidential information and will post this Grant on the transparency portal as required by Executive Order
05-07 and IC § 5-1.4-3„5-2. Use by the public of the informition contained in this Grant shall not be
considered an act of the State.
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21. Termination for Breach.
A. Failure to complete the Project and expend State, local and/or private funds in accordance with this
Grant Agreement may be considered a material breach, and shall entitle the State to suspend grant
payments,and to suspend the Grantee's participation in State grant programs until such time as all material
breaches are cured to the State's satisfaction.
B. The expenditure of State or federal funds other than in conformance with the Project or the Budget may
be deemed a breach.The Grantee explicitly covenants that it shall promptly repay to the State all funds not
spent in conformance with this Grant Agreement,
22. Termination for Convenience. Unless prohibited by a statute or regulation relating to the award of
the Grant, this Grant Agreement may be terminated, in whole or in part, by the State whenever, for any
reason, the State determines that such termination is in the best interest of the State. Termination shall be
effected by delivery to the Grantee of a Termination Notice, specifying the extent to which such
termination becomes effective, The Grantee shall be compensated for completion of the Project properly
done prior to the effective date of termination. The State will not be liable for work on the Project
performed after the effective date o termination, In no case shall total payment made to the Grantee exceed
the original grant.
23.Trawl. No expenses for travel will be reimbursed unless specifically authorized by this Grant.
24.Provision Applicable to Grants with tax-funded State Educational Institutions: "Separateness"of
the Parties. The State acknowledges and agrees that because of the unique nature of State Educational
Institutions,the duties and responsibilities of the State Educational Institution in these Standard Conditions
for Grants are specific to the department or unit of the State Educational Institution.The existence or status
of any one contract or grant between the State and the State Educational Institution shall have no impact on
the execution or performance of any other contract or grant and shall not form the basis for termination of
any other contract or grant by either party,
25. State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not
altered, modified, changed or deleted the State's standard contract clauses (as contained in the 2022 SCM
Template) in any way except as follows; Payment of Claims; the Compliance with Audit and Reporting
Requirements; Maintenance of Records were modified to include statutory and program requirements.
REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK
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Non-Collusion, Acceptance
The undersigned attests,subject to the penalties tbr perjury, that the undersigned is the Grantee, or that the
undersigned is the properly authorized representative,agent,member or officer of the Grantee, Further, to
the undersigned's knowledge,neither the undersigned nor any other member, employee, representative,
agent or officer of th.e Grantee, directly or indirectly, has entered into or been offered any sum of money or
other consideration for the execution of this Grant Agreement other than that which appears upon the face
hereof, Furthermore, if the undersigned has knowledge that a state officer, employee, or special state
appointee, as those terms are defined in IC § 4-2-6-1, has a financial interest in the Grant, the
Grantee attests to compliance with the disclosure requirements in IC §4-2-6-10.5.
Agreement to Use Electronic Signatures
I agree,and it is my intent,to sign this Grant Agreement by accessing State of Indiana Supplier Portal using
the secure password assigned to me and by electronically submitting this Grant Agreement to the State of
Indiana. I understand that my signing and submitting this Grant Agreement in this fashion is the legal
equivalent ofhaving placed my handwritten signature on the submitted Grant Agreement and this
affimlation. I understand and agree that by electronically signing and submitting this ( ant Agreement in.
this fashion I am affirming to the truth of the information contained therein. I understand that this Grant
Agreement will not become binding on the State until it has been approved by the Department of
Administration, the State Budget Agency,and the Office of the Attorney General, which approvals will be
posted on the Active Contracts Database: https://secure,in.gov/a.pps/idoa/contractsearch/
In Witness Whereof, the Grantee and the State have,through their duly authorized representatives,entered
into this Grant Agreement. The parties,having read and understood the foregoing terms of this Grant
Agreement, do by their respective signatures dated below agree to the tern-is thereof
r_c. .,,,.:7.s.w.,,,,,,„,ND In .. i)„,ijoaftpient of Transportation
B : fAit'LLI P"ur H . f.4-01A---A4-6611)64.11 — 00$00
.. .
180A54715F834F9... f3C7308F386E24E1...
'Title: c antinraer (for) Michael Smith, Commissioner
Date: 1/19/2023 I 09:2.0 EST Date: 1/19/2023 I 07:11 PST
Electronically Approved by: Electronically Approved by:
Department of Administration. State Budget Agency
By: (fbr) Rebecca Flolwerda, Commissioner By: (Oar) Zachary Q. Jackson,Director
Approved as to Form and Legality:
Form approval has been granted by the
Office of the Attorney General pursuant to
IC 4-13-2-14.3(e) on October 7, 2022.
FA 22-55
'This instrument was prepared by the undersigned attorney:
Marjorie A Milltrran, :#21748-36
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ATTACHM ENT A
PROJECT DESCRIPTION
Des.No.: 2201520
Program: Local Roads and Bridges Matching Grants
Type of Project: HMA Overlay, Preventive Maintenance
Location:
Route Name From To
NW11THST West Main Street Peacock Road
SW 11TH ST West Main Street US 40 West
NW 8TH ST West Main Street Peacock Road
RICH RD Flatley Road North Salisbury Road
CATALPA DR US 2 7 Dead End
LOCUST DR Corporate Limits US 27
LOCUST DR Corporate Limits Locust Drive
N B ST US 27 South US 27 North
N B ST N.7th Street N.8th Street
N B ST US 27 North N. 10th St.
Application ID: 11830
A general scope/description of the Project is as follows:
Roads 1 -9 will be milled 1-1/2 inches and 1-1/2 inches of surface asphalt(64-22) will be installed.
The maximum amount of state funds allocated to the Project is $196,935.00.
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DbcoSign Eirivelope ID: E2DE98EA-794B-4DDB-ACEE-8E2BB88F59E2
AITACI1 NI EN T B
AWARI) LETTER
1401.0!ev
INDIA 4 4 Of TIAN: ATM
ICU No0 Svis,, Akorke PHOPE ,:‘Eff,04453411441 Prig Hoteof*,Girif33030i
' %del 14750 !Achim)!Smith.C coret simmer
oct 300
Decuia,es „1022
ay telt ea
David Snow
50 N. ,Stre
'14 IN 47374
RE:rCro IatchgG'ant '04 2022-2 Award Letter
Dear David Snow
The Y#.* •.3 it,.*t. of Tramp:nation(ID C:464 r the review•co selection of V,#jects Mr
Crossings Grant Ftmth based upon your estimates the fo
cation M Preliminary Awarded Amount Location Priority
11830 $1945.935.00
TOTAL U.90,93.6.00
so. 'nbk., tuts are•tenting L.41 I Al',the fo
aimyr must mecca a copy of folly executed contract with a do#1# co m 4 c.
• Conincorn supply commode must be catortined no late dont foot(4)no,#la,S,from the r of this rommt letter,
Fibre to caaft this.at*wia result in the forthmare of your funk
• Local 041ic Agerry(LPA)must aC.:4# return the LPAHZOT Grand no lam
the of this avard lette-S' wtes cannot be aver 30 days aid MICE it Tex..* tie Es.IXYT LP.11c I DrOMMI
1,, 444 Inch 4. Ls,Fano to mat to will '.$ e of your f1133333,
• Once all documentation 4one is receded,ref Ccowacts fully esecutedDFDOT tad
•upon coat=aria tutu your Kcal=
The C.a.'ad 4. Cross" c..c 4 g Grma IFtmds which are tared by TACOT,will be wed for binding up to 50
percent of e constmmion ofyour project or ec parcham afmatenals.Thme grant dollars 1,, enable ytm to help mid
cre.4"quesnotra.please contact Ketrie Bishop,(317)232-303S 33 ketilitto#4E.#,#4;,a tingov,
The c of,9 .44 locks forward th p with 1 Hoosier communities.both&tam,## runt to invest in road.o.#
bridge infrostructrue projects_ 033V.14t4 girt to local to.4., bridge Wili ucoomnic awn jobs,.
and&mu kcal# norm for Mt of It",
Sincerely.
ke) 1, 1: 14 ":/7)4.-
c„tc,
Director elLecal Programs
ovINOW Art igovitdoe
iotost Op ,. ,rattity E 0,'royett
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Below should be copy/pasted onto LPA letterhead.
Date:
RE: CCMG—Notification of Contractor Award& Request for CCMG Funds
Dear INDOT:
This letter serves as notification that we have secured and awarded the Community Crossing Matching Grant project listed below to a
Contractor. Our local was awarded$
Des. Number:
Enter designation number assigned; refer to CCMG Agreement,Attachment A
Project Description:
Enter project description as written on the CCMG Agreement, Attachment A
Contractor Name:
Contractor Bid Amount: Road name with 'To' and 'From' S bid for this road
Bid Ji)r each road $
$
$
$
$
$
(Add lines it needed)
Total Contract Bid Amount: $
The total contract bid amount.
Ineligible Costs:
List ineligible items. (e.g.,Lighting,water line,trails,etc.)
Total Eligible Costs:
Total Contract Bid Amount—Ineligible Costs—Total Eligible Costs
Funding Match Amount:
Per INDOT/LPA Contract(75/25 or 50/50)
Total Eligible Costs x 25%(or x 50%)will=Funding Match Amount
(Refer to your award letter tbr the maximum amount of funds eligible.)
Amount of Funds
Requested: The total amount of funds you are requesting.
• May not request more funds than awarded;reference your CCMG Agreement.
• If the bid is less than the estimate,the max amount of fund you can request is the 75/25 or 50/50 split of the bid.
• If the bid is more than the estimate,the max amount of fund you can request is the 75/25 or 50/50 split of the
CCMG Agreement Maximum Amount of State Funds.
For auditing purposes,this Local Public Agency provided the following required legible copies as supporting documentation:
CONTRACTOR bid—required supporting documents
I. Copy of secured Material Bid showing Vendor and unit cost for material being supplied, or
2. Copy of executed LPA Contractor Construction Contract, and
3. Copy of executed Contractor's Bid for Public Work - Form 96.
4, Copy of Detailed Cost Estimate,or a copy of accepted Itemized Bid Proposal.
If additional information is required, please feel free to contact us,
Sincerely,
Revised i0/2022