HomeMy WebLinkAboutMattituck Inlet Stormwater Mitigation Project No NY 2008-0065-020RESOLUTION (ID # 4849)
SUBMITTED
DOC ID: 4849
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 4849) WAS
SUBMITTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
ON MARCH 24, 2009:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute the Grant Agreement between the Town of Southold
and the National Fish and Wildlife Foundation in connection with the Mattituck Inlet
Stormwater Mitigation Proiect No. NY 2008-0065-020, subject to the approval of the Town
Attorney.
Elizabeth A. Neville
Southold Town Clerk
National Fish and Wildlife Foundation
Requ~ f~r
Project Name:
Project Number:
Phase number:
Mattituck Inlet Stormwater Mitigation (NY1
2008-0065-020
Please see attached Project Phase Reporting Form for completed Phase (not required for advance
payment of Phase # 1 ).
By its signature below, the Town of Southold, New York hereby certifies that (please check as
appropriate):
Phase number :,~'~?;~(~ immediately upon receipt of the
~ it is ready to begin project activities for ~'""'
funds requested above.
OR
:¥~ it has completed the project activities for above-referenced Phase and requests reimbursement.
Please wire payment in the amount of $.: ;~;~*~:~ :~ ~{, to:
Bank Name:
Bank City and State:
ABA Routing Number:
Name on Account:
Account Number:
Tax I.D. Number:
International recipients will also need to include the following information for the U.S. bank conducting
the transfer for international beneficiary banks:
Bank Name:
Bank City and State:
ABA Routing Number: __
(Please double check your bank information to avoid delays in payment.)
TOWN OF SOUTHOLD, NEW YORK
Approved:
Signature
Print name and title legibly
**If submitting electronically, please type in name, date and title in the signature lines above and submit
from the e-mail address designated in the grant agreement.
National Fish and Wildlife Foundation
Project Phase Reporting Form
*Fill in all shaded areas
Project Name and Number: Mattituck Inlet Stormwater Mitigation (NY) (2008-0065-020)
Phase Number: # 1
Project Phase Scope of Work: (from Grant Agreement)
· Construction of drainage field and installation of permeable pavers.
Removal ofPhragmites australis within high marsh.
· Construction and grade stonu-water retention swale.
· Planting of the Storm-water retention swale with native vegetation.
Phase Budget:
Cat~gory Approved Budget Actual Expenses
NFWF Funds NFWF Funds
(from Grant AgreemenO
Salaries & Benefits $0
Equipment** $0
Other $35,200
I Total Phase I $35,200
**Equipment only includes tangible nonexpendable personal property having a useful life of more than one year and
an acquisition cost of $5,000 or more per unit.
Matching Contributions Required for the Phase:
Matching Contributions Expended for the Phase:
$ 43,290 (from Grant Agreemen0
$
Describe All Expenses: fUse additional space if necessary.)
Phase Accomplishments: (Briefly describe the accomplishments for this Phase of the Project.
Use additional space if necessary.)
I hereby certify that the Phase described above has been completed and that the above
information is accurate and complete.
Town of Southold, New York
Approved:
Signature
Print name and title
Note: Forms sent by e-mail must come from an e-mail address authorized in the Grant
Agreement or an amendment to the Grant AgreemenL
National Fish and Wildlife Foundation
Project Phase Reporting Form
*Fill in all shaded areas
Project Name and Number: Mattituck Inlet Stormwater Mitigation (NY) (2008-0065-020)
Phase Number: # 2
Project Phase Scope of Work: (from Grant AgreemenO
· Installation of public awareness (education) signage and benches.
Phase Budget:
Category Approved Budget Actual Expenses
NFWF Funds NFWF Funds
(from Grant AgreemenO
Salaries & Benefits $0
Equipment** $0
Other $4,800
I Total Phase I $4,800 I I
**Equipment only includes tangible nonexpendable personal property having a useful life of more than one year and
an acquisition cost of $5,000 or more per unit.
Matching Contributions Required for the Phase: $ 4,810
Matching Contributions Expended for the Phase: $
(from Grant ,4greemenO
Describe All Expenses: (Use additional space if necessary.)
Phase Accomplishments: (Briefly describe the accomplishments for this Phase of the Project.
Use additional space if necessary.)
I hereby certify that the Phase described above has been completed and that the above
information is accurate and complete.
Town of Southold, New York
Approved: ~'~:&/4~;~ f , Date: Signature
Print name and title
E-mail: "~'~Jk,:;,,; Telephone:
Note: Forms sent by e-mail must come from an e-mail address' authorked in the Grant
Agreement or an amendment to the Grant Agreement.
National Fish and Wildlife Foundation
Annual Financial and Programmatic Reporting Form
*Fill in all shaded areas and return to the Foundation by October 31, 2009.
Project Name:
Project Number:
Organization:
Reporting Period:
Mattituck Inlet Stormwater Mitigation (NY)
2008-0065-020
']?own of Southold, New York
October 1, 2008 through September 30, 2009
Expenditures of NFWF Funds for the reporting period:
Category Actual Exp~l~ses
NFWF Funds
Salaries & Benefits
Equipment
Other
Total
Expenditures of Matching Contributions for the reporting period: $
Describe Ail Expenses: (Use additional space if necessary.)
Project Accomplishments: (Briefly describe the accomplishments of the t>roject for the
reporting period - use additional space if necessary.)
I hereby certify that the accomplishments and expenses described above have been completed
and that the above information is accurate and complete.
Town of Southold, New York
Approved:
Date:
Signature
Print name and title
E-mail:
Note: Forms sent by e-mail must come from an e-mail address authorized in the Grant
Agreement or an amendment to the Grant Agreement.
National Fish and Wildlife Foundation
Final Financial Reporting Form
*Fill in all shaded areas
Project Name and Number: Mattituck Inlet Stormwater Mitigation (NY) #2008-0065-020
Period of Performance (fi'om Grant AgreemenO: August L 2008 to June 30~ 2009
Note: All project expenditures, including match, must take place between the project start and end dates
designated in the Grant Agreement.
Budget for Phase #1:
Category Approved Budget Actual Expenses
NFWF Funds NFWF Funds
(from Grant Agreemen0
Salaries & Benefits $0
Equipment** $0
Other $35,200
Total $35,200 Il
Matching Contributions Required for Phase #1: $ 43,290 (from Grant Agreemen0
Matching Contributions Expended for Phase #1: $
Budget for Phase #2:
Category Approved Budget Actual Expenses
NFWF Funds NFWF Funds
(from Grant AgreemenO
Salaries & Benefits $0
Equipment** $0
Other $4,800
Total I $4,800 II
Matching Contributions Required for Phase #2: $ 4,810
Matching Contributions Expended for Phase #2: $
(from Grant Agreement)
Total Project Budget:
Category Approved Budget Actual Expenses
NFWF Funds NFWF Funds
([?om Grant Agreemen0
Salaries & Benefits $0
Equipment** $0
Other $40,000
Total *40,000 II
**Equipment only includes tangible nonexpendable personal property having a useful life of more than one year and
an acquisition cost of $5,000 or more per unit.
Total Matching Contributions Required for Project: $ 48,100 O~rom Grant AgreemenO
Total Matching Contributions Expended for Project: $ **
**This total must match the total contributions described on the Certification of Matching Contributions form.
Describe All Expenses: (Use additional space if necessary.)
I hereby certify that all expenditures described above are complete and that the above
information is accurate and complete.
Town of Southold, New York
Approved:
Signature
Print name and title
National Fish and Wildlife Foundation
Matching Contribution Eligibility and Documentation
This document is intended to help determine whether contributions received by a NFWF
Recipient are eligible as Matching Contributions and how they should be documented.
Eligibility
Matching Contributions, whether in the form of cash, contributed goods and services, volunteer
hours, or property, must be:
Non-Federal in nature. Federally appropriated or managed funds are ineligible (e.g.,
Pittman-Robertson, Dingell-Johnson, Intennodal Surface Transportation Efficiency Act,
North American Wetland Conservation Act, Coastal Wetland Protection and Restoration
Act) as match for NFWF Federal funds. NFWF Recipients are advised to discuss sources
of funding with their Project Administrator to verify eligibility and to ensure that they are
not Federal funds administered by a non-Federal third party. Depending upon the
program, some NFWF non-Federal awards may be matched with Federal funds.
Committed directly to the Project. Matching Contributions in the form of cash,
contributed goods and services, volunteer hours, or property must be used within the
Period of Performance identified on Page 1 of the Grant Agreement. Services rendered
in connection with: (a) the preparation of a Pre-Proposal and the Full Proposal and
negotiation of the contract between the NFWF Recipient and NFWF; or (b) fundraising,
will not qualify as Matching Contributions.
Voluntary in nature. Funds presented for fulfillment of mitigation, restitution, or other
permit or court-ordered settlements are not eligible (e.g., Natural Resource Damage
Assessment, Supplemental Environmental Projects).
Documentation
If Matching Contributions meet the above conditions, the NFWF Recipient must document them
in one of the following ways:
Cash, Goods and Services, and/or Property. The NFWF Recipient must submit the
Certification of Matching Contributions form, provided with the grant agreement, using
the paragraphs applicable to the type of Matching Contributions received by the NFWF
Recipient and expended in connection with the Project. The Certification of Matching
Contributions must include the name and address and contribution amount of any donor
who contributes $500 or more to the Project. Fair market value of donated goods and
services, including volunteer hours, shall be computed as outlined in the OMB Circulars
referenced in Section A 13. FEDERAL FUNDS - FEDERAL REGULATIONS of the
Grant Agreement.
2. Property. The NFWF Recipient may have a third-party donor submit a letter to the
Foundation, documenting the fair market value and date of a Matching Contribution and
stating that the donation is non-Federal, voluntary, and intended to qualify as a Matching
Contribution. A letter provided to document a donation of real property must be
accompanied by an appraisal by a certified appraiser; a letter provided to document rental of
equipment or space must list three comparable rentals in the location of the Project.
The NFWF Recipient must retain detailed time records lbr contributed services and original
receipts and appraisals of real property and comparable rentals for other contributed property at
its place of business in the event of an audit of the NFWF Recipient as required by applicable
Federal regulations.
National Fish and Wildlife Foundation
Certification of Matching Contributions
Project Name and Number: Mattituck Inlet Stormwater Mitigation (NY) (2008-0065-020)
Period of Performance (from grant agreemenO: August l, 2008 to June 30, 2009
, hereby certify on behalf of the undersigned NFWF Recipient that:
1) the NFWF Recipient has allocated the amount of $
funds to the Project;
from its general operating
2) the NFWF Recipient has received a total of $ in cash Matching Contributions,
from the donors whose names, addresses and amounts of contributions are listed on the attached
Exhibit A, each of whom donated an amount equal to or greater than $500; in addition, the
NFWF Recipient has received a total of $ in cash Matching Contributions, from
donors who have given an amount less than $500;
3) the NFWF Recipient has received in-kind donations of Contributed Services and volunteer
hours at a total of $ (none of which were generated in connection with the
preparation of the Pre-Proposal or Full Proposal submitted to the Foundation or fundraising for
the Project), from the donors whose names, addresses, number and value of hours are listed on
the attached Exhibit B, each of whom contributed an amount of time equal to or greater than
$500 in value; in addition, the NFWF Recipient has received in-kind donations of Contributed
Services and volunteer hours valued at a total of $ , from donors who contributed an
amount of time less than $500 in value.
4) the NFWF Recipient has received in-kind donations of Contributed Goods or Property valued
at a total of $ , from the donors whose names, addresses, and value of property
donated are listed on the attached Exhibit C, each of whom donated property valued at equal to
or greater than $500; in addition, the NFWF Recipient has received in-kind donations of
Contributed Goods or Property valued at a total of $ , from donors who have given
Property valued at less than $500; and a certified appraisal is attached for each donation of Real
Property;
5) all such Matching Contributions, which total $ , are summarized on the Final
Financial Report and were spent or expended within the Period of Performance as required by
the Grant Agreement and relevant policies set forth by the Foundation on its website;
6) the NFWF Recipient may have to produce detailed proof of such Matching Contributions and
that OMB Circular A-110 requires the NFWF Recipient to maintain such records for a period of
three years after submission to the Foundation of the Final Programmatic and Financial Report
regarding the Project; and
7) the undersigned is authorized to deliver this Certification on behalf of the NFWF Recipient.
[Signature page to Cert!fication of Matching Contributions for NFWF Project No. 2008-0065-
020J
Town of Southold, New York
Approved: Date: Sigmature
Print name and title
National Fish and Wildlife Foundation
Final Programmatic Report
Project Name and Number: Mattituck lnlet Stormwater Mitigation (NY), #2008-0065-020
Recipient Organization/Agency: Town of Southold, New York
Recipient Organization Web Address:
Date Submitted:
1) Summary of Accomplishments
In four to five sentences, provide a brief summary of the project's key accomplishments and
outcomes that were observed or measured.
2) Project Activities & Results
If your grant agreement included an approved logic framework, paste the logic framework table
here.
Activities
· Describe and quantify the primary activities conducted during this grant (refer back to
your approved logic framework, if applicable).
· Briefly explain discrepancies between the activities conducted during the grant and
the activities agreed upon in your grant agreement.
Results
· Describe and quantify progress towards achieving the project objectives or outcomes
described in your grant agreement. (Quantify using indicators from your approved
logic framework, if applicable, or by using new indicators not included in the
application.)
· Briefly explain discrepancies between what actually happened compared to what was
predicted to happen.
· Provide any further information (such as unexpected outcomes) important for
understanding project activities and results.
3) Lessons Learned
Describe the key lessons learned from this project, such as the least and most effective
conservation practices or notable aspects of the project's methods, monitoring, or results. How
could other conservation organizations adapt their projects to build upon some of these key
lessons about what worked best and what did not?
4) Dissemination
Briefly identify any dissemination of lessons learned or other project results to external
audiences, such as the public or other conservation organizations.
5) Project Documents
a) Include with your report 2-10 representative photos from the project. Photos need to
have a minimum resolution of 300 dpi.
b) Include with your report publications, GIS data, brochures, videos, outreach tools,
press releases, media coverage, and any project deliverables per the terms of your
grant agreement.
POSTING OF F1NAL REPORT: This report and attached project documents may be shared
by the Foundation and any Funding Source for the Project via their respective websites. In the
event that the Recipient intends to claim that its final report or project documents contains
material that does not have to be posted on such websites because it is protected from disclosure
by statutory or regulatory provisions, the Recipient shall clearly mark all such potentially
protected materials as "PROTECTED" and provide an explanation and complele citation lo the
statutory or regulatory source for such protection.
Approved: Date:
Signature
Print name and title
NATIONAL FiSH and WILDLIFE FOUNDATION
t133 ISth Street, NW Suite ]100
Washington, D.C. 20005
P 202-857-0166 F202 857 0]62 nJwf.org
1,'ebrnary 25, 2009
Mark Terry
Town of Soutlmld, New York
54375 Main Road
gouthold, NY 11971
Re: Matfituck Inlet Stormwater Mitigation (NY) 112008~0065-020
Dear Mr. Terry:
The Board of Directors of the National Fish and Wiktlife Foundation (NFWF) approved an
award of $40,000 in federal funds to the Town of Southold, New York to support the Maltit~tck
Inlet Slormwater Mitigation (NY) project. This award was made on the condition that these
funds be matched by $48,100 in additiunal non-federal funds raised by the Town o£ Souflmld,
New York specifically Ibr this project. Please be sure to review the enclosed Matching Funds
Eligibility and Documentation guidance and note the requirements of the CertificatiDn
Matching Funds that you will be required to submit upon completion of the Project, to ensure
flint thc contributions you receive are eligible as matching fi~nds.
Enclosed please find two copies el'the Grant Agreement, as well as one copy of the additioual
enclosures listed below. Since this Award involves federal [hnds, please note specifically
Section Al 3 FEDERAL FUNDS - FEDERAl, REGULATIONS of Appendix A, and provide for
your Chief Financial Officer, Treasarcr, or legal counsel to review the Agreement and
enclosures. I f tim terms and conditions of the Agreement are acceptable, please sign and return
both copies el'the Agreement to the Foundation; you should retain the additional enclosures for
yoor files. The Foundation will lhen countersign both copies of the Agreement and return one
copy to you for your files. Signing this Agreement indicates an understanding of, and intent to
comply with, ali of its terms and conditions and those of the additional enclosures. Failure to
return two signed copies of the Agreement within 60 days may result in funds being released to
other conservation projects.
On behalf o f the Board of Directors and tile staff el' the National 1~isb and Wildlife FoundaF on, 1
wish you success with your prqiect. Please contact Partltcna Kydes with any questious or
Michael Slatfery ~
Director, Easte ~n Partnersh'p Ofl'ce
~JAt:l -' 5 2009
02A7,06
Enclosures:
Grant Agreement (two copies)
Matching Funds Eligibility and Documentation Guidance (Vetwion 02.17.06)
Certification of Matching l*'unds Form (Ver,*'ion 02.17. 06)
Request for Payment Form (l/et'sion 02.17. 06)
Pro. ject Phase Reporting Form (l/ersion 02.17. 06)
Annual Reporting Form (Version 02,17.06)
Final Financial Reporting Form (Vemo, 02, 17.06)
Final Programmatic Report (~/elwion 09.04.08)
MBI?./WBE Certification Form
02.17;06