R-08-04-24-10B1 - 4/24/2008 RESOLUTION NO. R-08-04-24-10131
WHEREAS, the City has filed a grant application with the Texas
Historical Commission for funds available from the U.S . Department
of the Interior, National Park Service, through the Certified Local
Government Program, and
WHEREAS, the grant application has been approved by the Texas
Historical Commission, which has submitted the grant contract to the
City to fund and establish the development of a preservation
promotion and public education program, Now Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK,
TEXAS,
That the Mayor is hereby authorized and directed to execute on
behalf of the City a Grant Contract with the Texas Historical
Commission for the above-described grant, a copy of said Grant
Contract being attached hereto as Exhibit "A" and incorporated
herein.
The City Council hereby finds and declares that written notice
of the date, hour, place and subject of the meeting at which this
Resolution was adopted was posted and that such meeting was open to
the public as required by law at all times during which this
Resolution and the subject matter hereof were discussed, considered
and formally acted upon, all as required by the Open Meetings Act,
Chapter 551, Texas Government Code, as amended.
RESOLVED this 24th day of April, 2, 8
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NY ELL, yor
City of Roun Rock, Texas
ATTEST:
SARA L. WHITE, City Secretary
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EXHIBIT
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TEXAS � „A„
RICK PERRY,GOVERNOR
� HISTORICAL JOHN L.NAU,III,CHAIRMAN
4
COMMISSION F.LAWERENCE OAKS, EXECUTIVE DIRECTOR
the State Agency for Historic Preservation
GRANT CONTRACT
TX-08-042
I. PARTIES
The parties of this contract are the Texas Historical Commission, an agency of the State of Texas,
hereinafter referred to as Commission; and the City of Round Rock hereinafter referred to as Grantee.
H. PURPOSE
This contract is entered into pursuant to a grant made to the Commission for fiscal year 2008 by the
U.S. Department of the Interior,National Park Service,under the provisions of the National Historic
Preservation Act of 1966,P.L. 89-665 (16 U.S.C. Sec. 470 f). This grant is made for the purpose of
funding a project or projects to be undertaken by Grantee as a participant in the Certified Local
Government program.
III. SERVICES TO BE PROVIDED
The following services are to be provided within the contract period on a schedule to be agreed upon by
the parties to this contract. However,the services designated with specific deadlines must comply with
those deadlines.
The Grantee shall undertake and complete the project or projects as set out in the Project Notification
(with detailed budget). Products developed under this agreement must conform to the expectations of the
Commission and the Project Proposal, as stipulated in Attachment B.
Project personnel employed by the Grantee shall meet the Standards for Professional Qualifications as
outlined in 36 CFR 61 (Attachment C), and be employed by competitive procurement. Regulations of the
U.S. Department of the Interior strictly prohibit unlawful discrimination in federally-assisted programs on
the basis of race, color, and/or national origin. Therefore the Grantee must sign DI Form 1350
(Attachment D) and return signed form to the Commission with this contract. In all cases the person(s)
employed by the Grantee to complete the work specified in this contract must meet with the approval of
the Commission. The professional staff hired must also contact the Commission's Certified Local
Government staff prior to commencing work.
IV. AMOUNT OF THE CONTRACT
The total amount of this contract shall not exceed $10,000.00. The Commission shall reimburse the
Grantee exclusively from U.S. Department of the Interior grant-in-aid funds for historic preservation
(Certified Local Government), and this contract is subject to the availability of those funds.
P.O. SOX 12276 - AUSTIN, TX 78711-2276 • 512/463-61oo • FAX 512/475-4872 - TDD 1.800/735.2989
www.thc.state.mus
V. DOCUMENTATION AND PAYMENT
Grantee may submit to the Commission, for its approval, a properly completed invoice for services
rendered in compliance with all requirements of the contract as specified in the Reimbursement Request
Procedures and Required Records (Attachment F). Grantee will provide invoices to the Commission as
costs are incurred and work is completed, but not more frequently than monthly.
Reimbursement to the grantee shall be on a matching basis as outlined in the Project Notification's
Budget section, subject to receipt of funds from the National Park Service and successful completion of
all project work activities. The Commission agrees to pay the grantee up to $10,000.00 in federal funds.
The grantee agrees to contribute matching share, either donated services or cash match, for a minimum
total of$10,000.00 or 50% of eligible costs,whichever is less.
Such payments shall be made as requested for services actually rendered, or if mutually agreed, in one
lump sum upon completion and approval of all the requirements set forth in this agreement. It is further
agreed that a sum not to exceed 25% of the total granted sum will be retained by the Commission until all
stipulated materials and the Grantee submits properly documented reimbursement requests. Within thirty
(30) days of the Commission's receipt of Grantee's authorized invoice for services rendered, Commission
shall pay Grantee the authorized amount.
Subject to the limitations of the contract,the Commission's payments will be made in accordance with the
Texas Prompt Payment Act.
VI. PERIOD
This contract shall commence on October 1,2007 and shall terminate on September 30,2009. It is
further agreed that all materials stipulated in Attachments A and B and all reimbursement requests shall
be submitted to the Commission by October 31, 2009.
It is further agreed that the Grantee will provide written semi-annual updates on the Grant
Product Semi-Annual Report Form(Attachment E) to the Texas Historical Commission on the
progress of the grant product. Each update will outline the tasks and expenses completed on the
project and provide a timeline and status of the overall project.
Contract amendments may be executed between October 1, 2007 and December 15, 2009 at the option
of the Commission. The Form will be due October 30, 2008 and April 30, 2009.
VII. INDEPENDENT CONTRACTOR
The Grantee is a Texas Municipal Corporation. It is not an agency of the State of Texas. It is expressly
understood and agreed that any subcontractor is an independent contractor and not an employee of the
Texas Historical Commission. The Grantee or any subcontractor shall not be considered the agent,the
servant, or the employee of the Commission for any purpose whatsoever.
VIII. OWNERSHIP OF PRODUCTS OF THIS CONTRACT
All material, concepts and products produced,developed or conceived by the Grantee during or arising
out of the contract shall remain the property of the Commission. The Grantee shall have an unrestricted
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right to use any or all materials so produced, developed, or conceived at no additional cost; in addition,
three copies of all publications and videos are to be supplied to the Commission before final
reimbursement is made. All materials published,printed, or used for public distribution funded in whole
or in part by the this grant shall note the following on the materials:
This project was funded in part through a Certified Local Government Grant from the National Park
Service, U.S. Department of the Interior, as administered by the Texas Historical Commission.
The contents and opinions, however, do not necessarily reflect the views and policies of the Department
of the Interior, nor does the mention of trade names or commercial products constitute endorsement or
recommendation by the Department of the Interior.
This program receives Federal funds from the National Park Service. Regulations of the U.S. Department
of the Interior strictly prohibit unlawful discrimination in departmental Federally Assisted Programs on
the basis of race, color, national origin, age or handicap. Any person who believes he or she has been
discriminated against in any program, activity, or facility operated by a recipient of Federal assistance
should write to:Director, Equal Opportunity Program, U.S. Department of the Interior, National Park
Service, P.O. Box 3 712 7, Washington, D.C. 20013-7127.
IX. TERMINATION
Either party to this contract may terminate by giving seven days written notice to the other party. In the
event notice of termination is given, all work by Grantee shall cease and no amount shall be paid by the
Commission for work performed following receipt of notice of termination by Grantee. Grantee shall be
paid for all work performed prior to the notice of termination in accordance with the terms of the contract.
Final invoices shall be submitted to Commission not later than 30 days following the date of termination
of this contract.
X. APPLICABLE LAWS
This contract shall be governed by and construed in accordance with the laws of the State of Texas and
the rules and policies of the Commission. All projects funded under the Certified Local Government
program must meet the Secretary of the Interior's Standards. The Standards can be accessed at the
National Park Service web site: www.nps.,Pov/history/local-law/arch stnds O.htm.
XI. AUDIT
The Commission may audit the Grantee's records to verify the costs or expenses incurred in the
performance of this contract or may, at its option,require an audit of the Grantee's records by an
independent accounting firm, at Grantee' expense, or by Federal auditors to verify costs or expenses
incurred in the performance of the contract. The Grantee shall keep accurate financial records available
for audit three years from project end date. In addition to the terms detailed in this Agreement, all federal
requirements governing grants (Office of Management and Budget Circulars A-87 or A-122, A-102 or A-
110, A-133, and A-128) are applicable.
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XII. ATTACHMENTS
The following documents are included in and shall be a part of this contract for all purposes:
Attachment A: Project Notification
Attachment B: Expected Products
Attachment C: 36 CFR 61, Standards for Professional Qualifications
Attachment D: DI Form 1350, Civil Rights Assurance
Attachment E: Grant Product Semi-Annual Report Form
Attachment F: Reimbursement Request Procedures &Required Records
This contract is the entire agreement between the parties. Any changes, deletions, extensions, or
amendments to this contract shall be in writing and signed by both parties to the contract. Any other
attempted changes, including oral modifications,written notices that have not been signed by both parties,
or other modifications of any type, shall be invalid. In some cases, adjustment of the contractual
requirements may be necessary pursuant to recommendations by the Certified Local Government
Program, Texas Historical Commission,with the approval of the U.S. Department of the Interior.
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The parties to the contract accept the terms of this contract. Persons signing are expressly authorized to
obligate the parties to the terms of this contract.
TEXAS HISTORICAL COMMISSION: GRANTEE:
Signature Signature
F. Lawerence Oaks, Executive Director
Typed Name&Title Typed Name&Title
311S) 12c)c,3
Date Date
APPROVED AS TO FORM BY:
Signator
Joe H. ash, Assistant Attorney General
Typed Name&Title
Z � 0
Date
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PROJECT NOTIFICATION
TITLE: Preservation Promotion&Public Education GRANT NUMBER: TX-08-042
AREA AFFECTED BY PROJECT: TOTAL PROJECT COST: $20,000.00
Williamson County 50%FEDERAL SHARE: $10,000.00
50%NONFEDERAL SHARE: $10,000.00
CONGRESSIONAL DISTRICT: 31
STATE CONTACTS: TYPE: NEW: X REVISION:
Derek Satchell: 512.463.5997 PRE-
Megan Koch: 512.463.3805 DEVELOPMENT: YES: NO: X
L SUBGRANTEE:
Contact: Joelle Jordan
Address: City of Round Rock
301 West Bagdad, Ste.210
Round Rock,TX 78664
jiordqA@round-rock.tx.us
Phone: 512.218.5422
Fax: 512.218.3286
2. MATCHING SHARE:
Donor: Subgrantee
Source: City of Round Rock
Kind: Local
Amount: $ 10,000.00
3. BUDGET:
IN-KIND CASH MATCH FEDERAL TOTAL
Project header $ 2,500.00 $ - $ - $ 2,500.00
Planning/City Staff $ 2,000.00 $ - $ - $ 2,000.00
Commission/Volunteers $ 500.00 $ - $ - $ 500.00
Planning/Mktg. Consultant $ - $ 2,500.00 $ 7,500.00 $ 10,000.00
Supplies and Equipment $ - $ 2,500.00 $ 2,500.00 $ 5,000.00
Total $ 5,000.00 $ 5,000.00 $ 10,000.00 $ 20,000.00
4. PURPOSE. To develop a preservation promotion and public education program for the City of Round Rock in order to meet the
goals of the Historic Preservation Commission to preserve,educate,promote heritage tourism, establish community
partnerships,and increase public awareness of historic preservation and the history of the city.
5. BEGINNING &ENDING DATES: 10/1/07-9/30/09
6. No program income will be generated.
2008 Round Rock-Amended Project Notification (3), ROUND ROCK 08, 4/2/2008
ATTACHMENT B
EXPECTED PRODUCTS OF AN EDUCATIONAL PROJECT
Diverse preservation activities may result in publications in order to reach a wide audience.
Activities in this category include preparation and publication of preservation plans, historic
structures reports or feasibility studies; development of walking or driving tours of historic areas;
production of brochures,pamphlets or videotapes promoting local history and properties;
establishment of local marker programs; or preparation of design guidelines. Educational
activities such as preservation workshops, conferences, or training for staff and review board
members are also eligible for funding. Projects must conform to the following guidelines:
Local historic and/or archeological resources must be adequately represented. The full
diversity of resources should address geographic and temporal ranges. All textual matter should
reflect the broad patterns of local history.
Design review projects must include charts or outlines of the review process. Graphics
illustrating design expectations should be included. Standard architectural terminology should be
employed,with a glossary of terms or list of definitions included.
Graphics must clearly represent resources from the local community. Where applicable, the text
and graphics must accurately reflect the attached U.S. Secretary of the Interior's Standards for
Rehabilitation.
References should indicate avenues of further research or resources for assistance.
Planning documents must establish a set of goals and objectives with target dates for
completion. Ideally, responsibility for specific tasks should be assigned to specific personnel.
Maps and clear identification of resource locations should be provided.
Adequate recognition must be provided in all publications. Photographs and drawings should be
credited to the artist or lender. The local government's involvement must be adequately
acknowledged. Recognition, as detailed below, must be afforded the CLG program, the Texas
Historical Cominission, and the National Park Service of the U.S. Department of the Interior.
Language acknowledging nondiscrimination practices, as detailed below, must be included.
Publications addressing several potential audiences must adequately reflect the community's
preservation program.
This project was funded in part through a Certified Local Government grant from the National
Park Service, U.S. Department of the Interior, as administered by the Texas Historical
Commission.
ATTACHMENT C
STANDARDS FOR PROFESSIONAL QUALIFICATIONS
To insure that appropriate historical, architectural, archeological and cultural properties are
identified for public benefit through grant-in-aid assistance, the following minimal professional
standards for historical, architectural and archeological documentation have been established by
the Preservation Assistance Division of the National Park Service. Persons supervising grant
projects must be professionally qualified in accordance with 36 CFR 61 as follows:
Appendix A to Part 61
—Professional Qualifications Standards
In the following definitions, a year of full-time professional experience need not consist of a
continuous year of full-time work but may be made up of discontinuous periods of full-time or
part-time work adding up to the equivalent of a year of full-time experience.
(a) History. The minimum professional qualifications in history are a graduate degree in history
oT closely related field; or a bachelor's degree in history or closely related field plus one of the
following:
(1) At least two years of full-time experience in research, writing, teaching, interpretation or
other demonstrable professional activity with an academic institution, historical
organization or agency, museum, or other professional institution; or
(2) Substantial contribution through research and publication to the body of scholarly
knowledge in the field of history.
(b)Archeology. The minimum professional qualifications in archeology are a graduate degree in
archeology, anthropology, or closely related field plus:
(1)At least one year of full-time professional experience or equivalent specialized training in
archeological research, administration or management;
(2)At least four months of supervised field and analytic experience in general North American
archeology; and
(3) Demonstrated ability to carry research to completion.
In addition to these minimum qualifications, a professional in prehistoric archeology shall have
at least one year of full-time professional experience at a supervisory level in the study of
archeological resources of the prehistoric period. A professional in historic archeology shall
(more)
have at least one year of full-time professional experience at a supervisory level in the study of
archeological resources of the historic period.
(c) Architectural history. The minimum professional qualifications in architectural history are a
graduate degree in architectural history, art history, historic preservation, or closely related
field, with course work in American architectural history; or a bachelor's degree in
architectural history, art history, historic preservation, or closely related field plus one of the
following:
(1)At least two years of full-time experience in research, writing, or teaching in American
architectural history or restoration architecture with an academic institution, historical
organization or agency, museum, or other professional institution; or
(2) Substantial contribution through research and publication to the body of scholarly
knowledge in the field of American architectural history.
(d)Architecture. The minimum professional qualifications in architecture are a professional
degree in architecture plus at least two years of full-time professional experience in
architecture; or a State license to practice architecture.
(e) Historic Architecture. The minimum professional qualifications in historic architecture are a
professional degree in architecture or State license to practice architecture, plus one of the
following:
(1)At least one year of graduate study in architectural preservation, American architectural
history, preservation planning, or closely related field; or
(2)At least one year of full-time professional experience on historic preservation projects.
Such graduate study or experience shall include detailed investigations of historic
structures, preparation of historic structures research reports, and preparation of plans and
specification for preservation projects.
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ATTACHMENT D
U.S. DEPARTMENT OF THE INTERIOR
CIVIL RIGHTS ASSURANCE
As the authorized representative of the applicant,I certify that the applicant agrees that,as a condition to receiving
any Federal financial assistance from the Department of the Interior,it will comply with all Federal laws relating to
nondiscrimination.These laws include are not limited to: (a)Title VI of Civil Rights Act of 1964(42 U.S.C.2000d-
1),which prohibits discrimination on the basis of race,color,or national origin; (b)Section 504 of the Rehabilitation
Act of 1973,as amended(29 U.S.C. 794),which prohibits discrimination on the basis of handicap (c)the Age
Discrimination Act of 1975,as amended(42 U.S.C. 6141 et seq.),which prohibits discrimination on the basis of age;
and applicable regulatory requirements to the end that no person in the United States shall,on the grounds of race,
color,national origin,handicap or age,be excluded from participation in,be denied the benefits of, or be otherwise
subjected to discrimination under any program or activity conducted by the applicant. THE APPLICANT HEREBY
GIVES ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement.
THIS ASSURANCE shall apply to all aspects of the applicant's operations including those parts that have not
received or benefited from Federal financial assistance.
If any real property or structure thereon is provided or improved with the aid of Federal fmancial assistance extended
to the Applicant by the Department,this assurance shall obligate the Applicant, or in the case of any transfer of such
property, any transferee, for the period during which the real property or structure is used for a purpose of which the
Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits.
If any personal property is so provided,this assurance shall obligate the Applicant for the period during which it
retains ownership or possession of the property. In all other cases,this assurance shall obligate the Applicant for the
period during which the Federal financial assistance is extended by the Department.
THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal grants,loans,
contracts,property,discounts or other Federal financial assistance extended after the date hereof to the Applicant by
the Department,including installment payments after such date on account of applicants for Federal financial
assistance which were approved before such date.
The Applicant recognizes and agrees that such Federal financial assistance will be extended in reliance on the
representations and agreements made in this assurance,and that the United States shall have the right to seek judicial
enforcement of this assurance.This assurance is binding on the Applicant,its successors,transferees,assignees, and
sub-recipients and the person whose signature appears below who is authorized to sign this assurance on behalf of
the Applicant.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
APPLICANVORGANIZATION DATE SUBMITTED
APPLICANVORGANIZATION MAILING ADDRESS BUREAU OF OFFICE EXTENDING ASSISTANCE
ATTACHMENT E
HISTORICALTEXAS ! 1
Certified Local Government Grant Semi-Annual Report Form
CLG Community:
Grant Number:
Project name/type:
Consultant/contactor(if one) Name:
Phone:
Email:
Local CLG contact Name:
Phone:
Email:
What is the current status of the grant project? Please explain the progress of the project.
List any possible roadblocks to the project or adhering to the project timeline.
What specific questions do you have that may be answered by the Texas Historical
Commission CLG program? If you have an issue that requires immediate attention,
please call Derek Satchell at (512) 463-5997.
ATTACHMENTF
REIMBURSEMENT REQUEST PROCEDURES AND REQUIRED RECORDS
The required reimbursement procedures and format are found in this chapter. Requests for payment must be
accompanied by complete documentation, including receipts for all expenses and all products identified in the
approved Application. Non-federal or match share should be documented in the same method as federal
expenditures. Acceptable documentation must show:
1. invoices in the name of the CLG;
2., invoice dates within the project/contract period;
3. purchase price compatible with the estimated budget costs;
4. purchase(s) relevant to the scope of the project/contract;
5. copies of properly endorsed cancelled checks (both front and back);
6. evidence that invoices were properly approved for payment including evidence that discounts and other
credits were deducted and evidence that merchandise/services were received;
7. copies of daily time records including supervisor's verification of time worked, and evidence of
employees' rates of pay including justification for rates paid;
S. evidence that work was accomplished in accordance with the terms of the grant agreement and evidence
that the method for selecting professional services was accomplished in accordance with federal
procurement requirements.
Grant participants should maintain any other documentation that might be useful to an auditor in verifying the
propriety of the procedures used and compliance with federal and state regulations.
CLG's must retain financial records, supporting documents, statistical records, and all other records pertinent to
a grant for a period of three years or until an acceptable audit has been performed and resolved. The three-year
retention period begins from the date of the submission of the final expenditure report. The grant participant
will provide access to, and the right to examine, all records, books,papers or documents related to the grant to
authorized representatives of the Texas Historical Commission. Only items listed in the approved Budget and
Application will be approved for payment.
Under the"Single Audit Act of 19$4," a single, comprehensive, organization-wide audit of local governments
receiving any federal funds will be conducted. Governments that receive $100,000 or more in federal funds
from all sources during their fiscal year will be required to have a single audit. Governments receiving between
$25,000 and$100,000 federal assistance have the option of having a single audit or complying with any
applicable audit requirements of the individual grants they have received. Governments receiving less than
$25,000 are exempt from the act. The CLG is responsible for covering the cost of the audit.
1. Time Sheets
Each employee or volunteer engaged in activities to be claimed against the grant must submit a time
sheet signed by the employee/volunteer and the supervisor. Such records must show the actual hours
worked, date worked and the specific duties performed. The records should also indicate the basis for
determining the rate of the volunteer's contributions. Employees can claim their regular hourly wage.
Time sheets must certify no other federal funds were used to pay salaries and that their salaries were not
used as match for other federal grants.
Volunteers must claim a reasonable wage rate. Professionals may claim their standard professional wage
if volunteering professional services. In any case, hourly wages may not exceed the maximum rate of
$74.92/hour. A sample volunteer time sheet is attached under miscellaneous forms attached.
2. Travel
The miscellaneous forms include a travel record. This identifies traveler, dates of travel, mileage,
lodging, costs of meals and other miscellaneous travel expenses. Receipts for all expenses are required.
See attached allowable travel rates for limits.
3. Miscellaneous Expenses
Proper documentation for miscellaneous expenses includes that information identified in the beginning
of this attachment. Following this attachment are additional sample records for miscellaneous volunteer
costs.
4. Subcontracts
All services and products must be procured according to federal procurement standards set forth in
OMB Circulars A-87 and A-112. If the government is not doing the actual work, it muse execute a
contract with the subgrantee—i.e.,professional consultant, local historical society, individuals, etc.
All subcontracts must include the Assurances for Consultants and Subcontractors, attached. A very
simple letter of agreement to be used as a guide is found in Attachment C. Since each local government
may have different requirements, the appropriate local official should review this letter.
A copy of the contract between the CLG and a subgrantee must be sent to the SHPO for audit purposes.
5. Payment Schedule
Reimbursement payments to the CLG will be made according to the schedule outlined in the contract:
(a.)after an acceptable billing and final product have been approved by the SHPO; and
(b.)when federal funds become available to the State.
6. If there is more than one activity identified under the grant, each expense must be attributed to a specific
activity to evaluate actual costs versus proposed costs. For example, if a grant funded both National
Register nominations and survey, the billing must show each expense allocated to either nominations or
survey.
7. For your guidance, the following is the checklist used by the SHPO to evaluate a CLG's billing:
(a.) Signed invoice from the local government to the SHPO with federal tax identification number.
(b.) Copies of vendors' invoices showing evidence that:
i. invoices are in the name of the CLG.
ii. invoice dates are within the project period.
iii. purchase price is compatible with the estimated budget cost.
iv. purchases are relevant to the project's scope.
(c.) Copies of receipts or properly endorsed cancelled checks (front and back).
(d.) Evidence of approved extensions and amendments to CLG subcontracts.
(e.) Evidence that invoices were properly approved for payment including:
i. evidence that discounts and other credits were deducted.
ii. evidence that merchandise/services were received.
(f.} Copies of daily time records (including supervisor's verification).
(g.) Evidence of employees' rates of pay(including justification for rate paid), and verification no
other federal funds are used for this purpose.
(h.) Evidence that work was accomplished in accordance with the terms of the grant Memorandum of
Agreement (final project report or products) and records to document the process are submitted).
(i.) Evidence that the method for selecting professional services was in accordance with Federal
procurement requirements.
(�.} Comparisons schedule showing proposed costs vs. actual costs.
ALLOWABLE TRAVEL RATES
The Commission will reimburse a participant traveling for purposes of the program when identified in the
Application. Since travel allowances may vary among federal, state or local organizations, a traveler will be
reimbursed the lowest allowed amount. Check with a representative of your local government to verify local
rates. Receipts for all expenses must accompany request for reimbursement.
Lodging: $85/night
Mileage: $.445/mile
Meals: $36/day
MISCELLANEOUS FORMS
The following are versions of time sheets, travel records and donated materials forms. Although it is not
necessary to use these specific forms, it is necessary to record the name of the laborer, name of supervisor, date
of donation to ensure it falls within the grant period and value of donation on any form used. If desired, SHPO
staff will review any proposed format to ensure compliance with these requirements.
BILLING STATEMENT FORMAT
[Date]
TO: Texas Historical Commission
P.O. Box 12276
Austin, TX 78711-2276
FROM: [Name &Address of Certified Local Government]
TAX IDENTIFICATION NUMBER:
RE: CLG Billing
Enclosed is documentation to support a billing for$[amount] to cover work done under the grant contract
number TX-08-[XXX] dated [initial date of contract] for [activity] as identified in the Project Notification
received as part of the contract. I certify no other Federal funds were used for either the match or actual
expenditures incurred during the execution of this project.
Please send the above amount to:
[Name &Address of CLG and/or department to receive funds]
PROPOSED ACTUAL
Federal Match Federal Match
Activity
Activity
Activity
Sincerely,
(Original Signature)
[Name]
[Title/Office]
Enclosures:
time sheets
receipts
cancelled checks or copies of bank statements
copies of final products,
Historic Preservation Commission
VOLUNTEER'S NAME
TIME SHEET
Date Project Project Project Hours X Rate =Total
Totals
PROJECT OR ACTIVITY EXPENSES
Date Project number Item (attach receipt) Amount
MILEAGE RECORD
Date Project number Odometer Start Odometer Finish Total Miles X S.445
Project 1: Project 2:
Project 3: Project 4:
I certify that the work donated towards the completion of this project was not used as match for any other
project and that it was completed during the grant period.
Volunteer Date Supervisor Date
TRAVEL RECORD
Name:
Purpose:
DATE AND TIME ORIGIN/ MEALS LODGING OTHER TRANSPORTATION
OF DEPARTURE DESTINATION (IDENTIFY)
Totals:
Auto miles: miles X$.445/mile=
Total Amount for Travel:
Traveler Date
Supervisor Date
Enc.: Receipts
DONATED LABOR TIME SKEET
Project Name
Name of Volunteer Type of Work Performed
Hourly rate based on
A person donating time to a project will be paid at minimum wage unless professionally skilled in the work being performed on the
project(photographer taking pictures or data entry done by skilled person). When this is the case,the wage rate the individual is
normally paid for performing this service may be charged to the project.
DATE DESCRIPTION OF WORK NUMBER OF
HOURS X RATE _
Value of Donation:
I certify that the work donated towards the completion of this project was not used as match for any other
project and was completed during the grant period.
Signature of Volunteer Date
Signature of Supervisor Date
VALUE OF DONATED MATERIAL AND EQUIPMENT
Project Name
Donor
Description of Material Donated Date of Fair Value Basis of Value
Donation
Total Value of Donation:
Signature of Donor Date
Project Supervisor Date
ASSURANCES FOR CONSULTANTS OR SUBCONTRACTORS
The consultant or subcontractor will comply with Title VI of the Civil Rights Act of 1964 (P.L. 88-352 and all
requirements imposed by or pursuant to the Department of the Interior Regulations (43 CFR 17) issued pursuant
to that title,to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United
States shall, on the ground of race, color, or national origin, be excluded from participation in,be denied the
benefits of, or be otherwise subjected to discrimination under any program or activity for which the consultant
or subcontractor receives financial assistance from Department of the Interior,National Park Service, and
hereby gives assurance that it will immediately take any measures to effectuate this agreement.
This Assurance is given in consideration of and for the purpose of obtaining any and all federal grants, loans,
contracts,property discounts, or other federal financial assistance extended after the date hereof to the
consultant or subcontractor, including installment payments after such date on account of arrangements for
federal financial assistance which were approved before such date. The consultant or subcontractor recognizes
and agrees that such federal financial assistance will be extended in reliance on the representations and
agreements made in this assurance, and that the United States shall reserve the right to seek judicial
enforcement of this assurance. This assurance is binding on the.consultant or subcontractor, its successors,
transferees, and assignees, and the person or persons whose signature appear below are authorized to sign this
assurance on behalf of the consultant or subcontractor.
DI 1350 Addendum. Also agrees to comply with the Rehabilitation Act of 1973 and the Age Discrimination Act
of 1975 and all requirements imposed by or pursuant to these titles, to the end that, no person in the United
States shall, on the grounds of age or handicap be excluded from participation in, be denied the benefits of, or
be otherwise subjected to discrimination under any program or activity for which the consultant or
subcontractor receives financial assistance from the National Park Service, and hereby gives assurance that it
will immediately take any measures to effectuate this agreement.
18 USC 1913. No part of the money appropriated by any enactment of Congress shall, in the absence of express
authorization by Congress,will be used directly or indirectly to pay for any personal service, advertisement,
telegram,telephone, letter,printed or written matter, or other device, intended or designed to influence in any
manner a Member of Congress;to favor or oppose, by vote or otherwise, any legislation or appropriation by
Congress, whether before or after the introduction of any bill or resolution proposing such legislation or
appropriation; but this shall not prevent officers or employees of the United States or of its departments or
agencies from communicating to Members of Congress on the request of any Member of Congress, thorough
the proper official channels, requests for legislation or appropriations which they deem necessary for the
efficient conduct of the public business.
Whoever, being an officer or employee of the United States or of any department or agency thereof, violates or
attempts to violate this section, shall be fined not more than $500 or imprisoned not more than one year, or
both; and after notice and hearing by the superior officer vested with the power of removing him, shall be
removed from office or employment. (June 25, 1948,ch. 645, 62 Stat. 792.)
DI 1954. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion. Lower Tier
Cover Transactions.
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension, 43 CFR Part 12, Section 12.5.10,Participants' responsibilities. The regulations were published as
Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Copies of the regulations are included in
the proposal package. For further assistance in obtaining a copy of the regulations, contact the U.S. Department
of the Interior, Acquisition and Assistance Division, Office of Acquisition and Property Management, 18th and
C streets,N.W., Washington, D.C. 20240.
(1) The prospective lower tier participant certified, by submission of this proposal, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any federal department or agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this proposal.
Consultant/Subcontractor Date
DATE: April 17, 2008
SUBJECT: City Council Meeting—April 24, 2008
ITEM: *1061. Consider a resolution authorizing the Mayor to execute a grant
contract with the Texas Historical Commission to develop a
preservation promotion and public education program for the City of
Round Rock.
Department: Planning and Community Development
Staff Person: Jim Stendebach, Planning and Community Development Director
Justification:
This grant is being funded through the Certified Local Government (CLG) program which is
administered by the Texas Historical Commission to assist local governments in documenting
and promoting the preservation of historic sites.
The City of Round Rock will develop a preservation promotion and public education program
for the City that meets the goals of the Historic Preservation Commission to preserve historic
resources, increase public awareness of historic preservation and the history of the City,
promote heritage tourism, and establish community partnerships.
Funding:
Cost: Cost to the City of Round Rock will be $10,000 ($5,000 cash and $5,000
in-kind).
Source of funds: $5,000 cash match from General Funds.
The project cost is based on a $10,000 allocation from the Texas Historical Commission. The
grant requires a 100% match which will be in the form of a $5,000 cash match by the City of
Round Rock, and a $5,000 match in-kind for hours of service.
Outside Resources:
CLG grants are funded with money appropriated from Congress for preservation efforts through
the National Park Service Historic Preservation Fund (HPF). By federal law, the Texas Historical
Commission must set aside at least 10 percent of its HPF appropriation for CLG grants each
year.
Background Information:
Certified Local Government (CLG) grants provide funding to enable local communities to
develop quality programs and fully participate in the state's preservation process.
The City of Round Rock has been a Certified Local Government since 1989. The City has
received this grant several times in the past. Examples of past projects include the Round Rock
Collection, Design Guidelines for Historic Properties, and a GIS Inventory of Historic Sites.
Public Comment: N/A
EXECUTED
DOCUMENT
FOLLOWS
�S TEXAS RICK PERRY,GOVERNOR
HISTORICAL JOHN L.NAU,111,CHAIRMAN
COMMISSION F.LAWERENCE OAKS,EXECUTIVE DIRECTOR
The State Agency for Historic Preservation
GRANT CONTRACT
TX-08-042
I. PARTIES
The parties of this contract are the Texas Historical Commission, an agency of the State of Texas,
hereinafter referred to as Commission; and the City of Round Rock hereinafter referred to as Grantee.
II. PURPOSE
This contract is entered into pursuant to a grant made to the Commission for fiscal year 2008 by the
U.S. Department of the Interior,National Park Service, under the provisions of the National Historic
Preservation Act of 1966, P.L. 89-665 (16 U.S.C. Sec. 470 f). This grant is made for the purpose of
funding a project or projects to be undertaken by Grantee as a participant in the Certified Local
Government program.
III. SERVICES TO BE PROVIDED
The following services are to be provided within the contract period on a schedule to be agreed upon by
the parties to this contract. However, the services designated with specific deadlines must comply with
those deadlines.
The Grantee shall undertake and complete the project or projects as set out in the Project Notification
(with detailed budget). Products developed under this agreement must conform to the expectations of the
Commission and the Project Proposal, as stipulated in Attachment B.
Project personnel employed by the Grantee shall meet the Standards for Professional Qualifications as
outlined in 36 CFR 61 (Attachment C), and be employed by competitive procurement. Regulations of the
U.S. Department of the Interior strictly prohibit unlawful discrimination in federally-assisted programs on
the basis of race, color, and/or national origin. Therefore the Grantee must sign DI Form 1350
(Attachment D) and return signed form to the Commission with this contract. In all cases the person(s)
employed by the Grantee to complete the work specified in this contract must meet with the approval of
the Commission. The professional staff hired must also contact the Commission's Certified Local
Government staff prior to commencing work.
IV. AMOUNT OF THE CONTRACT
The total amount of this contract shall not exceed $10,000.00. The Commission shall reimburse the
Grantee exclusively from U.S. Department of the Interior grant-in-aid funds for historic preservation
(Certified Local Government), and this contract is subject to the availability of those fiords.
P.O. BOX 12276 • AUSTIN, TX 78711-2276 • 512/463-6100 • FAX 512/475-4872 • TDD 1-800/735-2989
�,-(� 04 1081 www.thc.state.tx.us
V. DOCUMENTATION AND PAYMENT
Grantee may submit to the Commission, for its approval, a properly completed invoice for services
rendered in compliance with all requirements of the contract as specified in the Reimbursement Request
Procedures and Required Records (Attachment F). Grantee will provide invoices to the Commission as
costs are incurred and work is completed, but not more frequently than monthly.
Reimbursement to the grantee shall be on a matching basis as outlined in the Project Notification's
Budget section, subject to receipt of funds from the National Park Service and successful completion of
all project work activities. The Commission agrees to pay the grantee up to $10,000.00 in federal funds.
The grantee agrees to contribute matching share, either donated services or cash match, for a minimum
total of$10,000.00 or 50% of eligible costs,whichever is less.
Such payments shall be made as requested for services actually rendered, or if mutually agreed, in one
lump sum upon completion and approval of all the requirements set forth in this agreement. It is further
agreed that a sum not to exceed 25%of the total granted sum will be retained by the Commission until all
stipulated materials and the Grantee submits properly documented reimbursement requests. Within thirty
(30) days of the Commission's receipt of Grantee's authorized invoice for services rendered, Commission
shall pay Grantee the authorized amount.
Subject to the limitations of the contract, the Commission's payments will be made in accordance with the
Texas Prompt Payment Act.
VI. PERIOD
This contract shall commence on October 1,2007 and shall terminate on September 30, 2009. It is
further agreed that all materials stipulated in Attachments A and B and all reimbursement requests shall
be submitted to the Commission by October 31, 2009.
It is further agreed that the Grantee will provide written semi-annual updates on the Grant
Product Semi-Annual Report Form (Attachment E)to the Texas Historical Commission on the
progress of the grant product. Each update will outline the tasks and expenses completed on the
project and provide a timeline and status of the overall project.
Contract amendments may be executed between October 1,2007 and December 15, 2009 at the option
of the Commission. The Form will be due October 30. 2008 and April 30, 2009.
VII. INDEPENDENT CONTRACTOR
The Grantee is a Texas Municipal Corporation. It is not an agency of the State of Texas. It is expressly
understood and agreed that any subcontractor is an independent contractor and not an employee of the
Texas Historical Commission. The Grantee or any subcontractor shall not be considered the agent, the
servant, or the employee of the Commission for any purpose whatsoever.
VIII. OWNERSHIP OF PRODUCTS OF THIS CONTRACT
All material, concepts and products produced, developed or conceived by the Grantee during or arising
out of the contract shall remain the property of the Commission. The Grantee shall have an unrestricted
2 of 5
right to use any or all materials so produced, developed, or conceived at no additional cost; in addition,
three copies of all publications and videos are to be supplied to the Commission before final
reimbursement is made. All materials published,printed, or used for public distribution funded in whole
or in part by the this grant shall note the following on the materials:
This project was funded in part through a Certified Local Government Grant from the National Park
Service, U.S. Department of the Interior, as administered by the Texas Historical Commission.
The contents and opinions, however, do not necessarily reflect the views and policies of the Department
of the Interior, nor does the mention of trade names or commercial products constitute endorsement or
recommendation by the Department of the Interior.
This program receives Federal funds from the National Park Service. Regulations of the U.S. Department
of the Interior strictly prohibit unlawful discrimination in departmental Federally Assisted Programs on
the basis of race, color, national origin, age or handicap. Any person who believes he or she has been
discriminated against in any program, activity, or facility operated by a recipient of Federal assistance
should write to:Director, Equal Opportunity Program, U.S. Department of the Interior, National Park
Service, P.O. Box 3 712 7, Washington, D.C. 20013-7127.
IX. TERMINATION
Either party to this contract may terminate by giving seven days written notice to the other party. In the
event notice of termination is given, all work by Grantee shall cease and no amount shall be paid by the
Commission for work performed following receipt of notice of termination by Grantee. Grantee shall be
paid for all work performed prior to the notice of termination in accordance with the terms of the contract.
Final invoices shall be submitted to Commission not later than 30 days following the date of termination
of this contract.
X. APPLICABLE LAWS
This contract shall be governed by and construed in accordance with the laws of the State of Texas and
the rules and policies of the Commission. All projects funded under the Certified Local Government
program must meet the Secretary of the Interior's Standards. The Standards can be accessed at the
National Park Service web site: www.nps.gov/history/local-law/arch stnds 0.1itm.
XI. AUDIT
The Commission may audit the Grantee's records to verify the costs or expenses incurred in the
performance of this contract or may, at its option,require an audit of the Grantee's records by an
independent accounting firm, at Grantee' expense, or by Federal auditors to verify costs or expenses
incurred in the performance of the contract. The Grantee shall keep accurate financial records available
for audit three years from project end date. In addition to the terms detailed in this Agreement, all federal
requirements governing grants (Office of Management and Budget Circulars A-87 or A-122,A-102 or A-
110, A-133, and A-128) are applicable.
3 of 5
XII. ATTACHMENTS
The following documents are included in and shall be a part of this contract for all purposes:
Attachment A: Project Notification
Attachment B: Expected Products
Attachment C: 36 CFR 61, Standards for Professional Qualifications
Attachment D: DI Form 1350, Civil Rights Assurance
Attachment E: Grant Product Semi-Annual Report Form
Attachment F: Reimbursement Request Procedures&Required Records
This contract is the entire agreement between the parties. Any changes, deletions, extensions, or
amendments to this contract shall be in writing and signed by both parties to the contract. Any other
attempted changes, including oral modifications,written notices that have not been signed by both parties,
or other modifications of any type, shall be invalid. In some cases, adjustment of the contractual
requirements may be necessary pursuant to recommendations by the Certified Local Government
Program, Texas Historical Commission,with the approval of the U.S. Department of the Interior.
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.........._.. . ... _...........
The parties to the contract accept the terms of this contract. Persons signing are expressly authorized to
obligate the parties to the terms of this contract.
TEXAS HISTORICAL COMMISSION: GRANTEE:
Signature e
F. Lawerence Oaks, Executive Director K f- x we
Typed Name&Title Typell Name&Title
31 1-q) Q DO`$ +-2-f-
Date Date
APPROVED AS TO FORM BY:
C
Signator
Joe H. Thrash,Assistant Attorney General
Typed Name&Title
Date
5 of 5
PROJECT NOTIFICATION
TITLE: Preservation Promotion&Public Education GRANT NUMBER: TX-08-042
AREA AFFECTED BY PROJECT: TOTAL PROJECT COST: $20,000.00
Williamson County 50%FEDERAL SHARE: $10,000.00
50%NONFEDERAL SHARE: $10,000.00
CONGRESSIONAL DISTRICT: 31
STATE CONTACTS: TYPE: NEW: X REVISION:
Derek Satchell: 512.463.5997 PRE-
Megan Koch: 512.463.3805 DEVELOPMENT: YES: NO: X
1. SUBGRANTEE:
Contact: Joelle Jordan
Address: City of Round Rock
301 West Bagdad, Ste.210
Round Rock,TX 78664
iiordan around-rock.tx.us
Phone: 512.218.5422
Fax: 512.218.3286
2. MATCHING SHARE:
Donor: Subgrantee
Source: City of Round Rock
Kind: Local
Amount: $ 10,000.00
3. BUDGET:
IN-KIND CASH MATCH FEDERAL TOTAL
Project Leader $ 2,500.00 $ - $
$ 2,500.00
Planning/City Staff $ 2,000.00 $ - $ _
$ 2,000.00
Commission/Volunteers $ 500.00 $ - $ - $ 500.00
Planning/Mktg. Consultant $ - $ 2,500.00 $ 7,500.00 $ 10,000.00
Supplies and Equipment $ - $ 2,500.00 $ 2,500.00 $ 5,000.00
Total $ 5,000.00 $ 5,000.00 $ 10,000.00 $ 20,000.00
4. PURPOSE: To develop a preservation promotion and public education program for the City of Round Rock in order to meet the
goals of the Historic Preservation Commission to preserve,educate,promote heritage tourism,establish community
partnerships,and increase public awareness of historic preservation and the history of the city.
5. BEGINNING&ENDING DATES: 10/1/07-9/30/09
6. No program income will be generated.
2008 Round Rock-Amended Project Notification (3), ROUND ROCK 08, 4/2/2008
ATTACHMENT B
EXPECTED PRODUCTS OF AN EDUCATIONAL PROJECT
Diverse preservation activities may result in publications in order to reach a wide audience.
Activities in this category include preparation and publication of preservation plans, historic
structures reports or feasibility studies; development of walking or driving tours of historic areas;
production of brochures, pamphlets or videotapes promoting local history and properties;
establishment of local marker programs; or preparation of design guidelines. Educational
activities such as preservation workshops, conferences, or training for staff and review board
members are also eligible for funding. Projects must conform to the following guidelines:
Local historic and/or archeological resources must be adequately represented. The full
diversity of resources should address geographic and temporal ranges. All textual matter should
reflect the broad patterns of local history.
Design review projects must include charts or outlines of the review process. Graphics
illustrating design expectations should be included. Standard architectural terminology should be
employed, with a glossary of terms or list of definitions included.
Graphics must clearly represent resources from the local community. Where applicable, the text
and graphics must accurately reflect the attached U.S. Secretary of the Interior's Standards for
Rehabilitation.
References should indicate avenues of further research or resources for assistance.
Planning documents must establish a set of goals and objectives with target dates for
completion. Ideally, responsibility for specific tasks should be assigned to specific personnel.
Maps and clear identification of resource locations should be provided.
Adequate recognition must be provided in all publications. Photographs and drawings should be
credited to the artist or lender. The local government's involvement must be adequately
acknowledged. Recognition, as detailed below, must be afforded the CLG program, the Texas
Historical Commission, and the National Park Service of the U.S. Department of the Interior.
Language acknowledging nondiscrimination practices, as detailed below, must be included.
Publications addressing several potential audiences must adequately reflect the community's
preservation program.
This project was funded in part through a Certified Local Government grant from the National
Park Service, U.S. Department of the Interior, as administered by the Texas Historical
Commission.
ATTACHMENT C
STANDARDS FOR PROFESSIONAL QUALIFICATIONS
To insure that appropriate historical, architectural, archeological and cultural properties are
identified for public benefit through grant-in-aid assistance, the following minimal professional
standards for historical, architectural and archeological documentation have been established by
the Preservation Assistance Division of the National Park Service. Persons supervising grant
projects must be professionally qualified in accordance with 36 CFR 61 as follows:
Appendix A to Part 61
Professional Qualifications Standards
In the following definitions, a year of full-time professional experience need not consist of a
continuous year of full-time work but may be made up of discontinuous periods of full-time or
part-time work adding up to the equivalent of a year of full-time experience.
(a) History. The minimum professional qualifications in history are a graduate degree in history
or closely related field; or a bachelor's degree in history or closely related field plus one of the
following:
(1)At least two years of full-time experience in research, writing, teaching, interpretation or
other demonstrable professional activity with an academic institution, historical
organization or agency, museum, or other professional institution; or
(2) Substantial contribution through research and publication to the body of scholarly
knowledge in the field of history.
(b)Archeology. The minimum professional qualifications in archeology are a graduate degree in
archeology, anthropology, or closely related field plus:
(1)At least one year of full-time professional experience or equivalent specialized training in
archeological research, administration or management;
(2)At least four months of supervised field and analytic experience in general North American
archeology; and
(3)Demonstrated ability to carry research to completion.
In addition to these minimum qualifications, a professional in prehistoric archeology shall have
at least one year of full-time professional experience at a supervisory level in the study of
archeological resources of the prehistoric period. A professional in historic archeology shall
(more)
have at least one year of full-time professional experience at a supervisory level in the study of
archeological resources of the historic period.
(c) Architectural history. The minimum professional qualifications in architectural history are a
graduate degree in architectural history, art history, historic preservation, or closely related
field, with course work in American architectural history; or a bachelor's degree in
architectural history, art history, historic preservation, or closely related field plus one of the
following:
(1)At least two years of full-time experience in research, writing, or teaching in American
architectural history or restoration architecture with an academic institution, historical
organization or agency, museum, or other professional institution; or
(2) Substantial contribution through research and publication to the body of scholarly
knowledge in the field of American architectural history.
(d) Architecture. The minimum professional qualifications in architecture are a professional
degree in architecture plus at least two years of full-time professional experience in
architecture; or a State license to practice architecture.
(e) Historic Architecture. The minimum professional qualifications in historic architecture are a
professional degree in architecture or State license to practice architecture, plus one of the
following:
(1)At least one year of graduate study in architectural preservation, American architectural
history,preservation planning, or closely related field; or
(2)At least one year of full-time professional experience on historic preservation projects.
Such graduate study or experience shall include detailed investigations of historic
structures,preparation of historic structures research reports, and preparation of plans and
specification for preservation projects.
2
ATTACHMENT D
U.S. DEPARTMENT OF THE INTERIOR
CIVIL RIGHTS ASSURANCE
As the authorized representative of the applicant,I certify that the applicant agrees that,as a condition to receiving
any Federal financial assistance from the Department of the Interior,it will comply with all Federal laws relating to
nondiscrimination. These laws include are not limited to: (a)Title VI of Civil Rights Act of 1964(42 U.S.C. 2000d-
1),which prohibits discrimination on the basis of race,color,or national origin;(b)Section 504 of the Rehabilitation
Act of 1973,as amended(29 U.S.C. 794),which prohibits discrimination on the basis of handicap (c)the Age
Discrimination Act of 1975,as amended(42 U.S.C. 6101 et seq.),which prohibits discrimination on the basis of age;
and applicable regulatory requirements to the end that no person in the United States shall,on the grounds of race,
color,national origin,handicap or age,be excluded from participation in,be denied the benefits of,or be otherwise
subjected to discrimination under any program or activity conducted by the applicant.THE APPLICANT HEREBY
GIVES ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement.
THIS ASSURANCE shall apply to all aspects of the applicant's operations including those parts that have not
received or benefited from Federal financial assistance.
If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended
to the Applicant by the Department,this assurance shall obligate the Applicant,or in the case of any transfer of such
property, any transferee,for the period during which the real property or structure is used for a purpose of which the
Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits.
If any personal property is so provided,this assurance shall obligate the Applicant for the period during which it
retains ownership or possession of the property.In all other cases,this assurance shall obligate the Applicant for the
period during which the Federal financial assistance is extended by the Department.
THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal grants, loans,
contracts,property,discounts or other Federal financial assistance extended after the date hereof to the Applicant by
the Department,including installment payments after such date on account of applicants for Federal financial
assistance which were approved before such date.
The Applicant recognizes and agrees that such Federal financial assistance will be extended in reliance on the
representations and agreements made in this assurance,and that the United States shall have the right to seek judicial
enforcement of this assurance. This assurance is binding on the Applicant,its successors,transferees,assignees,and
sub-recipients and the person whose signature appears below who is authorized to sign this assurance on behalf of
the Applicant.
SIGNA 1AUTHORIZED CERTIFYING OFFICIAL TITLE
APPLIC T/ORGANIZATION DATE SUBMITTED
� E W10 *ee,+1 40 W_-9
APPLICANT/ORGANIZATION MAILING ADDRESS BUREAU OF OFFICE EXTENDING ASSISTANCE
ATTACHMENT E
HISTORICALTEXAS 1 1
Certified Local Government Grant Semi-Annual Report Form
CLG Community:
Grant Number:
Project name/type:
Consultant/contactor(if one) Name:
Phone:
Email:
Local CLG contact Name:
Phone:
Email:
What is the current status of the grant project? Please explain the progress of the project.
List any possible roadblocks to the project or adhering to the project timeline.
What specific questions do you have that may be answered by the Texas Historical
Commission CLG program? If you have an issue that requires immediate attention,
please call Derek Satchell at (512)463-5997.
ATTACHMENT F
REIMBURSEMENT REQUEST PROCEDURES AND REQUIRED RECORDS
The required reimbursement procedures and format are found in this chapter. Requests for payment must be
accompanied by complete documentation, including receipts for all expenses and all products identified in the
approved Application. Non-federal or match share should be documented in the same method as federal
expenditures. Acceptable documentation must show:
1. invoices in the name of the CLG;
2. invoice dates within the project/contract period;
3. purchase price compatible with the estimated budget costs;
4. purchase(s)relevant to the scope of the project/contract;
5. copies of properly endorsed cancelled checks (both front and back);
6. evidence that invoices were properly approved for payment including evidence that discounts and other
credits were deducted and evidence that merchandise/services were received;
7. copies of daily time records including supervisor's verification of time worked, and evidence of
employees' rates of pay including justification for rates paid;
8. evidence that work was accomplished in accordance with the terms of the grant agreement and evidence
that the method for selecting professional services was accomplished in accordance with federal
procurement requirements.
Grant participants should maintain any other documentation that might be useful to an auditor in verifying the
propriety of the procedures used and compliance with federal and state regulations.
CLG's must retain financial records, supporting documents, statistical records, and all other records pertinent to
a grant for a period of three years or until an acceptable audit has been performed and resolved. The three-year
retention period begins from the date of the submission of the final expenditure report. The grant participant
will provide access to, and the right to examine, all records, books, papers or documents related to the grant to
authorized representatives of the Texas Historical Commission. Only items listed in the approved Budget and
Application will be approved for payment.
Under the "Single Audit Act of 1984," a single, comprehensive, organization-wide audit of local governments
receiving any federal funds will be conducted. Governments that receive $100,000 or more in federal funds
from all sources during their fiscal year will be required to have a single audit. Governments receiving between
$25,000 and$100,000 federal assistance have the option of having a single audit or complying with any
applicable audit requirements of the individual grants they have received. Governments receiving less than
$25,000 are exempt from the act. The CLG is responsible for covering the cost of the audit.
1. Time Sheets
Each employee or volunteer engaged in activities to be claimed against the grant must submit a time
sheet signed by the employee/volunteer and the supervisor. Such records must show the actual hours
worked, date worked and the specific duties performed. The records should also indicate the basis for
determining the rate of the volunteer's contributions. Employees can claim their regular hourly wage.
Time sheets must certify no other federal funds were used to pay salaries and that their salaries were not
used as match for other federal grants.
Volunteers must claim a reasonable wage rate. Professionals may claim their standard professional wage
if volunteering professional services. In any case, hourly wages may not exceed the maximum rate of
$74.92/hour. A sample volunteer time sheet is attached under miscellaneous forms attached.
2. Travel
The miscellaneous forms include a travel record. This identifies traveler, dates of travel, mileage,
lodging, costs of meals and other miscellaneous travel expenses. Receipts for all expenses are required.
See attached allowable travel rates for limits.
3. Miscellaneous Expenses
Proper documentation for miscellaneous expenses includes that information identified in the beginning
of this attachment. Following this attachment are additional sample records for miscellaneous volunteer
costs.
4. Subcontracts
All services and products must be procured according to federal procurement standards set forth in
OMB Circulars A-87 and A-112. If the government is not doing the actual work, it muse execute a
contract with the subgrantee—i.e.,professional consultant, local historical society, individuals, etc.
All subcontracts must include the Assurances for Consultants and Subcontractors, attached. A very
simple letter of agreement to be used as a guide is found in Attachment C. Since each local government
may have different requirements, the appropriate local official should review this letter.
A copy of the contract between the CLG and a subgrantee must be sent to the SHPO for audit purposes.
5. Payment Schedule
Reimbursement payments to the CLG will be made according to the schedule outlined in the contract:
(a.)after an acceptable billing and final product have been approved by the SHPO; and
(b.)when federal funds become available to the State.
6. If there is more than one activity identified under the grant, each expense must be attributed to a specific
activity to evaluate actual costs versus proposed costs. For example, if a grant funded both National
Register nominations and survey, the billing must show each expense allocated to either nominations or
survey.
7. For your guidance, the following is the checklist used by the SHPO to evaluate a CLG's billing:
(a.) Signed invoice from the local government to the SHPO with federal tax identification number.
(b.) Copies of vendors' invoices showing evidence that:
i. invoices are in the name of the CLG.
ii. invoice dates are within the project period.
iii. purchase price is compatible with the estimated budget cost.
iv. purchases are relevant to the project's scope.
(c.) Copies of receipts or properly endorsed cancelled checks (front and back).
(d.) Evidence of approved extensions and amendments to CLG subcontracts.
(e.) Evidence that invoices were properly approved for payment including:
i. evidence that discounts and other credits were deducted.
ii. evidence that merchandise/services were received.
(f.) Copies of daily time records (including supervisor's verification).
(g.) Evidence of employees' rates of pay(including justification for rate paid), and verification no
other federal funds are used for this purpose.
(h.) Evidence that work was accomplished in accordance with the terms of the grant Memorandum of
Agreement (final project report or products) and records to document the process are submitted).
(i.) Evidence that the method for selecting professional services was in accordance with Federal
procurement requirements.
(j.) Comparisons schedule showing proposed costs vs. actual costs.
ALLOWABLE TRAVEL RATES
The Commission will reimburse a participant traveling for purposes of the program when identified in the
Application. Since travel allowances may vary among federal, state or local organizations, a traveler will be
reimbursed the lowest allowed amount. Check with a representative of your local government to verify local
rates. Receipts for all expenses must accompany request for reimbursement.
Lodging: $85/night
Mileage: $.445/mile
Meals: $36/day
MISCELLANEOUS FORMS
The following are versions of time sheets, travel records and donated materials forms. Although it is not
necessary to use these specific forms, it is necessary to record the name of the laborer, name of supervisor, date
of donation to ensure it falls within the grant period and value of donation on any form used. If desired, SHPO
staff will review any proposed format to ensure compliance with these requirements.
BILLING STATEMENT FORMAT
[Date]
TO: Texas Historical Commission
P.O. Box 12276
Austin, TX 78711-2276
FROM: [Name & Address of Certified Local Government]
TAX IDENTIFICATION NUMBER:
RE: CLG Billing
Enclosed is documentation to support a billing for$[amount] to cover work done under the grant contract
number TX-08-[XXX] dated [initial date of contract] for [activity] as identified in the Project Notification
received as part of the contract. I certify no other Federal funds were used for either the match or actual
expenditures incurred during the execution of this project.
Please send the above amount to:
[Name & Address of CLG and/or department to receive funds]
PROPOSED ACTUAL
Federal Match Federal Match
Activity
Activity
Activity
Sincerely,
(Original Signature)
[Name]
[Title/Office]
Enclosures:
time sheets
receipts
cancelled checks or copies of bank statements
copies of final products
Historic Preservation Commission
VOLUNTEER'S NAME
TIME SHEET
Date Proj ect Project Proj ect Hours X Rate =Total
Totals
PROJECT OR ACTIVITY EXPENSES
Date Project number Item (attach receipt) Amount
MILEAGE RECORD
Date Project number Odometer Start Odometer Finish Total Miles X $.445
Project 1: Project 2:
Project 3: Project 4:
I certify that the work donated towards the completion of this project was not used as match for any other
project and that it was completed during the grant period.
Volunteer Date Supervisor Date
TRAVEL RECORD
Name:
Purpose:
DATE AND TIME ORIGIN/ MEALS LODGING OTHER TRANSPORTATION
OF DEPARTURE DESTINATION (IDENTIFY)
Totals:
Auto miles: miles X $.445/mile=
Total Amount for Travel:
Traveler Date
Supervisor Date
Enc.: Receipts
DONATED LABOR TIME SHEET
Project Name
Name of Volunteer Type of Work Performed
Hourly rate based on
A person donating time to a project will be paid at minimum wage unless professionally skilled in the work being performed on the
project(photographer taking pictures or data entry done by skilled person).When this is the case,the wage rate the individual is
normally paid for performing this service may be charged to the project.
DATE DESCRIPTION OF WORK NUMBER OF
HOURS X RATE _
Value of Donation:
I certify that the work donated towards the completion of this project was not used as match for any other
project and was completed during the grant period.
Signature of Volunteer Date
Signature of Supervisor Date
VALUE OF DONATED MATERIAL AND EQUIPMENT
Project Name
Donor
Description of Material Donated Date of Fair Value Basis of Value
Donation
Total Value of Donation:
Signature of Donor Date
Project Supervisor Date
ASSURANCES FOR CONSULTANTS OR SUBCONTRACTORS
The consultant or subcontractor will comply with Title VI of the Civil Rights Act of 1964 (P.L. 88-352 and all
requirements imposed by or pursuant to the Department of the Interior Regulations (43 CFR 17) issued pursuant
to that title,to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United
States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination under any program or activity for which the consultant
or subcontractor receives financial assistance from Department of the Interior, National Park Service, and
hereby gives assurance that it will immediately take any measures to effectuate this agreement.
This Assurance is given in consideration of and for the purpose of obtaining any and all federal grants, loans,
contracts,property discounts, or other federal financial assistance extended after the date hereof to the
consultant or subcontractor, including installment payments after such date on account of arrangements for
federal financial assistance which were approved before such date. The consultant or subcontractor recognizes
and agrees that such federal financial assistance will be extended in reliance on the representations and
agreements made in this assurance, and that the United States shall reserve the right to seek judicial
enforcement of this assurance. This assurance is binding on the consultant or subcontractor, its successors,
transferees, and assignees, and the person or persons whose signature appear below are authorized to sign this
assurance on behalf of the consultant or subcontractor.
DI 1350 Addendum. Also agrees to comply with the Rehabilitation Act of 1973 and the Age Discrimination Act
of 1975 and all requirements imposed by or pursuant to these titles, to the end that, no person in the United
States shall, on the grounds of age or handicap be excluded from participation in,be denied the benefits of, or
be otherwise subjected to discrimination under any program or activity for which the consultant or
subcontractor receives financial assistance from the National Park Service, and hereby gives assurance that it
will immediately take any measures to effectuate this agreement.
18 USC 1913. No part of the money appropriated by any enactment of Congress shall, in the absence of express
authorization by Congress,will be used directly or indirectly to pay for any personal service, advertisement,
telegram,telephone, letter, printed or written matter, or other device, intended or designed to influence in any
manner a Member of Congress, to favor or oppose, by vote or otherwise, any legislation or appropriation by
Congress,whether before or after the introduction of any bill or resolution proposing such legislation or
appropriation; but this shall not prevent officers or employees of the United States or of its departments or
agencies from communicating to Members of Congress on the request of any Member of Congress, thorough
the proper official channels,requests for legislation or appropriations which they deem necessary for the
efficient conduct of the public business.
Whoever,being an officer or employee of the United States or of any department or agency thereof, violates or
attempts to violate this section, shall be fined not more than $500 or imprisoned not more than one year, or
both; and after notice and hearing by the superior officer vested with the power of removing him, shall be
removed from office or employment. (June 25, 1948, ch. 645, 62 Stat. 792.)
DI 1954. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion. Lower Tier
Cover Transactions.
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension, 43 CFR Part 12, Section 12.5.10, Participants' responsibilities. The regulations were published as
Part VII of the May 26, 1988 Federal Register(pages 19160-19211). Copies of the regulations are included in
the proposal package. For further assistance in obtaining a copy of the regulations, contact the U.S. Department
of the Interior, Acquisition and Assistance Division, Office of Acquisition and Property Management, 18`h and
C streets,N.W., Washington, D.C. 20240.
(1) The prospective lower tier participant certified,by submission of this proposal, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any federal department or agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this proposal.
Consultant/Subcontractor Date