CM-2023-282 - 12/1/2023CM-2023-282
This item was picked up from Adam Levy to
be submited by U&ESD to the federal agency.
12/5/23
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OMB Number 4040-0004
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View Burden Statement
Expiration Date:1113012025
Application for Federal Assistance SF424
'1.Type of Submission: '2.Type of Application: 'It Rsvbion,select appropriate k tter(s):
O Preapplicatlon E)New
Application Q Continuation 'Other(sem):
0 ChangedlCorrec ted Application O Revision
•3.Date Received: 4.Applicant Identifier
1787/2023
5a.Federal Entity Identifier. 5b.Federal Award Identifier:
State Use Only:
8.Date Received by State: 7.State Application Identifier.
8.APPLICANT INFORMATION:
•a.Legal Name: iThe City of Round Rock
•b.Employsr/Taxpayer Identification Number(EINITIN): 'c.UEI:
74-6017485 L6TJFVAE4DM5
d.Address:
•Streeti: 1221 E Main Street
Street2:
•City Round Rock
County/Parish,.
•State: TX: Texas
Province:
•Country; USA: UNITED STATES
•Zip I Postal Code: 78664-5271
a.Organizational Unit:
Department Name: Divislon Name:
Utilities t: Environmental Sery dministraticn
a
L Name and contact Information of person to be contacted on matters Involving this application:
Prefix: 1Mr. 'First Name: dam
Middle Name:
•Last Name: Levy
Suffix: I
Title: iStaff Engineer
Organizational Alfillatlon:
Telephone Number. 512-341-3394 Fax Number
*Email: alevy@roundrocktexas.gov
Application for Federal Assistance SF-424
•9.Type of Applicant 1:Select Applicant Type:
C: City or Township Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
Other(specify):
.18.Name of Federal Agency:
Department of Interior - Bureau of Reclamation
11.Catalog of Federal Domestic Assistance Number:
CFDA Title:
'U.Funding Opportunity Number:
R23AS00463
Title:
WaterSMART Title XVI Congressionally Authorized water Reclamation and Reuse Projects for Fiscal
Years 2023 and 2024
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
Add Attachment Delete Attachment View Attachment
15.Descriptive Title of Applicant's Project:
Construction of an expansion of the City of Round Rock's reclaimed water distribution system t::
serve additional customers.
Attach supporting documents as specified in agency Instructions.
View Attachments
i
Application for Federal Assistance SF424
18.Congressional Districts Of:
a.Applicant 17 'b.Programft4ect 31
Attach an additional list of Program/Project Congressional Districts If needed.
Add Attachment Delete Attachment J I View Attachment
17.Proposed Project:
'a.Start Date: 01/O 1/2 025 'b.End Date:
1a.Estimated Funding(S):
•a.Federal 4,223,468.661
•b.Applicant 12,670,405.96
•c.State 0.00
•d.Local 0.00
•e.Other 0.00
•f. Program Income 0.o0
'g.TOTAL 16,893,874.62
•19.is Application Subject to Review By State Under Executive Order 12372 Process?
Q a.This application was made available to the State under the Executive Order 12372 Process for review on
0 b.Program Is subject to E.O.12372 but has not been selected by the State for review.
c.Program is not covered by E.O.12372.
•20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation In attachment.)
O Yes @ No
If'Yes",provide explanation and attach
Add Attachment I I Delete Attachment F View Attachment
21.*13y signing this application,I certify(1)to the statements contained In the list of cerMcations"and(2)that the statements
herein ars true,complete and accurate to the bast of,my knowledge.I also provide the required assurances"and agree to
comply with any resulting terms tf I accept an award.I am aware that any false,flctltlous,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 18,Section 1001)
Q "I AGREE
-The Ilse of certifications and assurances,or an Internet site where you may obtain this list.Is contained In the announcement or agency
specific instructions.
Authorised Representative:
Prefix: Mrs. •First Name; Lauire
Middle Name:
Last Name: lHadley
Suft:
'TNe: City Manager
'Telephone Number. 512-218-5401 Fax Number.
*Email: lhadley@roundrocktexas.gov
'Signature of Authorized Representative: •Date Signed: ��_ 1
view Burden statement ASSURANCES-CONSTRUCTION PROGRAMS OMB Number.4040-0009
Expiration Date:02/28/2025
Public reporting burden for this collection of information is estimated to average 15 minutes per response,including time for reviewing
instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of
information.Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0042),Washington,DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT
AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions,please contact the
Awarding Agency.Further, certain Federal assistance awarding agencies may require applicants to certify to additional
assurances. If such is the case,you will be notified.
As the duly authorized representative of the applicant:, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act
and the institutional,managerial and financial capability of 1970(42 U.S.C.§§4728-0763)relating to prescribed
(including funds sufficient to pay the non-Federal share standards of merit systems for programs funded
of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in
management and completion of project described in Appendix A of OPM's Standards for a Merit System of
this application. Personnel Administration(5 C.F.R.900,Subpart F).
2. Will give the awarding agency,the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning
of the United States and,if appropriate,the State, Prevention Act(42 U.S.C.§§4801 at seq.)which
the right to examine ali records,books, papers,or prohibits the use of lead-based paint in construction or
documents related to the assistance;and will establish rehabilitation of residence structures.
a proper accounting system in accordance with
generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to
directives. non-discrimination.These Include but are not limited to:(a)
Title VI of the Civil Rights Act of 1964(P.L.88-352)
3. Will not dispose of,modify the use of,or change the which prohibits discrimination on the basis of race,
terms of the real property title or other Interest In the color or national origin;(b)Title IX of the Education
site and facilities without permission and instructions Amendments of 1972,as amended(20 U.S.C.§§1681
from the awarding agency.Will record the Federal 1683,and 1685-1686),which prohibits discrimination
awarding agency directives and will include a covenant on the basis of sex;(c)Section 504 of the
in the title of real property acquired in whole or in part Rehabilitation Act of 1973,as amended(29)U.S.C.
with Federal assistance funds to assure §794),which prohibits discrimination on the basis of
non-discrimination during the useful life of the project. handicaps;(d)the Age Discrimination Act of 1975,as
amended(42 U.S.C.§§6101-6107),which prohibits
4. Will comply with the requirements of the assistance discrimination on the basis of age;(e)the Drug Abuse
awarding agency with regard to the drafting,review and Office and Treatment Act of 1972(P.L.92-255),as
approval of construction plans and specifications. amended relating to nondiscrimination on the basis of
drug abuse;(f)the Comprehensive Alcohol Abuse and
5. Will provide and maintain competent and adequate Alcoholism Prevention,Treatment and Rehabilitation
engineering supervision at the construction site to Act of 1970(P.L.91-616),as amended,relating to
ensure that the complete work conforms with the nondiscrimination on the basis of alcohol abuse or
approved plans and specifications and will furnish alcoholism;(g)§§523 and 527 of the Public Health
progressive reports and such other Information as may be Service Act of 1912(42 U.S.C.§§290 dd-3 and 290 se
required by the assistance awarding agency or State. 3),as amended,relating to confidentiality of alcohol
and drug abuse patient records:(h)Title VIII of the
6. Will initiate and complete the work within the applicable Civil Rights Act of 1968(42 U.S.C.§§3601 at seq.),as
time frame after receipt of approval of the awarding agency. amended, relating to nondiscrimination in the sale,
rental or financing of housing;(1)any other
7. Will establish safeguards to prohibit employees from nondiscrimination provisions in the specific statue(s)
using their positions for a purpose that constitutes or under which application for Federal assistance is being
presents the appearance of personal or organizational made;and 0)the requirements of any other
conflict of interest,or personal gain. nondiscrimination statue(s)which may apply to the
application.
Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97)
Prescribed by OMB Circular A-102
11. Will comply,or has already complied,with the Federal actions to State(Clean Air)Implementation
requlremants of Titles II and III of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of
Assistance and Real Properly Acquisition Policies Act of 1955,as amended(42 U.S.C.§§7401 at seq.);(g)
1970(P.L.91-646)which provide for fair and equitable protection of underground sources of drinking water
treatment of persons displaced or whose property Is under the Safe Drinking Water Act of 1974,as
acquired as a resuR of Federal and federally-assisted amended(P.L.93.523);and,(h)protection of
programs.These requirements apply to all interests In real endangered species under the Endangered Species
property acquired for project purposes regardless of Act of 1973,as amended(P.L.93-205).
Federal participation in purchases.
12. Will comply with the provisions of the Hatch Act(5 U.S.C. 16. Will comply with the Wild and Scenic Rivers Act of
§§1501-1508 and 7324-7328)which limit the political 1968 onents or U.S.C.§§1271 et seq.)related to protecting
activities of employees whose principal employment wild and scenic rivers systemal ents of the national
acmes are funded in whole or in part with Federal funds.
13. Will comply,as applicable,with the provisions of the Davis- 17. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act Act of 1966,as amended(16 U.S.C.§470),EO 11593
(40 U.S.C.§276c and 18 U.S.C.§874),and the Contract (identification and protection of historic properties),and
Work Hours and Safety Standards Act(40 U.S.C.§§327- the Archaeological and Historic Preservation Act of
333)regarding labor standards for federally-assisted 1974(16 U.S.C.§§469&-1 et seq).
construction subagreements.
18. Will cause to be performed the required financial and
14. Nil comply with flood Insurance purchase requirements of compliance audits in accordance with the Single Audit
Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No.A-133,
(P.L.93-234)which requires recipients in a special flood "Audits of States,Local Governments,and Non-Profit
hazard area to participate In the program and to purchase Organizations'
flood insurance If the total cost of insurable construction
and acquisition Is$10,000 or more. 19. Will comply with all applicable requirements of all other
15. Will comply with environmental standards which may be Federal laws,executive orders,regulations,and policies
governing this program.
prescribed pursuant to the following:(a)institution of
environmental quality control measures under the National 20. Will comply with the requirements of Section 106(8)of
Environmental Policy Act of 1969(P.L.91- the Trafficking Victims Protection Act(NPA)of 2000,as
190)and Executive Order(EO)11514;(b)notification amended(22 U.S.C.7104)which prohibits grant award
of violating facilities pursuant to EO 11738;(c) recipients or a sub-incipient from(1)Engaging in severe
protection of wetlands pursuant to EO 11990;(d) forms of trafficking in
evaluation of flood hazards in floodpl&Ins in accordance that the award Is In effect(2)Procuring a commercial e
with EO 11988;(e)assurance of project consistency sex act during the period of time that the award is In
with the approved State management program effect or(3)Using forced labor in the performance of the
developed under the Coastal Zone Management Act of award or subawards under the award.
1972(16 U.S.C.§§1451 at seq.);(f)conformity of
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
City Manager
APPLICANT ORGANIZATION DATE SUBMITTED
The City of Round Rock :2/07/2023
SF-424D(Rev.7-97)Bads
CERTIFICATION REGARDING LOBBYING
Certification for Contracts,Grants,Loans,and Cooperative Agreements
The undersigned certifies,to the best of his or her knowledge and belief,that:
(1)No Federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to any
person for influencing or attempting to influence an officer or employee of an agency,a Member of
Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with
the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the
entering into of any cooperative agreement,and the extension,continuation,renewal,amendment,or
modification of any Federal contract,grant,loan,or cooperative agreement.
(2)If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an
officer or employee of Congress,or an employee of a Member of Congress in connection with this Federal
contract,grant,loan,or cooperative agreement,the undersigned shall complete and submit Standard
Form-LLL,"Disclosure of Lobbying Activities,"In accordance with its instructions.
(3)The undersigned shall require that the language of this certification be included in the award documents
for all subawards at all tiers(including subcontracts,subgranls,and contracts under grants,loans,and
cooperative agreements)and that all subrecipients shall certify and disclose accordingly.This certification
is a material representation of fact upon which reliance was placed when this transaction was made or
entered into.Submission of this certification is a prerequisite for making or entering into this transaction
imposed by section 1352,title 31,U.S.Code.Any person who falls to file the required certification shall be
subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure.
Statement for Loan Guarantees and Loan Insurance
The undersigned states,to the best of his or her knowledge and belief,that:
If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer
or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of
a Member of Congress in connection with this commitment providing for the United States to insure or
guarantee a loan,the undersigned shall complete and submit Standard Form-LLL,"Disclosure of Lobbying
Activities,"in accordance with its Instructions.Submission of this statement is a prerequisite for making or
entering into this transaction imposed by section 1352,title 31,U.S.Code.Any person who fails to file the
required statement shall be subject to a civil penalty of not less than$10,000 and not more than$100,000
for each such failure.
APPLICANTS ORGANIZATION
The City of Round Rock
`PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Prefix: I Mrs. El -First Name: Lauire Middle Name:
Last Name: Hadley Suffix:
'Title: City Manager
'SIGNATURE: DATE: Z=3
RESOLUTION NO. R-2023-391
WHEREAS, the Bureau of Reclamation for the WaterSMART Title XVI Congressionally
Authorized Water Reclamation and Reuse Projects has grant funds available to cities for the Fiscal
Years 2023 and 2024 grant program, and
WHEREAS, the City of Round Rock wishes to make application for the available funds for
future reuse projects; and
WHEREAS, the City Council designates the City Manager as the City's authorized official
with power to apply for the grant, including making an online application, on behalf of the applicant
agency, the City of Round Rock,Texas, Now Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK,TEXAS,
That the City Manager is designated as the authorized official to apply for the grant, including
making an online application, and is hereby directed to apply to the Bureau of Reclamation for the
WaterSMART Title XVI Congressionally Authorized Water Reclamation and Reuse Projects for the
Fiscal Years 2023 and 2024 grant program.
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 16th day of November, 2023.
CR*RouRock,
Mayor
CitTexas
ATTEST: f
MEAGAN NKS, it, Clerl.
$111_'_'.'1' 7A. '.I`1 %?I1
Iii X=WA K TEXAS Attachment A
Grant File Checklist
To be Completed by t1w Department Applying for Grant
Complete the checklist below for new and continuatbn grants. Once completed,please submit a copy to Finance,along with the Intent
to Apply for Grant Funding Form to Finance for review and tiling with the grant records. This should occur prior to subrndbng the grant
application to the oversight entity,
Cheek Cross-reference to Grant
Check
i I Checklist Nem Acquislt(on,Management
and Cmd lance Document
b mint 1i ,C
1. Complete Intent to Apply for Great Funding Form and submit to Finance for review and approval I Section 6 14 and 6 16
prior to submittal of pront a tion
2. 1 understand that the department needs to obtain proper approval for grant applications Grant Section 6 1 7
applications for funds up to$50,000 require City Manager approval. Over 550,000 requires City
Council e22MOI.t1hreshold is cytsistenl with the gfts purchasing guidellneal _ Y
3. 1 understand that the department needs to submit a copy of the grant application and supporting Section 6 18
documents to Finance at the time of application submission for tracking and monitoring grant
compliance requirements.
0 4. I have read the Grant Acquis-rtion-Management and Compliance process provided by Finance
S. If the grant is awarded to the City,.
Iia 1 understand that the department is fespons ble for reviewing the grant agreement and Section 6 19
forwarding all Information to Ftnance
lib I understand that the department is responsible for following the City procurement policies when Section 6 1 16 and
procuring goods or services with grant funds and following the Federal procurement rules when 61 19
uc,,ri or services with Federal funds.
I 5c. I understand that the department needs to comply with requirements of the grant Section 6 1 10
6. For purchases and contracts$25,000 or more(cumulatively in any fiscal year). I understand the( - Section 6 1 17
the City shall not enter into contracts or procure goods from vendors or contractors that are
nded or debarred.
O 7. I understand that all records related to the grant program must be retained for a minimum of five Section 6 1 13
years from the end of the grant closeout However.if any equipment was purchased,then the grant
records must be retained(or Eve years from the date of transfer replacement,sale,or disposal of
Via equipment
0 6. The department needs to inform Finance when an external review over the grant Is scheduled to be Section 6 1 14
performed,whether ort-site or a desk review
8a.The department needs to communicate any potential audit findings from external reviews and Section 6 1 14
provide any reports issued or correspondence from the reviewing agency to Finance.
9. 1 understand that if equipment is purchased with grant proceeds,the department needs to assist Section 6 1 16
Finance with the City-wide physical Inventory of the equipment as requested-at least once every
two years Required for Federally funded assets
10 1 will work with Finance to submit reimbursement requests to grantors For certain grants,si may be Section 6 1 20
appropriate and practical for the Department to submit Inmost instances,the Grants Compliance
Team will handle these request with the department's assistance
a 11. I understand the department is responsible for futWing closeout requirements of the grant,including Section 6 1 21
coordination with Finance on any final nnanciai Information and reporting needed
Please print,sign,and return this forret to Finance @_Grants Compliance Team
Adam Levy, Staff Engineer Utilities and Environmental Services
D=dmosta�Nndtle(Please Print) Department Name
10118/2023
Depadme ContactSig a Date Form Completed
Depa rent Director Signature Date Signed
(Ttis soctbn is to the completed by the France Department.Grants Team)
$ecce.T6aibAUX 10/24/23 8aua'T AibVY)A44 c 10/26/23
Received by(Grants Team Member) Date Received Approved by(Grarrrs Team Member) Date Approved
City of Round Rock, Texas
Intent to Apply for Grant Funding Attachment 6
(I(pAO flf�Oi TEXAS
Grant name: WaterSMART:Title XVI Congressionally Authorized Water Reclamation and Reuse Prods for Fiscal Years 2023 and 2024
Grant application deadline: 12/07/2023 This grant application is: 0 New ❑ Grant Continuation
Funding/project period: Start Date: 05/01/2024 End Date: 05/01/2027 Multi-year grant: ❑Yes ® No
CFDA N for grant,0 applicable. If not applicable,please note NIA: 15.504--Water Recycling and Desalination Construction Programs
Purpose of the grant:(provide project summary)
Through the Title XVI Water Reclamation and Reuse Program,authorized by P.L. 102-575 in 11992,the Bureau of
Reclamation provides financial and technical assistance to local water agencies for the planning,design,and construction
of water redamation and reuse projects.The City of Round Rods is an eligible participant and anticipates electrical
Improvements to the reclaimed pumping station,a new reclaimed water ground storage tank at the Brushy Creek
Wastewater Treatment Plant(WWfP),and extending the reclaimed water system from the WWTP to Dell Computers&
the Switch Data Center to provide reclaimed water service that all may be eligible for grant funding and Wishes to apply.
What with the funds be used for?(i.e.,construction,design,equipment,etc--)
19e319rt, construction, and grapA admiRiSIFelien sefviees for reclaimed water system expansions.
Who is providing the funds? Department of the Interior- Bureau of Reclamation
(i.e.,name of Federal Awarding Agency or Pass-thru Agency)
Which of the following are these funds considered? If Other, please identify
0 Federal ❑State ❑Other.
Estimated grant funding amount: $44309 Funding basis; ❑ Advance Q Reimbursement
Are matching funds required? ® Yes ❑ No
If yes,please complete the following: Funding source of match:
Self Financed Water
Match%75 Construction
Match $ 12,670,406
Nil the City be a direct recipient or subrecipient of the grant funds? Q Direct Recipient ❑ Subrecipient
Are ongoing operational costs anticipated once the grant funds are depleted? ❑Yes ❑ No
If Yes, has the Budget Team been notified? 21 Yes ❑ No
Please print,sign,and return this form to Finance Grants Compliance Team
Adam Levy, Staff Engineer 10/18/2023
Departm9nt Contact Name and Title(Please Print) Date Form Completed
Department Director Signature Date Signe
(This sscfion to be completed by the Finance Department,Grants Team)
s&cca,Th ba Aux 10124/23
Received By(Grants Team Member) Date Petelvad:
i3euw TAib lAuac 10/26/23
APprwsd By(Graft Team Mernber) Data Apprwmd:
City of Round Rock, Texas