RES 2011-0918 - Agmt with NE state historical society to supplement historic preservation program Ce)
ep Planning Department
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A 819 Farnam Street,Suite 1100
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°�Aro (402)444 5150
::+ g Telefax(402)444-6140
k ii A, 14 kE _', . R.E.Cunningham,RA,F.SAME
City of Omaha Director
Jim Suttle,Mayor
July 26, 2011
Honorable President
and Members of the City Council,
The attached proposed Resolution approves an Agreement between the City of Omaha and the
Nebraska State Historical Society. The Agreement provides a grant to the City of Omaha in the
.amount of$50,830.00 to be matched in-kind with City services. The term of the agreement is from
June 1, 2011 until May 31, 2012.
This is one of a series of annual grants that the City has received for many years. The funds are
used to assist with historic preservation duties mandated in Chapter 24 of the Omaha Municipal
Code.
Your favorable consideration of this Agreement between the City of Omaha and the Nebraska State
Historical Society will be appreciated.
Respectfully submitted, Referred to City Council for Consideration:
Th
zo/�� 263(A(Liessvi
. E. Cunningham, RA, F.SAME Date a or' O fice Date
Planning Director
Approved:a. , .,.......__
7 /%//4 Pam S acca Date
P
/(�j Finance Director
•
7!� Pin 100cbm
AGREEMENT
III
THIS AGREEMENT entered into this 27th day of June, 2011, between the NEBRASKA STATE
HISTORICAL SOCIETY, an agency of state government, by and through the Director/State Historic
Preservation Officer, and THE CITY OF OMAHA,NEBRASKA, hereinafter referred to as the Grantee,
defines Project 31-11-019, to be undertaken by the Grantee assisted by the Nebraska State Historical
Society with grant support established under the National Historic Preservation Act of 1966, as amended,
and administered through the National Park Service,U.S.Department of the Interior.
The Nebraska State Historical.Society and the Grantee agree to effect this Agreement in accordance with all
applicable regulations, laws, policies, guidelines and requirements governing federal grant support
administered through the National Park Service, U. S. Department of the Interior; all conditions of this
Agreement and requirements which are incorporated by reference and made part of this Agreement;and any
other instructions which may be developed between the Nebraska State Historical Society and the Grantee.
The Nebraska State Historical Society and the Grantee hereby agree as follows:
I. Project Work
The Grantee shall carry out project work as specified in PART III of the Nebraska Certified
Local Government Funding Request and Application (the Project Work Program) which is
hereby incorporated into, and made part of this Agreement. Any proposed changes in the Project
Work Program must be submitted to the Nebraska State Historical Society in writing at least 30
days in advance of the proposed effective date and approved by the Nebraska State Historical
Society in writing before such changes can then take place.
II. Period of Performance
The term of this Agreement shall be June 1,2011 through May 31,2012. All project work and all
funds, both federal share and the Grantee share, shall be incurred during this term. Any proposed
changes or extensions in the term of this Agreement must be submitted to the Nebraska State
Historical Society in writing at least 30 days in advance of the existing ending date of this
Agreement and approved by the Nebraska State Historical Society in writing before such changes or
extensions can then take place. The funding of this project is subject to availability of federal funds
from the National Park Service as obligated on a fiscal year basis; extensions to this project may be
subject to same.
III. Amount of Agreement
All project work and all funds,both federal share and Grantee share, shall be expended only for the
budget items specified in PART I and Part II of the Nebraska Certified Local Government
Funding Request and Application (the Budget). Any proposed changes in the Budget must be
submitted to the Nebraska State Historical Society in writing at least 30 days in advance of the
proposed effective date and approved by the Nebraska State Historical Society in writing before
such changes can then take place.
The Nebraska State Historical Society hereby obligates to the Grantee with this Agreement the
amount of$50,830.00 in federal historic preservation grant support to be matched by the Grantee in
an equal or greater amount of $33,890.00 as described in the Budget. The amount of this
Agreement is limited to a maximum of 60% of the allowable costs incurred by the Grantee in
carrying out project work during the term of this Agreement, or the amount of the federal share
indicated above, whichever is less. Subject to adequate performance and to successful completion
of the project,funds are retained throughout the course of the project as follows:
A. Up to $40,664.00 or 80%, of the federal share in reimbursement is to be paid within 45
days of receipt by the Nebraska State Historical Society of acceptable and auditable
financial records as specified in the "Payment Request." The Grantee may elect to phase
Payment Requests on a periodic basis,but no more frequently than once a month. If phased
Payment Requests are requested, the Grantee may request no more than the amount of the
total allowable costs for that period. Reimbursement to the Grantee may be withheld
pending submission of any overdue reports, scheduling delays or receipt of other required
materials specified below under PROGRESS REPORTS.
B. The Nebraska State Historical Society will reimburse $10,166.00 or 20% of the federal
share to the Grantee within 45 days of the specified ending date of the project upon receipt
and acceptance of all satisfactorily completed project materials as specified in the
Application, required of this Agreement, a copy of an acceptable Payment Request and all
remaining auditable records. The Payment Request for final reimbursement shall be
submitted no later than 30 days after the ending date for project work.
The Grantee agrees to maintain all financial and administrative documents and records pertaining to
this Agreement for a period of three years after the specified ending date of the project or after all
other pending matters are closed. The Nebraska State Historical Society, the State Auditor of
Public Accounts,the National Park Service,the Department of the Interior,the Comptroller General
of the United States or any of their duly authorized representatives shall have access to any books,
documents, papers and records of the Grantee which are directly pertinent to this Agreement for
purpose of making audit, examination, excerpts and transcription. The Grantee shall be responsible
for satisfactory resolution or recovery of disallowed costs should any be identified in future audit or
examination.
Provisions of the Single Audit Act Amendments of 1996 (P.L. 104-156) define audit performance
by states, local governments and non-profit organizations that receive federal aid. Office of
Management and Budget Circular A-1.33 "Audits of States, Local Governments, and Non-Profit
Organizations" sets forth OMB requirements of federal awards. Wherever applicable,the Grantee,
as a recipient of federal financial assistance covered by OMB Circular, shall assure that prescribed
provisions are met and that audits are conducted under applicable period(s) conjointly with the
Agreement; and shall transmit to the Nebraska State Historical Society in a timely manner copies of
such audit reports made pursuant to said Circulars.
IV. Allowable Costs
Allowable costs shall be those costs documented to the satisfaction of the Nebraska State Historical
Society in accordance with Office of Management and Budget Circulars A-87; for educational
2
•
institutions Circular A-21; non-profit organizations Circular A-122. Administrative guidance is
provided by the National Park Service "Historic Preservation Fund Grants Manual." Allowable
costs are determined to:
A. meet federal requirements for the program;
B. be necessary and reasonable to the completion of project work;
C. have been incurred for project work during the period of this Agreement.
V. Personnel
The Grantee agrees to provide and maintain personnel whose qualifications have been reviewed and
approved by the Nebraska State Historical Society and identified in the Application. The Nebraska
State Historical Society will maintain regular contact with Grantee personnel, as necessary, and
provide necessary and reasonable amounts of training,advice, interpretation,or technical assistance
as required for the successful completion of project work.
VI. Progress Reports
The Grantee will be required to submit acceptable periodic progress reports by the dates specified
below. The Grantee shall contact the Nebraska State Historical Society immediately if any situation
should arise which will affect the timely or successful completion of the project.
A mid-year Progress Report is due no later than November 1,2011.Format shall be consistent with
Part III, Program Description (Project Work Program). The report shall include, but is not
limited to, the phases of the above-referenced work completed to date, discussion of follow-up
required to accomplish remaining phases and any other special conditions or circumstances relating
to the Project Work Program.
An annual report under the Government Performance and Results Act(GPRA) due for submission
to the National Park Service January 31, 2012 with a copy sent to the Nebraska State Historical
Society.
A Final Project Report is due May 31, 2012. The report shall be consistent with Part III,
Program Description (Project Work Program). The report shall include, but is not limited to, all
actual accomplishments during the funding period and a discussion of any follow-up required to
accomplish remaining phases,as applicable.
The Nebraska State Historical Society may request special reports, if necessary, for the effective
monitoring of progress for the Project Work Program.
VII. Other Provisions
This agreement includes a budgeted amount not to exceed $9,500 for IT expendable personal
property. The Grantee will be required to comply with the property management standards for
expendable personal property set forth in the National Park Service "Historic Preservation Fund
Grants Manual (June 2007). Pursuant to Chapter 19 (Property Management Standards) of the
National Park Service "Historic Preservation Fund Grants Manual" (June 2007), "Title to
3
ent of federal financial assistance covered by OMB Circular, shall assure that prescribed
provisions are met and that audits are conducted under applicable period(s) conjointly with the
Agreement; and shall transmit to the Nebraska State Historical Society in a timely manner copies of
such audit reports made pursuant to said Circulars.
IV. Allowable Costs
Allowable costs shall be those costs documented to the satisfaction of the Nebraska State Historical
Society in accordance with Office of Management and Budget Circulars A-87; for educational
2
expendable personal property shall vest in the grantee upon acquisition. If there is a residual
inventory of such property exceeding $5,000 in total aggregate fair market value, upon
termination or completion of the grant, and if the property is not needed for any other
federally sponsored project or program, the grantee shall retain the property for use on
nonfederally sponsored activities, or sell it, but must, in either case, compensate the Federal
Government for the Federal share. The amount of compensation shall be computed in the
same manner as nonexpendable personal property.
Any publications arising from this project must acknowledge the assistance of grant support from
the National Park Service, U.S. Department of the Interior as administered by the Nebraska State
Historical Society under provisions of the National Historic Preservation Act of 1966. The format
of the acknowledgment will be provided upon request. In addition, the Nebraska State Historical
Society will provide, upon request, National Park Service requirements and regulations pertaining
to reporting and patent rights, if any, evolving from this Agreement involving research,
developmental, experimental or demonstration work with respect to any discovery or invention
which arises or is developed in the course of this Agreement and of National Park Service
requirements and regulations pertaining to copyrights and rights in data.
Federal historic preservation grant support may not be used to engage in any activity designed to
influence legislation pending in Congress. Costs associated with "lobbying" are not allowable as
charges to this Agreement in accordance with 18 U.S.C. 1913: "No part of the money appropriated
by any enactment of Congress shall, in the absence of express authorization by Congress, 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
its Departments or agencies from communicating to Members of Congress at the request of any
Member, or to Congress through the proper official channels, requests for legislation or
appropriations which they deem necessary for the efficient conduct of the public business."
The Grantee agrees to comply with all applicable federal and state laws, regulations, policies,
guidelines and requirements concerning equal opportunity, affirmative action and fair employment
practices. The Grantee further agrees to comply with all applicable laws, regulations, policies,
guidelines and requirements of this federal grant program.
The Nebraska State Historical Society reserves the right to cancel this Agreement and withdraw or
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
4
Nebraska State Historical Society. Except for reasons of nonperformance, the Nebraska State
Historical Society will reimburse the Grantee for up to a maximum of the federal share for eligible
costs incurred to the termination date.
Should this Agreement be terminated short of conclusion by the Grantee, the Nebraska State
Historical Society may reimburse the Grantee for up to a maximum of the federal share for eligible
costs incurred to the termination date,withdraw financial assistance, or may require the Grantee to
recapture any or all federal funds transferred to the Grantee by the termination date, depending
upon the circumstances of the termination.
The Nebraska State Historical Society will not be liable for any injuries, damages or judgments
ensuing as a direct or indirect result of the actions of the Grantee in the performance of this
Agreement.
This project receives funding for Certified Local Government historic preservation programs,under
a Historic Preservation Fund (HPF) grant from the U.S. Department of the Interior, National Park
Service. The Grantee acknowledges the conditions and requirements of"Nebraska Certified Local
Government Procedures" and all applicable Federal regulations and guidelines referenced therein.
As a Certified Local Government under the Nebraska Certified Local Government Procedures, and
all other applicable instructions,Federal regulations,standards and guidelines,the Grantee agrees to
maintain Certified Local Government status as per the "CERTIFIED LOCAL GOVERNMENT
AGREEMENT"between the Nebraska State Historical Society and the Grantee.
THIS AGREEMENT is executed as of the date shown above.
NEBRASKA STATE HISTORICAL SOCIETY:
By: 4 dG-1S• A60
irector/State Hi is Date
Preservation Of icer
CITY OF OMAHA, NEBRASKA:
By: 0,/4.1-4/74/,
Date
Ti : n7 dI
ATTESTED BY:
//go
r� d/e,4 Date
5
uence 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
its Departments or agencies from communicating to Members of Congress at the request of any
Member, or to Congress through the proper official channels, requests for legislation or
appropriations which they deem necessary for the efficient conduct of the public business."
The Grantee agrees to comply with all applicable federal and state laws, regulations, policies,
guidelines and requirements concerning equal opportunity, affirmative action and fair employment
practices. The Grantee further agrees to comply with all applicable laws, regulations, policies,
guidelines and requirements of this federal grant program.
The Nebraska State Historical Society reserves the right to cancel this Agreement and withdraw or
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
4
•
Revised March 31, 2011
NEBRASKA CERTIFIED LOCAL GOVERNMENT
• FUNDING REQUEST and APPLICATION
•
This application is for consideration of funding for the Certified Local Government (CLG) program,
under an Historic Preservation Fund (HPF) grant from the U.S. Department of the Interior,
National Park Service and administered by the Nebraska State Historical Society. The applicant .
acknowledges the conditions and requirements of the effective Certified Local Government •
Agreement,.Nebraska Certified Local Government Procedures, and all applicable Federal .
regulations and guidelines.
APPLICANT •
•
•
CLG Applicant City of Omaha
•
'Contact Person Mike Leonard
•
Title Preservation Administrator
• Address 18.19 Farnam Street •
•
Omaha, NE 68183 •
.
Telephone (402) 444-3624 •
Email mleonard@ci.omaha.ne.us
Fax (402) 444-6140
•
. We submit the'attached application for consideration of funding as a Certified Local Government
. under Nebraska Certified Local Government Procedures and all other applicable instructions,
Federal regulations, standards and guidelines. We certify that the local government continues to
meet CLG status as of the effective date of the Certified Local Government Agreement and have
brought any changes effecting the Agreement to the attention of the State Historic Preservation •
Officer.
•
By
• Title Preservation Administrator
•
Date April 1, 2011
•
•
This application has been endorsed by the local historic preservation
commission and a copy of its resolution is attached:
This project receives federal financial assistance from the National Park Service for identification
and preservation of historic properties. Regulations of the U.S. Department of the Interior strictly
prohibit unlawful discrimination on the basis of race, color, national origin, age, or handicap in its
federally assisted programs. If you believe you have been discriminated against in any program,
activity, or facility as described above, or if you desire further information, please.write to:
Director, Equal Opportunity Program, U.S. Department of the Interior, P.O. Box 37127, •
Washington, D.C. 20240.
Member, or to Congress through the proper official channels, requests for legislation or
appropriations which they deem necessary for the efficient conduct of the public business."
The Grantee agrees to comply with all applicable federal and state laws, regulations, policies,
guidelines and requirements concerning equal opportunity, affirmative action and fair employment
practices. The Grantee further agrees to comply with all applicable laws, regulations, policies,
guidelines and requirements of this federal grant program.
The Nebraska State Historical Society reserves the right to cancel this Agreement and withdraw or
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
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Page 2
CLG Applicant City of Omaha
PART
Budget
Personnel
•
City Planner 381.9 hr. @ $47.13 $18,000
City Planner III 96.9 hr. @ $51.57 $ 5,000
GIS Tech 118 hr. @ 33.85 $ 4,000
Secretary 118 hr. @ 25.40 $ 3,000
GIS Coordinator 74 hr. @ 39.05 $ 2,890
Accountant 25.60 @ 39.05 $ 1,000
Travel
Historic Preservation Conference in Buffalo, NY $5,000
(2 @ $2,500) $
Equipment
Camera $1,000
Scanner $1,000
Computer $2,000
Software $1,500
Storage (4TB Server) $4,000
Supplies and Materials
$
Photography and printing
Contractual
Archiving $36,330
Indirect charges •
•
$
Other(specify) •
TOT 4L BI OET. $84,720
402) 444-3624 •
Email mleonard@ci.omaha.ne.us
Fax (402) 444-6140
•
. We submit the'attached application for consideration of funding as a Certified Local Government
. under Nebraska Certified Local Government Procedures and all other applicable instructions,
Federal regulations, standards and guidelines. We certify that the local government continues to
meet CLG status as of the effective date of the Certified Local Government Agreement and have
brought any changes effecting the Agreement to the attention of the State Historic Preservation •
Officer.
•
By
• Title Preservation Administrator
•
Date April 1, 2011
•
•
This application has been endorsed by the local historic preservation
commission and a copy of its resolution is attached:
This project receives federal financial assistance from the National Park Service for identification
and preservation of historic properties. Regulations of the U.S. Department of the Interior strictly
prohibit unlawful discrimination on the basis of race, color, national origin, age, or handicap in its
federally assisted programs. If you believe you have been discriminated against in any program,
activity, or facility as described above, or if you desire further information, please.write to:
Director, Equal Opportunity Program, U.S. Department of the Interior, P.O. Box 37127, •
Washington, D.C. 20240.
Member, or to Congress through the proper official channels, requests for legislation or
appropriations which they deem necessary for the efficient conduct of the public business."
The Grantee agrees to comply with all applicable federal and state laws, regulations, policies,
guidelines and requirements concerning equal opportunity, affirmative action and fair employment
practices. The Grantee further agrees to comply with all applicable laws, regulations, policies,
guidelines and requirements of this federal grant program.
The Nebraska State Historical Society reserves the right to cancel this Agreement and withdraw or
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
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Page 3
CLG Applicant City of Omaha
PART II
Program Areas
HPF Share CLG
(Requested Grant Amount) (Matching Share)
A. Survey/Evaluation $45,830 $20,390
B. Designation/Registration/Certification $ $
Local Landmark •$ $ 2,500
National Register $ $ 3,000
Tax Certification $ $
C. Planning $ $ 5,000
D. Public Participation/Public Education $ $ 3,000
E. Other Activities $ 5,000 $
TOTAL $50,830 $33,890
Source(s) of CLG Matching Share
Donor City of Omaha Donor
Source Preservation Personnel Source
Kind Budgeted Sources Kind
Amount $33,890 Amount $
Notes:
•
•
Page 4
CLG Applicant City of Omaha
PART. III
Program Description
•
A. Survey/Evaluation
Provide a narrative of program activities including identification and evaluation of historic resources in order to update or complete
the local inventory of historic places. Cite projected number of contributing properties added to survey and inventory.
The City of Omaha CLG grant this year will be used to scan archival material and develop Omaha's
Geographic Information System(GIS) and website development (See Appendix 'A").
•
•
•
•
•
•
•
•
•
•
•Statement of technical assistance needs
We will, as a part of our historic building survey work,'incorporate survey standards and documentation
that is consistent with our survey. This would include the method of incorporating data into the Nebraska•
Historic Buildings Survey/GIS system.
In the areas surveyed, there will be a public participation meeting for the gathering of individuals and
group information. .
ures and all other applicable instructions,
Federal regulations, standards and guidelines. We certify that the local government continues to
meet CLG status as of the effective date of the Certified Local Government Agreement and have
brought any changes effecting the Agreement to the attention of the State Historic Preservation •
Officer.
•
By
• Title Preservation Administrator
•
Date April 1, 2011
•
•
This application has been endorsed by the local historic preservation
commission and a copy of its resolution is attached:
This project receives federal financial assistance from the National Park Service for identification
and preservation of historic properties. Regulations of the U.S. Department of the Interior strictly
prohibit unlawful discrimination on the basis of race, color, national origin, age, or handicap in its
federally assisted programs. If you believe you have been discriminated against in any program,
activity, or facility as described above, or if you desire further information, please.write to:
Director, Equal Opportunity Program, U.S. Department of the Interior, P.O. Box 37127, •
Washington, D.C. 20240.
Member, or to Congress through the proper official channels, requests for legislation or
appropriations which they deem necessary for the efficient conduct of the public business."
The Grantee agrees to comply with all applicable federal and state laws, regulations, policies,
guidelines and requirements concerning equal opportunity, affirmative action and fair employment
practices. The Grantee further agrees to comply with all applicable laws, regulations, policies,
guidelines and requirements of this federal grant program.
The Nebraska State Historical Society reserves the right to cancel this Agreement and withdraw or
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
4
Page 5
CLG Applicant City of Omaha •
PART III
•
Program Description
B. Local Landmark Designation/National Register of Historic Places Registration/Tax Certification
Provide a narrative of program activities including local landmark designation, National Register nomination and tax certification of
• properties and historic districts within the CLG jurisdiction. Cite projected number of properties under each category.
We propose to assist property owners with the preparation of local designations as-needed.
We will assist neighborhood groups with research inquiries related to local or.national register
nominations. .
•
•
•
•
•
•
•
•
Statement of technical assistance needs
Page 6
•
CLG Applicant City of Omaha
• PART III
Program Description
C. Planning •
Provide a narrative of historic preservation planning activities including development of community-wide historic preservation plans,
development of architectural guidelines and improvement of local historic preservation ordinances.
We will engage in planning activities related to the development of community-wide historic preservation
and the continued development of architectural guidelines related to the improvement of local historic
preservation and ordinances. .
•
•
•
•
•
•
Statement of technical assistance needs
•
•
•
Statement of technical assistance needs
•
•
Page 7
CLG Applicant City of Omaha
PART III •
•
Program Description •
D. Public Participation/Public Education
Provide a narrative of educational activities, programs and publications that create awareness and understanding of local, state and
federal historic preservation programs for both the historic preservation commission and the public at large, including student and
adult audiences.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Statement of technical assistance•needs
•
•
Statement of technical assistance needs
Page 8
CLG Applicant City of Omaha
•
•
PART 11.1
Program Description
E. Other Activities
• Provide a narrative of"other".activities that address a particular preservation need or concern within the community but do not fall
within other program areas (if applicable).
Ongoing administrative duties related to the CLG grant, such as time-keeping, submittal of summaries
and payment requests, and preparation of the 2011 grant. Also, administrative duties related to
appointments to the Commission, preparation of cases to Boards, review of work on designated
landmarks, and other Commission related administrative duties. .
• Provide professional staff assistance to Landmarks Heritage Preservation Commission members and to
the general public. .
Work with the City's Housing and Community Development rehab staff on determination of National
Register eligibility and Sec. 106 compliance.
Attend National Historic Preservation Conference in Buffalo, New York. (2 attendees) •
•
•
•
Statement of technical assistance.needs
viduals and
group information. .
ures and all other applicable instructions,
Federal regulations, standards and guidelines. We certify that the local government continues to
meet CLG status as of the effective date of the Certified Local Government Agreement and have
brought any changes effecting the Agreement to the attention of the State Historic Preservation •
Officer.
•
By
• Title Preservation Administrator
•
Date April 1, 2011
•
•
This application has been endorsed by the local historic preservation
commission and a copy of its resolution is attached:
This project receives federal financial assistance from the National Park Service for identification
and preservation of historic properties. Regulations of the U.S. Department of the Interior strictly
prohibit unlawful discrimination on the basis of race, color, national origin, age, or handicap in its
federally assisted programs. If you believe you have been discriminated against in any program,
activity, or facility as described above, or if you desire further information, please.write to:
Director, Equal Opportunity Program, U.S. Department of the Interior, P.O. Box 37127, •
Washington, D.C. 20240.
Member, or to Congress through the proper official channels, requests for legislation or
appropriations which they deem necessary for the efficient conduct of the public business."
The Grantee agrees to comply with all applicable federal and state laws, regulations, policies,
guidelines and requirements concerning equal opportunity, affirmative action and fair employment
practices. The Grantee further agrees to comply with all applicable laws, regulations, policies,
guidelines and requirements of this federal grant program.
The Nebraska State Historical Society reserves the right to cancel this Agreement and withdraw or
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
4
Page 9
.U.S. DEPARTMENT OF THE INTERIOR •
ASSURANCE OF COMPLIANCE
(Title VI, Civil Rights Act of 1964)
DI Form 1350
(March 1966)
City of Omaha
Name of Application-Recipient (hereinafter called "Applicant-Recipient")
HEREBY AGREES THAT IT 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 Regulation (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 Application-Recipient receives financial assistance from Nebraska State Historical Society and
Hereb.y Gives Assurance That It will immediately take any measures to effectuate this agreement.
If any real property or structure thereon its provided or improved with the aid of Federal financial
assistance extended to the Applicant-Recipient by Nebraska State Historical Society. This assurance
obligates the Applicant-Recipient, 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 involving the provision of similar
services or benefits. If any personal property is so provided, this assurance obligates the Applicaht-
Recipient for the period during which it retains ownership or possession of the property.. In all other
cases, this assurance obligates the Applicant-Recipient for the period during which the Federal financial
assistance is extended to it by Nebraska State Historical Society.
THIS ASSURANCE is given in condition 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-Recipient by the bureau or office, including installment payments after such date on
account of arrangements for Federal financial assistance which were approved before such date. The
Applicant-Recipient 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
Applicant-Recipient, its successors, transferees, and assignees, and the person or persons whose
signatures appear below are authorized to sign this assurance on behalf of the Applicant-Recipient.
•
•
City of Omaha 4-1-2011
Dated liA°4V61141' pplicant-Recipient
•
By Preservation Administrator
(President, Chairman of Board or
Comparable Authorized Official)
City of Omaha Planning Dept.
181-9 Farnam St., #1100
Omaha, NE 68183
• Applicant-Recipient's Mailing Address
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
4
Page 10
• Addendum
DI Form 1350 '
(March 1966)
US. DEPARTMENT OF THE INTERIOR
NATIONAL PARK SERVICE
CIVIL RIGHTS ASSURANCE OF COMPLIANCE
City of Omaha
. (Name of Applicant-Recipient)
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 the Department of the Interior Regulations
(43 CFR 17) issued 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 Applicant-Recipient receives financial assistance from the National Park Service and hereby
gives assurance that it will immediately take any measures to effectuate this agreement.
City of Omaha 441/014/4
Applicant-Recipient Signature
Authorized Official
(City)
City of Omaha Planning Dept.
1819 Farnam St., #1100
Omaha, NE 68183 4-1-2011
Applicant-Recipient's Date
Mailing Address
f any transfer of such property, any transferee for the-
period during which the real property or structure is used for a purpose involving the provision of similar
services or benefits. If any personal property is so provided, this assurance obligates the Applicaht-
Recipient for the period during which it retains ownership or possession of the property.. In all other
cases, this assurance obligates the Applicant-Recipient for the period during which the Federal financial
assistance is extended to it by Nebraska State Historical Society.
THIS ASSURANCE is given in condition 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-Recipient by the bureau or office, including installment payments after such date on
account of arrangements for Federal financial assistance which were approved before such date. The
Applicant-Recipient 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
Applicant-Recipient, its successors, transferees, and assignees, and the person or persons whose
signatures appear below are authorized to sign this assurance on behalf of the Applicant-Recipient.
•
•
City of Omaha 4-1-2011
Dated liA°4V61141' pplicant-Recipient
•
By Preservation Administrator
(President, Chairman of Board or
Comparable Authorized Official)
City of Omaha Planning Dept.
181-9 Farnam St., #1100
Omaha, NE 68183
• Applicant-Recipient's Mailing Address
recapture financial assistance provided under this Agreement in the event of nonperformance on the
part of the Grantee. Nonperformance includes, but is not limited to: (1) failure to execute and
return this Agreement within 30 days of receipt; (2) failure to report progress of the project when
requested by the Nebraska State Historical Society; (3) any action or inaction not in accordance
with this Agreement.
This Agreement may be terminated short of conclusion upon 30 days written notice from the
4
Page 11
U.S. Department of the Interior
Certifications Regarding Debarment, Suspension and
Other Responsibility Matters, Drug-Free Workplace
Requirements and Lobbying
Persons signing this form should refer to the regulations Certification Regarding Debarment, Suspension, Ineligibility
referenced below for complete instructions: and Voluntary Exclusion - Lower Tier Covered Transactions -
(See Appendix B of Subpart D of 43 CFR Part 12.)
Certification Regarding Debarment, Suspension, and Other
Responsibility Matters- Primary Covered Transactions—The Certification Regarding Drug-Free Workplace Requirements-
prospective primary participant further agrees by submitting Alternate I. (Grantees Other Than Individuals) and Alternate
this proposal that it will include the clause titled, II. (Grantees Who are Individuals) - (See Appendix C of
"Certification Regarding Debarment, Suspension, Subpart D of 43 CFR Part 12)
Ineligibility and Voluntary Exclusion -Lower Tier Covered
Transaction," provided by the department or agency Signature on this form provides for compliance with
entering into this covered transaction,without modification, certification requirements under 43 CFR Parts 12 and 18.
in all lower tier covered transactions and in all solicitations The certifications shall be treated as a material
for lower tier covered transactions. See below for language representation of fact upon which reliance will be placed
to be used or use this form certification and sign. (See when the Department of the Interior determines to award the
Appendix A of Subpart D of 43 CFR Part 12.) covered transaction, grant, cooperative agreement or loan.
PART A: Certification Regarding Debarment, Suspension, and Other Responsibility Matters •
-
Primary Covered Transactions •
CHECK ❑ IF THIS CERTIFICATION IS FORA PRIMARY COVERED TRANSACTION AND IS APPLICABLE.
(1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily.excluded by any
Federal department or agency;
(b) . Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or
State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or
local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and •
d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal,
State or local) terminated for cause or default.
(2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such
prospective participant shall attach an explanation to this proposal.
•
PART B: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-
Lower Tier Covered Transactions
CHECK ❑ IF THIS CERTIFICATION IS FORA LOWER TIER COVERED TRANSACTION AND IS APPLICABLE
(1) The prospective lower tier participant certifies, 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.
This form was electronically produced by Elite Federal Forms,Inc. DI-2010
June 1995
(This form replaces DI-1953,DI-1954,
• DI-1955,DI-1956 and DI-1963)
1 Page 12
PART C: Certification Regarding Drug-Free Workplace Requirements
CHECK ❑ IF THIS CERTIFICATION/S FOR AN APPLICANT WHO IS NOT AN INDIVIDUAL.
Alternate I. (Grantees Other Than Individuals) •
A. The grantee certifies that it will or continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or
use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken
• against employees for violation of such prohibition; •
•
(b) Establishing an ongoing drug-free awareness program to inform employees about--
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and •
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the grant be given a•copy of the
statement required by paragraph (a)
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the
grant,.the.employee will--
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the
workplace no later than.five calendar days after such conviction;
(e) Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph (d)(2) from an •
employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide
notice, including position title, to every grant officer on whose grant activity the convicted employee was working,
unless the Federal agency has designated a central point for the receipt of such notices.. Notice shall include the
identification number(s) of each affected grant;
(f) • Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with
respect to any employee who is so convicted --
(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with
the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program
approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
(g) Making a good faith effort.to continue to maintain a drug-free workplace through implementation of paragraphs (a)
. (b), (c), (d), (e) and (f). .
•
B. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the
•specific grant:
Place of Performance (Street address, city, county, state, zip code) •
•
Check ❑ if there are workplaces on files that are:not identified here.
PART D: Certification Regarding Drug-Free Workplace Requirements
CHECK ❑ IF THIS CERTIFICATION IS FOR AN APPLICANT WHO IS AN INDIVIDUAL.
Alternate II. (Grantees Who Are Individuals)
(a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture,
• distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant;
• (b) If convicted of a criminal.drug offense resulting from a violation occurring during the conduct of any grant activity, he
or she will report the conviction, in writing, within 10 calendar days of the conviction, to the grant officer or other
designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made
to such a central point, it shall include the identification number(s) of each affected grant.
D I-2010
June 1995
(This form replaces DI-1953,DI-1954,
DI-1955,DI-1956 and DI-1963)
June 1995
(This form replaces DI-1953,DI-1954,
• DI-1955,DI-1956 and DI-1963)
Much of this information already exists. It is our understanding that the NSHS will be
providing the PDF's of the National Register nominations which we would then connect to
the GIS. Much of the information for the fact sheets and much of the photography also
exists. Any additional photography and writing necessary to complete the information for
the GIS and web site would be done by the personnel listed below as part of the grant
request. The project manager would work with City of Omaha and Douglas County GIS staff
personnel to see that the materials outlined above are integrated into the Douglas County
GIS system.
Web site development
The project manager and preservation administrator would work with Douglas County
Dot.Com personnel to make all the above outlined preservation materials available through
a web site.
Equipment
The following equipment/software will be required for this year's grant project:
Scanner with film scanning capability.
Computer
Software: Photoshop, Microsoft Office Professional.
Storage: 4TB server.
Personnel
The following personnel will be required for this year's grant project:
Project manager to oversee all aspects of the project including scanning and GIS and web
development. Project manager would also do some of the photography and writing
necessary to ensure that the information for all the National Register sites and all the
locally designated Landmarks is complete for use in the GIS and the web site.
We propose to do the scanning in-house with a staff intern person on a per piece basis.
The microfilm negatives will be contracted out.
under subparagraph (d)(2) from an •
employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide
notice, including position title, to every grant officer on whose grant activity the convicted employee was working,
unless the Federal agency has designated a central point for the receipt of such notices.. Notice shall include the
identification number(s) of each affected grant;
(f) • Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with
respect to any employee who is so convicted --
(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with
the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program
approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
(g) Making a good faith effort.to continue to maintain a drug-free workplace through implementation of paragraphs (a)
. (b), (c), (d), (e) and (f). .
•
B. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the
•specific grant:
Place of Performance (Street address, city, county, state, zip code) •
•
Check ❑ if there are workplaces on files that are:not identified here.
PART D: Certification Regarding Drug-Free Workplace Requirements
CHECK ❑ IF THIS CERTIFICATION IS FOR AN APPLICANT WHO IS AN INDIVIDUAL.
Alternate II. (Grantees Who Are Individuals)
(a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture,
• distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant;
• (b) If convicted of a criminal.drug offense resulting from a violation occurring during the conduct of any grant activity, he
or she will report the conviction, in writing, within 10 calendar days of the conviction, to the grant officer or other
designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made
to such a central point, it shall include the identification number(s) of each affected grant.
D I-2010
June 1995
(This form replaces DI-1953,DI-1954,
DI-1955,DI-1956 and DI-1963)
June 1995
(This form replaces DI-1953,DI-1954,
• DI-1955,DI-1956 and DI-1963)
•
Appendix 'A'
Part III Program Description
A. Survey&Evaluation
FY2O11 CLG grant proposal
This year's proposal includes scanning, development of Omaha's Geographic Information
System (GIS) and web site development.
Scanning
We propose to scan the following this year:
The 35mm B&W negatives from contracted surveys for the period from 2002 through
2009. This is estimated to be 10,944 frames.
The 35mm B&W negatives from early City of Omaha surveys. (includes 1980 Landmarks,
Inc. survey, North Omaha survey and early downtown surveys.) This is estimated to be
12,636 frames.
The 35mm B&W negatives from other miscellaneous early City of Omaha surveys. (includes .
many areas covered by later contracted surveys.) This is estimated to be 6,588 frames.
4x5 negatives of Jobbers' Canyon. Approximately 350 images.
4x5 negatives of Omaha historic properties in general. Approximately 1200 images.
Plans on microfilm. Approximately 6500 sheets of plans from the 1880's to the 1930's.
These will be sent out and scanned.
GIS
We propose the following GIS related activities under this year's grant:
The goal is to have the following information related to National Register sites and locally
designated Landmark sites available on GIS and on a web site:
• A fact sheet that includes a brief summary on each listed property.
• A PDF of the National Register nomination form for each National Register property.
• At least one photo (and possibly a photo gallery) for each National Register and
locally designated property.
• A map of all the areas surveyed by contractors with PDF's of the survey report for
each area linked to a map location.
actual notice of such conviction. Employers of convicted employees must provide
notice, including position title, to every grant officer on whose grant activity the convicted employee was working,
unless the Federal agency has designated a central point for the receipt of such notices.. Notice shall include the
identification number(s) of each affected grant;
(f) • Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with
respect to any employee who is so convicted --
(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with
the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program
approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
(g) Making a good faith effort.to continue to maintain a drug-free workplace through implementation of paragraphs (a)
. (b), (c), (d), (e) and (f). .
•
B. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the
•specific grant:
Place of Performance (Street address, city, county, state, zip code) •
•
Check ❑ if there are workplaces on files that are:not identified here.
PART D: Certification Regarding Drug-Free Workplace Requirements
CHECK ❑ IF THIS CERTIFICATION IS FOR AN APPLICANT WHO IS AN INDIVIDUAL.
Alternate II. (Grantees Who Are Individuals)
(a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture,
• distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant;
• (b) If convicted of a criminal.drug offense resulting from a violation occurring during the conduct of any grant activity, he
or she will report the conviction, in writing, within 10 calendar days of the conviction, to the grant officer or other
designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made
to such a central point, it shall include the identification number(s) of each affected grant.
D I-2010
June 1995
(This form replaces DI-1953,DI-1954,
DI-1955,DI-1956 and DI-1963)
June 1995
(This form replaces DI-1953,DI-1954,
• DI-1955,DI-1956 and DI-1963)
• CHECKLIST
1. Acknowledgement (Grants and Contract Manual)
12. DI 2010 - Debarment and Suspension, Drug-Free Workplace Requirements &
Lobbying Certificate
3. DI Form 1350 - Assurance of Compliance •
4. DI Form 1350 Addendum - Age Discrimination
I 15. Resolution, signed and dated
6. Application, signed and dated
ederal historic preservation programs for both the historic preservation commission and the public at large, including student and
adult audiences.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Statement of technical assistance•needs
•
•
Statement of technical assistance needs
•
•
Page 13
PART E: Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative Agreements
•
CHECK ❑ IF CERTIFICATION IS FOR THE AWARD OF ANY OF THE FOLLOWING AND
THE AMOUNT EXCEEDS$100,000.•A FEDERAL GRANT OR COOPERATIVE AGREEMENT;
SUBCONTRACT, OR SUBGRANT UNDER THE GRANT OR COOPERATIVE AGREEMENT. -
CHECK ❑ IF CERTIFICATION FOR THE AWARD OF A FEDERAL
LOAN EXCEEDING THE AMOUNT OF$150,000, OR A SUBGRANT OR
SUBCONTRACT EXCEEDING$100,000, UNDER THE LOAN.
•
• 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, and 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 Cr 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 Form to Report Lobbying," 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, subgrants, and contracts under grants, loans, and cooperative agreements) and that all
subrecipients shall certify 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 fails 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.
As the authorized certifying official, I hereby certify that the•above specified certifications are true.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
Mike Leonard, Preservation Administrator •
TYPED NAME AND TITLE
•
•
April 1, 2011
DATE
•
• DI-2010
June 1995
• (This form replaces DI-1953,DI-1954,
DI-1955,DI-1956 and DI-1963)
of Performance (Street address, city, county, state, zip code) •
•
Check ❑ if there are workplaces on files that are:not identified here.
PART D: Certification Regarding Drug-Free Workplace Requirements
CHECK ❑ IF THIS CERTIFICATION IS FOR AN APPLICANT WHO IS AN INDIVIDUAL.
Alternate II. (Grantees Who Are Individuals)
(a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture,
• distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant;
• (b) If convicted of a criminal.drug offense resulting from a violation occurring during the conduct of any grant activity, he
or she will report the conviction, in writing, within 10 calendar days of the conviction, to the grant officer or other
designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made
to such a central point, it shall include the identification number(s) of each affected grant.
D I-2010
June 1995
(This form replaces DI-1953,DI-1954,
DI-1955,DI-1956 and DI-1963)
June 1995
(This form replaces DI-1953,DI-1954,
• DI-1955,DI-1956 and DI-1963)
C-25A
CITY '`OF OMAHA
• LEGISLATIVE CHAMBER
• Omaha,Nebraska July 26, 2011
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS,the City of Omaha's historic preservation program,administered by the
Planning Department,is mandated to carry out specific historic preservation duties under Chapter 24
of the Omaha Municipal Code; and,
r.;
WHEREAS, the City of Omaha's historic preservation program is certified by the
U.S. Department of the Interior,National Park Service; and,
WHEREAS, Certified Local Government programs are eligible for annual Historic
Preservation Fund grants; and,
WHEREAS, the City of Omaha has utilized Historic Preservation Fund grants for
supplemental funding for its historic preservation program; and,
WHEREAS,it is necessary for the City to enter into an Agreement with the Nebraska
State Historical Society,a copy of the Agreement is attached hereto and made a part hereof as though
recited herein.
NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF OMAHA:
THAT,the attached Agreement,as recommended by the Mayor,between the City of
Omaha and the Nebraska State Historical Society for a grant to supplement the City's historic
preservation program in the amount of$50,830.00 to be matched with City services in-kind,for the
period from June 1, 2011 until May 31, 2012 is hereby approved.
DASTOF• :
7(2.,1rA
CITY T 0 EY DATE
Pln 101 cbm
By
• cilmember
Adopted , 2 6 2011 7 `�
_ •ty Clerk Af
ll/
ro
Approved...
Mayor
LLL, "Disclosure Form to Report Lobbying," 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, subgrants, and contracts under grants, loans, and cooperative agreements) and that all
subrecipients shall certify 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 fails 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.
As the authorized certifying official, I hereby certify that the•above specified certifications are true.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
Mike Leonard, Preservation Administrator •
TYPED NAME AND TITLE
•
•
April 1, 2011
DATE
•
• DI-2010
June 1995
• (This form replaces DI-1953,DI-1954,
DI-1955,DI-1956 and DI-1963)
of Performance (Street address, city, county, state, zip code) •
•
Check ❑ if there are workplaces on files that are:not identified here.
PART D: Certification Regarding Drug-Free Workplace Requirements
CHECK ❑ IF THIS CERTIFICATION IS FOR AN APPLICANT WHO IS AN INDIVIDUAL.
Alternate II. (Grantees Who Are Individuals)
(a) The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture,
• distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant;
• (b) If convicted of a criminal.drug offense resulting from a violation occurring during the conduct of any grant activity, he
or she will report the conviction, in writing, within 10 calendar days of the conviction, to the grant officer or other
designee, unless the Federal agency designates a central point for the receipt of such notices. When notice is made
to such a central point, it shall include the identification number(s) of each affected grant.
D I-2010
June 1995
(This form replaces DI-1953,DI-1954,
DI-1955,DI-1956 and DI-1963)
June 1995
(This form replaces DI-1953,DI-1954,
• DI-1955,DI-1956 and DI-1963)
Cr'
cp
C.— CD CD 73 CD p
w� a' CD o CD
t t.
C r a- 09 ¢, 1 4o CD a
C5 PO C) ‘< 10 e-i " 05-3 \..
o
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. Csi
Application, signed and dated
ederal historic preservation programs for both the historic preservation commission and the public at large, including student and
adult audiences.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Statement of technical assistance•needs
•
•
Statement of technical assistance needs