Maywood City Council
May 27, 2026

PAVEMENT MANAGEMENT PROGRAM UPDATE 2021

CONCLUSION AND RECOMMENDATIONS CITY OF MAYWOOD
FINAL REPORT FEB 2022
15 o Transportation Uniform Mitigation Fee (TUMF)
Local/Regional Funding Sources
o Sales tax measure
o Development impact fees
o General funds
o Various assessment districts (lighting, maintenance, flood control, community facilities)
o Traffic impact fees
o Utilities (e.g., stormwater, water, wastewater enterprise funds) o Parcel/property taxes
o Vehicle registration fees
o Vehicle code fines

1. Pavement Management Strategies – Since a significant portion of the City’s streets are currently in “Good” condition, it is important to maintain that condition to the extent possible. Preservation occurs when streets with PCIs higher than 70 receive treatments such as surface seals (slurry, chip, microsurfacing, etc.). Seals are relatively inexpensive treatments that prevent moisture ingress and thus preserve the integrity of the underlying base material. NCE recommends that the City focus on preventive maintenance to preserve pavements in “Good” condition and incorporate rehabilitation and reconstruction projects as appropriate to improve the few pavements in “Poor” and “Failed” condition, thus also avoiding an increase in deferred maintenance.

2. Reinspection Strategies – In order to make appropriate management decisions based on current data, NCE recommends that the City perform condition inspections on arterials and collectors every 2 years and on residentials at least every 4 to 5 years. Additionally, since StreetSaver® and other prediction models do not yet take into account the effect of specialized materials such as asphalt-binders with rubber or polymers, the actual performance of city pavements may not be fully modeled in the analysis. For this additional reason, NCE recommends regular pavement condition surveys to ensure model accuracy and relevance.

3. M&R Decision Tree – NCE recommends that the City annually review and update the M&R treatment strategies and associated unit costs to reflect current construction techniques and changing costs. This will ensure that the results for the budget analyses are reliable and as accurate as possible.

Appendix A

SECTION DESCRIPTION INVENTORY

Nichols Consulting Engineers, Chtd.

Section Description Inventory Report
This report lists a variety of section description information for each of the City’s pavement sections. It lists the street and section identifiers, limits, functional class, surface type, number of lanes, length, width, area, Inspected PCI, and PCI date.

All of the City’s pavement sections are included in the report. Two versions of the report are provided.

The first is sorted alphabetically by Street Name and Section ID and the second report is sorted by descending PCI. The field descriptions in this report are listed below:

COLUMN DESCRIPTION
Street ID Street Identification - A code up to ten characters/digits to identify the street. Generally, the street name is truncated to six characters. The Street ID should be unique for each street.

Section ID Section Identification - A code up to ten characters/digits to identify the section number. The Section ID must be unique for each section of one street.

Street Name Street Name - The name of the street as indicated by street signs in the field.

Begin Location Beginning limit of the section.

End Location Ending limit of the section.

No. of Lanes Number of travel lanes.

Functional Class (FC) Functional Classification: A = Arterial, C = Collector, L = Local/Residential Length (ft) Length of the section in feet.

Width (ft) Average width of the section in feet.

Area (sf) Area of section in square feet.

Surface Type (ST) Surface Type: AC = Asphalt Concrete Pavement, AC/AC = Asphalt Concrete Overlay, AC/PCC = Composite Pavement, PCC = Portland Cement Concrete Pavement PCI Date The last inspection date or rehabilitation date.

PCI Average PCI for the section. The value is based on the last inspection.

Nichols Consulting Engineers, Chtd.

Section Description Inventory – Sorted by Street Name

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Street Name
StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
52NDPL 10 52ND PL (E) 52ND ST CUDAHY AVE 2 L 800 27 21,600 AC/AC 9/15/2021 98 52NDPL 20 52ND PL (E) ATLANTIC BLVD MAYFLOWER AVE 2 L 1,369 27 36,963 AC/AC 9/15/2021 73 52NDPL 30 52ND PL (E) MAYFLOWER AVE HELIOTROPE AVE 2 L 596 27 16,092 AC 9/15/2021 97 52NDPL 40 52ND PL (E) HELIOTROPE AVE 70' E/O HELIOTROPE AVE 2 L 70 52 3,640 AC/PCC 9/15/2021 59 52NDPL 50 52ND PL (E) 70' E/O HELIOTROPE AVE ALAMO 2 L 1,701 28 47,628 PCC 9/21/2021 46 52NDST 10 52ND ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,754 36 63,144 AC 9/15/2021 66 52NDST 20 52ND ST (E) LOMA VISTA AVE ATLANTIC BLVD 2 L 4,439 36 159,804 AC 9/15/2021 59 53RDST 10 53RD ST (E) MAYWOOD AVE LOMA VISTA AVE 2 C 1,704 26 44,304 AC 9/15/2021 97 53RDST 20 53RD ST (E) LOMA VISTA AVE PINE AVE 2 C 3,341 26 86,866 AC/AC 9/15/2021 97 53RDST 30 53RD ST (E) PINE AVE CUDAHY AVE 2 C 739 36 26,604 AC 9/15/2021 88 53RDST 40 53RD ST (E) CUDAHY AVE ATLANTIC BLVD 2 C 178 53 9,434 AC 9/15/2021 88 53RDST 50 53RD ST (E) ATLANTIC BLVD MAYFLOWER AVE 2 C 1,364 36 49,104 AC/AC 9/15/2021 95 54THST 10 54TH ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,654 27 44,658 AC 9/15/2021 73 54THST 20 54TH ST (E) LOMA VISTA AVE ATLANTIC BLVD 2 L 4,170 27 112,590 AC 9/15/2021 71 55THST 10 55TH ST (E) MAYWOOD AVE CORONA AVE 2 A 2,919 27 78,813 AC 9/16/2021 56 55THST 20 55TH ST (E) CORONA AVE CUDAHY AVE/ATLANTIC BLVD 2 A 2,704 36 97,344 AC 9/16/2021 91 55THST 30 55TH ST (E) ATLANTIC BLVD KING AVE 2 A 730 36 26,280 AC/AC 9/16/2021 90 56THST 10 56TH ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,553 27 41,931 AC 9/17/2021 64 56THST 20 56TH ST (E) LOMA VISTA AVE ATLANTIC BLVD 2 L 4,017 27 108,459 AC 9/17/2021 62 56THST 30 56TH ST (E) ATLANTIC BLVD HELIOTROPE AVE 2 L 2,022 27 54,594 AC 9/17/2021 70 57THST 10 57TH ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,499 24 35,976 AC 9/16/2021 64 57THST 20 57TH ST (E) LOMA VISTA AVE GIFFORD AVE 2 L 1,980 27 53,460 AC 9/16/2021 75 57THST 30 57TH ST (E) GIFFORD AVE ATLANTIC BLVD 2 L 2,038 27 55,026 AC 9/16/2021 80 57THST 40 57TH ST (E) ATLANTIC BLVD KING AVE 2 L 658 36 23,688 AC/AC 9/16/2021 82 57THST 50 57TH ST (E) KING AVE HELIOTROPE AVE 2 L 1,366 29 39,614 AC 9/16/2021 52 58THST 10 58TH ST (E) MAYWOOD AVE EVERETT AVE 2 L 787 26 20,462 AC 9/16/2021 98 58THST 20 58TH ST (E) EVERETT AVE LOMA VISTA AVE 2 L 662 36 23,832 AC 9/16/2021 77 58THST 30 58TH ST (E) LOMA VISTA AVE PINE AVE 2 L 3,339 27 90,153 AC 9/16/2021 66 58THST 40 58TH ST (E) PINE AVE ATLANTIC BLVD 2 L 678 34 23,052 AC 9/16/2021 69 58THST 50 58TH ST (E) ATLANTIC BLVD KING AVE 2 L 660 36 23,760 AC 9/16/2021 94 58THST 70 58TH ST (E) MAYFLOWER AVE WOODLAWN AVE 2 L 1,405 27 37,935 AC 9/16/2021 98 59TH PL 10 59TH PL (E) ATLANTIC BLVD KING AVE 2 L 669 36 24,084 AC 9/16/2021 74 59THPL 20 59TH PL (E) KING AVE ALAMO AVE 2 L 2,796 27 75,492 AC 9/16/2021 63 59THPL 30 59TH PL (E) ALAMO AVE WALKER AVE 2 L 688 32 22,016 AC 9/16/2021 82 60THPL 10 60TH PL (E) HELIOTROPE AVE WALKER AVE 2 L 2,109 27 56,943 AC 9/17/2021 55 60THST 10 60TH ST (E) ATLANTIC BLVD HELIOTROPE CIR 2 L 1,957 27 52,839 AC 9/17/2021 97 60THST 20 60TH ST (E) HELIOTROPE CIR ALAMO AVE 2 L 1,510 33 49,830 AC 9/17/2021 55 60THST 30 60TH ST (E) ALAMO AVE DISTRICT BLVD 2 L 1,050 33 34,650 AC 9/17/2021 94 60THST 40 60TH ST (E) ATLANTIC BLVD PINE AVE 2 L 674 36 24,264 AC 9/17/2021 85 60THST 50 60TH ST (E) PINE AVE CL 2 L 344 27 9,288 AC 9/17/2021 93 61STST 10 61ST ST (E) CL PINE AVE 2 L 346 32 11,072 AC 9/17/2021 98 61STST 20 61ST ST (E) PINE AVE ATLANTIC BLVD 2 L 674 27 18,198 AC 9/17/2021 98 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 1/4

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Street Name
StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
61STST 30 61ST ST (E) ATLANTIC BLVD HELIOTROPE CIR 2 L 2,067 27 55,809 AC 9/17/2021 62 61STST 40 61ST ST (E) HELIOTROPE CIR WALKER AVE 2 L 2,100 27 56,700 AC 9/17/2021 51 ALAMAV 10 ALAMO AVE RANDOLPH ST SLAUSON AVE 2 A 2,031 36 73,116 AC/AC 9/20/2021 100 ATNBBL 10 ATLANTIC BLVD RANDOLPH ST 61ST ST 2 A 680 36 24,480 AC/AC 9/17/2021 100 ATSBBL 10 ATLANTIC BLVD RANDOLPH ST 61ST ST 2 A 680 36 24,480 AC/AC 9/17/2021 100 ATNBBL 20 ATLANTIC BLVD 61ST ST 60TH ST 2 A 663 36 23,868 AC/AC 9/17/2021 100 ATSBBL 20 ATLANTIC BLVD 61ST ST 60TH ST 2 A 663 36 23,868 AC/AC 9/17/2021 100 ATNBBL 30 ATLANTIC BLVD 60TH ST 196' S/O SLAUSON AVE 2 A 463 36 16,668 AC/AC 9/17/2021 100 ATSBBL 30 ATLANTIC BLVD 60TH ST 196' S/O SLAUSON AVE 2 A 463 36 16,668 AC/AC 9/17/2021 100 ATNBBL 40 ATLANTIC BLVD 196' S/O SLAUSON AVE 200' N/O SLAUSON AVE 2 A 395 36 14,220 PCC 9/17/2021 89 ATSBBL 40 ATLANTIC BLVD 196' S/O SLAUSON AVE 200' N/O SLAUSON AVE 2 A 393 36 14,148 PCC 9/17/2021 92 ATNBBL 50 ATLANTIC BLVD 200' W/O SLAUSON AVE 55TH ST 2 A 1,228 27 33,156 AC 9/17/2021 74 ATSBBL 50 ATLANTIC BLVD 200' N/O SLAUSON AVE 55TH ST 2 A 1,227 27 33,129 AC 9/17/2021 71 ATNBBL 60 ATLANTIC BLVD 55TH ST 52ND DR 2 A 888 27 23,976 AC 9/17/2021 83 ATSBBL 60 ATLANTIC BLVD 55TH ST 52ND DR 2 A 885 27 23,895 AC 9/17/2021 64 CARMAV 10 CARMELITA AVE FRUITLAND AVE CL (S) 2 L 2,930 26 76,180 AC 9/21/2021 51 CLARAV 10 CLARKSON AVE RANDOLPH ST 60TH ST 2 L 1,336 26 34,736 AC 9/21/2021 90 COROAV 10 CORONA AVE CL (N) CL (S) 2 L 2,834 26 73,684 AC 9/21/2021 97 CUDAAV 10 CUDAHY AVE 54TH ST 52ND ST 2 L 683 34 23,222 AC 9/21/2021 76 CUDAAV 20 CUDAHY AVE 52ND ST CL 2 L 167 17 2,839 AC 9/21/2021 64 EVERAV 10 EVERETT AVE CL (S) 58TH ST 1 L 524 29 15,196 AC/PCC 9/21/2021 72 EVERAV 20 EVERETT AVE 58TH ST FRUITLAND AVE 2 L 2,427 26 63,102 AC 9/21/2021 60 FISHAV 10 FISHBURN AVE CL (S) 58TH ST 2 L 705 36 25,380 AC 9/21/2021 88 FISHAV 20 FISHBURN AVE 58TH ST 52ND ST 2 L 2,098 26 54,548 AC 9/21/2021 72 FLORAV 10 FLORA AVE SLAUSON AVE E 60TH ST 2 L 684 32 21,888 AC 9/21/2021 81 GIFFAV 10 GIFFORD AVE CL (S) FRUITLAND AVE 2 A 2,763 26 71,838 AC 9/20/2021 87 HELIAV 10 HELIOTROPE AVE CL (S) 60TH ST 2 C 1,353 27 36,531 AC 9/20/2021 70 HELIAV 20 HELIOTROPE AVE 60TH ST SLAUSON AVE 2 C 671 27 18,117 AC 9/20/2021 73 HELIAV 30 HELIOTROPE AVE SLAUSON AVE CL 2 C 1,308 26 34,008 AC 9/20/2021 96 HELICR 10 HELIOTROPE CIR 60TH ST MAYFLOWER AVE 2 C 834 36 30,024 AC/PCC 9/20/2021 73 KINGAV 10 KING AVE CL(S) SLAUSON AVE 2 A 2,019 27 54,513 AC 9/20/2021 71 KINGAV 20 KING AVE SLAUSON AVE 56TH ST 2 A 1,072 35 37,520 AC 9/20/2021 78 KINGAV 30 KING AVE 56TH ST CL 2 A 892 26 23,192 AC 9/20/2021 54 LOVIAV 10 LOMA VISTA AVE CL (S) FRUITLAND AVE 2 A 2,942 32 94,144 AC 9/21/2021 86 MALBWY 10 MALBURG WAY 42' S/O SLAUSON AVE SLAUSON AVE 2 L 42 42 1,764 AC 9/21/2021 70 MAYFAV 10 MAYFLOWER AVE RANDOLPH ST HELIOTROPE CIR 2 A 1,903 27 51,381 AC 9/20/2021 68 MAYFAV 20 MAYFLOWER AVE HELIOTROPE CIR SLAUSON AVE 2 A 99 27 2,673 PCC 9/21/2021 81 MAYFAV 30 MAYFLOWER AVE SLAUSON AVE 56TH ST 2 A 1,074 26 27,924 AC 9/20/2021 69 MAYFAV 40 MAYFLOWER AVE 56TH ST CL 2 A 561 26 14,586 AC 9/20/2021 86 MAYWAV 10 MAYWOOD AVE 51' NORTH OF SLAUSON AVE FRUITLAND AVE 2 A 2,857 35 99,995 AC/AC 9/21/2021 96 OTISAV 10 OTIS AVE SLAUSON AVE-EB CITY LIMIT 2 L 151 32 4,832 AC 9/21/2021 74 PALAAV 10 PALA AVE RANDOLPH ST 61ST ST 2 L 685 27 18,495 AC 9/21/2021 66 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 2/4

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Street Name
StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
PALMAV 10 PALM AVE RANDOLPH ST 61ST ST 2 L 680 27 18,360 AC 9/20/2021 89 PINEAV 10 PINE AVE CL(S) SLAUSON AVE 2 L 2,021 34 68,714 AC 9/20/2021 58 PINEAV 20 PINE AVE SLAUSON AVE 58TH ST 2 L 350 34 11,900 AC 9/20/2021 91 PINEAV 30 PINE AVE 58TH ST 52ND ST 2 L 2,094 27 56,538 AC 9/20/2021 81 PROSAV 10 PROSPECT AVE RANDOLPH ST 60TH ST 2 L 1,343 36 48,348 AC 9/20/2021 69 RANDST 10 RANDOLPH ST 353' W/O PINE CLARKSON AVE 2 C 685 33 22,605 AC 9/17/2021 77 RANDST 20 RANDOLPH ST CLARKSON AVE ATLANTIC BLVD 2 A 338 36 12,168 AC 9/17/2021 88 RANDST 30 RANDOLPH ST ATLANTIC BLVD WOODWARD AVE 2 C 329 33 10,857 AC 9/17/2021 70 RANDST 40 RANDOLPH ST WOODWARD AVE WALKER AVE 2 C 3,839 33 126,687 AC 9/17/2021 78 RANDST 50 RANDOLPH ST WALKER AVE DISTRICT BLVD 2 C 835 36 30,060 AC/PCC 9/17/2021 95 SDWNRD 10 S DOWNEY RD SLAUSON AVE 163' N/O SLAUSON AVE 2 A 163 42 6,846 AC 9/21/2021 9 SLWBAV 10 SLAUSON AVE S DOWNEY RD MAYWOOD AVE 2 A 513 30 15,390 AC 9/14/2021 70 SLEBAV 20 SLAUSON AVE MAYWOOD AVE EVERETT AVE 2 A 598 30 17,940 AC 9/14/2021 65 SLWBAV 20 SLAUSON AVE MAYWOOD AVE EVERETT AVE 2 A 598 30 17,940 AC 9/14/2021 64 SLEBAV 30 SLAUSON AVE EVERETT AVE 213' W/O LOMA VISTA AVE 2 A 446 30 13,380 AC 9/14/2021 65 SLWBAV 30 SLAUSON AVE EVERETT AVE LOMA VISTA AVE 2 A 659 30 19,770 AC 9/14/2021 69 SLEBAV 35 SLAUSON AVE 213' W/O LOMA VISTA AVE LOMA VISTA AVE 2 A 213 33 7,029 PCC 9/14/2021 99 SLEBAV 40 SLAUSON AVE LOMA VISTA AVE CARMELITA AVE 2 A 661 30 19,830 AC 9/14/2021 66 SLWBAV 40 SLAUSON AVE 234' E/O LOMA VISTA AVE CARMELITA AVE 2 A 427 30 12,810 AC 9/14/2021 63 SLWBAV 45 SLAUSON AVE LOMA VISTA AVE 234' E/O LOMA VISTA AVE 2 A 234 33 7,722 PCC 9/14/2021 90 SLEBAV 50 SLAUSON AVE CARMELITA AVE CORONA AVE 2 A 657 30 19,710 AC 9/14/2021 65 SLWBAV 50 SLAUSON AVE CARMELITA AVE CORONA AVE 2 A 657 30 19,710 AC 9/14/2021 66 SLEBAV 60 SLAUSON AVE CORONA AVE GIFFORD AVE 2 A 661 30 19,830 AC 9/14/2021 72 SLWBAV 60 SLAUSON AVE CORONA AVE GIFFORD AVE 2 A 661 30 19,830 AC 9/14/2021 73 SLEBAV 70 SLAUSON AVE GIFFORD AVE FISHBURN AVE 2 A 686 30 20,580 AC 9/14/2021 67 SLWBAV 70 SLAUSON AVE GIFFORD AVE FISHBURN AVE 2 A 686 30 20,580 AC 9/14/2021 71 SLEBAV 80 SLAUSON AVE FISHBURN AVE PINE AVE 2 A 675 36 24,300 AC 9/14/2021 71 SLWBAV 80 SLAUSON AVE FISHBURN AVE PINE AVE 2 A 675 36 24,300 AC 9/14/2021 72 SLEBAV 90 SLAUSON AVE PINE AVE 210' W/O ATLANTIC BLVD 2 A 467 36 16,812 AC 9/14/2021 73 SLWBAV 90 SLAUSON AVE PINE AVE 210' W/O ATLANTIC BLVD 2 A 467 36 16,812 AC 9/14/2021 67 SLEBAV 95 SLAUSON AVE 210' W/O ATLANTIC BLVD 195' E/O ATLANTIC BLVD 2 A 405 36 14,580 PCC 9/14/2021 95 SLWBAV 95 SLAUSON AVE 210' W/O ATLANTIC BLVD 195' E/O ATLANTIC BLVD 2 A 405 36 14,580 PCC 9/14/2021 83 SLEBAV 100 SLAUSON AVE 195' E/O ATLANTIC BLVD KING AVE 2 A 474 36 17,064 AC 9/14/2021 96 SLWBAV 100 SLAUSON AVE 195' E/O ATLANTIC BLVD KING AVE 2 A 474 36 17,064 AC 9/14/2021 92 SLEBAV 110 SLAUSON AVE KING AVE 150' W/O MAYFLOWER AVE 2 A 503 30 15,090 AC 9/14/2021 98 SLWBAV 110 SLAUSON AVE KING AVE 130' W/O MAYFLOWER AVE 2 A 563 30 16,890 AC 9/14/2021 79 SLEBAV 115 SLAUSON AVE 150' W/O MAYFLOWER AVE MAYFLOWER AVE 2 A 195 44 8,580 PCC 9/14/2021 77 SLWBAV 115 SLAUSON AVE 130' W/O MAYFLOWER AVE 172' E/O MAYFLOWER AVE 2 A 322 44 14,168 PCC 9/14/2021 88 SLEBAV 120 SLAUSON AVE MAYFLOWER AVE HELIOTROPE AVE 2 A 663 26 17,238 AC 9/14/2021 76 SLWBAV 120 SLAUSON AVE 172' E/O MAYFLOWER AVE HELIOTROPE AVE 2 A 468 26 12,168 AC 9/14/2021 98 SLEBAV 130 SLAUSON AVE HELIOTROPE AVE WOODLAWN AVE 2 A 744 26 19,344 AC 9/14/2021 95 SLWBAV 130 SLAUSON AVE HELIOTROPE AVE WOODLAWN AVE 2 A 744 26 19,344 AC 9/14/2021 98 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 3/4

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Street Name
StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
SLEBAV 140 SLAUSON AVE WOODLAWN AVE ALAMO AVE 2 A 698 26 18,148 AC 9/14/2021 94 SLWBAV 140 SLAUSON AVE WOODLAWN AVE ALAMO AVE 2 A 698 26 18,148 AC 9/14/2021 95 SLEBAV 150 SLAUSON AVE ALAMO AVE BRIDGE 2 A 582 30 17,460 AC/AC 9/14/2021 100 SLWBAV 150 SLAUSON AVE ALAMO AVE BRIDGE 2 A 582 30 17,460 AC/AC 9/14/2021 100 VINEAV 10 VINEVALE AVE RANDOLPH ST 60TH ST 2 L 1,339 36 48,204 AC 9/20/2021 72 WALKAV 10 WALKER AVE RANDOLPH ST END OF CDS 2 L 1,657 36 59,652 AC 9/20/2021 77 WILCAV 10 WILCOX AVE RANDOLPH ST 61ST ST 2 L 683 27 18,441 AC 9/20/2021 79 WDLAAV 10 WOODLAWN AVE RANDOLPH ST 60TH PL 2 L 1,012 27 27,324 AC 9/20/2021 62 WDLAAV 20 WOODLAWN AVE 60TH PL 52ND PL 2 L 1,443 27 38,961 AC 9/20/2021 67 WDWAAV 10 WOODWARD AVE RANDOLPH ST 60TH ST 2 L 1,349 27 36,423 AC 9/20/2021 82 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 4/4

Nichols Consulting Engineers, Chtd.

Section Description Inventory – Sorted by Descending PCI

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Descending PCI StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
ALAMAV 10 ALAMO AVE RANDOLPH ST SLAUSON AVE 2 A 2,031 36 73,116 AC/AC 9/20/2021 100 ATNBBL 10 ATLANTIC BLVD RANDOLPH ST 61ST ST 2 A 680 36 24,480 AC/AC 9/17/2021 100 ATSBBL 10 ATLANTIC BLVD RANDOLPH ST 61ST ST 2 A 680 36 24,480 AC/AC 9/17/2021 100 ATNBBL 20 ATLANTIC BLVD 61ST ST 60TH ST 2 A 663 36 23,868 AC/AC 9/17/2021 100 ATSBBL 20 ATLANTIC BLVD 61ST ST 60TH ST 2 A 663 36 23,868 AC/AC 9/17/2021 100 ATNBBL 30 ATLANTIC BLVD 60TH ST 196' S/O SLAUSON AVE 2 A 463 36 16,668 AC/AC 9/17/2021 100 ATSBBL 30 ATLANTIC BLVD 60TH ST 196' S/O SLAUSON AVE 2 A 463 36 16,668 AC/AC 9/17/2021 100 SLEBAV 150 SLAUSON AVE ALAMO AVE BRIDGE 2 A 582 30 17,460 AC/AC 9/14/2021 100 SLWBAV 150 SLAUSON AVE ALAMO AVE BRIDGE 2 A 582 30 17,460 AC/AC 9/14/2021 100 SLEBAV 35 SLAUSON AVE 213' W/O LOMA VISTA AVE LOMA VISTA AVE 2 A 213 33 7,029 PCC 9/14/2021 99 58THST 10 58TH ST (E) MAYWOOD AVE EVERETT AVE 2 L 787 26 20,462 AC 9/16/2021 98 58THST 70 58TH ST (E) MAYFLOWER AVE WOODLAWN AVE 2 L 1,405 27 37,935 AC 9/16/2021 98 61STST 10 61ST ST (E) CL PINE AVE 2 L 346 32 11,072 AC 9/17/2021 98 61STST 20 61ST ST (E) PINE AVE ATLANTIC BLVD 2 L 674 27 18,198 AC 9/17/2021 98 SLEBAV 110 SLAUSON AVE KING AVE 150' W/O MAYFLOWER AVE 2 A 503 30 15,090 AC 9/14/2021 98 SLWBAV 120 SLAUSON AVE 172' E/O MAYFLOWER AVE HELIOTROPE AVE 2 A 468 26 12,168 AC 9/14/2021 98 SLWBAV 130 SLAUSON AVE HELIOTROPE AVE WOODLAWN AVE 2 A 744 26 19,344 AC 9/14/2021 98 52NDPL 10 52ND PL (E) 52ND ST CUDAHY AVE 2 L 800 27 21,600 AC/AC 9/15/2021 98 52NDPL 30 52ND PL (E) MAYFLOWER AVE HELIOTROPE AVE 2 L 596 27 16,092 AC 9/15/2021 97 53RDST 10 53RD ST (E) MAYWOOD AVE LOMA VISTA AVE 2 C 1,704 26 44,304 AC 9/15/2021 97 60THST 10 60TH ST (E) ATLANTIC BLVD HELIOTROPE CIR 2 L 1,957 27 52,839 AC 9/17/2021 97 COROAV 10 CORONA AVE CL (N) CL (S) 2 L 2,834 26 73,684 AC 9/21/2021 97 53RDST 20 53RD ST (E) LOMA VISTA AVE PINE AVE 2 C 3,341 26 86,866 AC/AC 9/15/2021 97 HELIAV 30 HELIOTROPE AVE SLAUSON AVE CL 2 C 1,308 26 34,008 AC 9/20/2021 96 SLEBAV 100 SLAUSON AVE 195' E/O ATLANTIC BLVD KING AVE 2 A 474 36 17,064 AC 9/14/2021 96 MAYWAV 10 MAYWOOD AVE 51' NORTH OF SLAUSON AVE FRUITLAND AVE 2 A 2,857 35 99,995 AC/AC 9/21/2021 96 SLEBAV 130 SLAUSON AVE HELIOTROPE AVE WOODLAWN AVE 2 A 744 26 19,344 AC 9/14/2021 95 SLWBAV 140 SLAUSON AVE WOODLAWN AVE ALAMO AVE 2 A 698 26 18,148 AC 9/14/2021 95 53RDST 50 53RD ST (E) ATLANTIC BLVD MAYFLOWER AVE 2 C 1,364 36 49,104 AC/AC 9/15/2021 95 RANDST 50 RANDOLPH ST WALKER AVE DISTRICT BLVD 2 C 835 36 30,060 AC/PCC 9/17/2021 95 SLEBAV 95 SLAUSON AVE 210' W/O ATLANTIC BLVD 195' E/O ATLANTIC BLVD 2 A 405 36 14,580 PCC 9/14/2021 95 58THST 50 58TH ST (E) ATLANTIC BLVD KING AVE 2 L 660 36 23,760 AC 9/16/2021 94 60THST 30 60TH ST (E) ALAMO AVE DISTRICT BLVD 2 L 1,050 33 34,650 AC 9/17/2021 94 SLEBAV 140 SLAUSON AVE WOODLAWN AVE ALAMO AVE 2 A 698 26 18,148 AC 9/14/2021 94 60THST 50 60TH ST (E) PINE AVE CL 2 L 344 27 9,288 AC 9/17/2021 93 SLWBAV 100 SLAUSON AVE 195' E/O ATLANTIC BLVD KING AVE 2 A 474 36 17,064 AC 9/14/2021 92 ATSBBL 40 ATLANTIC BLVD 196' S/O SLAUSON AVE 200' N/O SLAUSON AVE 2 A 393 36 14,148 PCC 9/17/2021 92 55THST 20 55TH ST (E) CORONA AVE CUDAHY AVE/ATLANTIC BLVD 2 A 2,704 36 97,344 AC 9/16/2021 91 PINEAV 20 PINE AVE SLAUSON AVE 58TH ST 2 L 350 34 11,900 AC 9/20/2021 91 CLARAV 10 CLARKSON AVE RANDOLPH ST 60TH ST 2 L 1,336 26 34,736 AC 9/21/2021 90 55THST 30 55TH ST (E) ATLANTIC BLVD KING AVE 2 A 730 36 26,280 AC/AC 9/16/2021 90 SLWBAV 45 SLAUSON AVE LOMA VISTA AVE 234' E/O LOMA VISTA AVE 2 A 234 33 7,722 PCC 9/14/2021 90 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 1/4

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Descending PCI StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
PALMAV 10 PALM AVE RANDOLPH ST 61ST ST 2 L 680 27 18,360 AC 9/20/2021 89 ATNBBL 40 ATLANTIC BLVD 196' S/O SLAUSON AVE 200' N/O SLAUSON AVE 2 A 395 36 14,220 PCC 9/17/2021 89 53RDST 30 53RD ST (E) PINE AVE CUDAHY AVE 2 C 739 36 26,604 AC 9/15/2021 88 53RDST 40 53RD ST (E) CUDAHY AVE ATLANTIC BLVD 2 C 178 53 9,434 AC 9/15/2021 88 FISHAV 10 FISHBURN AVE CL (S) 58TH ST 2 L 705 36 25,380 AC 9/21/2021 88 RANDST 20 RANDOLPH ST CLARKSON AVE ATLANTIC BLVD 2 A 338 36 12,168 AC 9/17/2021 88 SLWBAV 115 SLAUSON AVE 130' W/O MAYFLOWER AVE 172' E/O MAYFLOWER AVE 2 A 322 44 14,168 PCC 9/14/2021 88 GIFFAV 10 GIFFORD AVE CL (S) FRUITLAND AVE 2 A 2,763 26 71,838 AC 9/20/2021 87 LOVIAV 10 LOMA VISTA AVE CL (S) FRUITLAND AVE 2 A 2,942 32 94,144 AC 9/21/2021 86 MAYFAV 40 MAYFLOWER AVE 56TH ST CL 2 A 561 26 14,586 AC 9/20/2021 86 60THST 40 60TH ST (E) ATLANTIC BLVD PINE AVE 2 L 674 36 24,264 AC 9/17/2021 85 ATNBBL 60 ATLANTIC BLVD 55TH ST 52ND DR 2 A 888 27 23,976 AC 9/17/2021 83 SLWBAV 95 SLAUSON AVE 210' W/O ATLANTIC BLVD 195' E/O ATLANTIC BLVD 2 A 405 36 14,580 PCC 9/14/2021 83 59THPL 30 59TH PL (E) ALAMO AVE WALKER AVE 2 L 688 32 22,016 AC 9/16/2021 82 WDWAAV 10 WOODWARD AVE RANDOLPH ST 60TH ST 2 L 1,349 27 36,423 AC 9/20/2021 82 57THST 40 57TH ST (E) ATLANTIC BLVD KING AVE 2 L 658 36 23,688 AC/AC 9/16/2021 82 FLORAV 10 FLORA AVE SLAUSON AVE E 60TH ST 2 L 684 32 21,888 AC 9/21/2021 81 PINEAV 30 PINE AVE 58TH ST 52ND ST 2 L 2,094 27 56,538 AC 9/20/2021 81 MAYFAV 20 MAYFLOWER AVE HELIOTROPE CIR SLAUSON AVE 2 A 99 27 2,673 PCC 9/21/2021 81 57THST 30 57TH ST (E) GIFFORD AVE ATLANTIC BLVD 2 L 2,038 27 55,026 AC 9/16/2021 80 SLWBAV 110 SLAUSON AVE KING AVE 130' W/O MAYFLOWER AVE 2 A 563 30 16,890 AC 9/14/2021 79 WILCAV 10 WILCOX AVE RANDOLPH ST 61ST ST 2 L 683 27 18,441 AC 9/20/2021 79 KINGAV 20 KING AVE SLAUSON AVE 56TH ST 2 A 1,072 35 37,520 AC 9/20/2021 78 RANDST 40 RANDOLPH ST WOODWARD AVE WALKER AVE 2 C 3,839 33 126,687 AC 9/17/2021 78 58THST 20 58TH ST (E) EVERETT AVE LOMA VISTA AVE 2 L 662 36 23,832 AC 9/16/2021 77 RANDST 10 RANDOLPH ST 353' W/O PINE CLARKSON AVE 2 C 685 33 22,605 AC 9/17/2021 77 WALKAV 10 WALKER AVE RANDOLPH ST END OF CDS 2 L 1,657 36 59,652 AC 9/20/2021 77 SLEBAV 115 SLAUSON AVE 150' W/O MAYFLOWER AVE MAYFLOWER AVE 2 A 195 44 8,580 PCC 9/14/2021 77 CUDAAV 10 CUDAHY AVE 54TH ST 52ND ST 2 L 683 34 23,222 AC 9/21/2021 76 SLEBAV 120 SLAUSON AVE MAYFLOWER AVE HELIOTROPE AVE 2 A 663 26 17,238 AC 9/14/2021 76 57THST 20 57TH ST (E) LOMA VISTA AVE GIFFORD AVE 2 L 1,980 27 53,460 AC 9/16/2021 75 59TH PL 10 59TH PL (E) ATLANTIC BLVD KING AVE 2 L 669 36 24,084 AC 9/16/2021 74 ATNBBL 50 ATLANTIC BLVD 200' W/O SLAUSON AVE 55TH ST 2 A 1,228 27 33,156 AC 9/17/2021 74 OTISAV 10 OTIS AVE SLAUSON AVE-EB CITY LIMIT 2 L 151 32 4,832 AC 9/21/2021 74 54THST 10 54TH ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,654 27 44,658 AC 9/15/2021 73 HELIAV 20 HELIOTROPE AVE 60TH ST SLAUSON AVE 2 C 671 27 18,117 AC 9/20/2021 73 SLWBAV 60 SLAUSON AVE CORONA AVE GIFFORD AVE 2 A 661 30 19,830 AC 9/14/2021 73 SLEBAV 90 SLAUSON AVE PINE AVE 210' W/O ATLANTIC BLVD 2 A 467 36 16,812 AC 9/14/2021 73 52NDPL 20 52ND PL (E) ATLANTIC BLVD MAYFLOWER AVE 2 L 1,369 27 36,963 AC/AC 9/15/2021 73 HELICR 10 HELIOTROPE CIR 60TH ST MAYFLOWER AVE 2 C 834 36 30,024 AC/PCC 9/20/2021 73 FISHAV 20 FISHBURN AVE 58TH ST 52ND ST 2 L 2,098 26 54,548 AC 9/21/2021 72 SLEBAV 60 SLAUSON AVE CORONA AVE GIFFORD AVE 2 A 661 30 19,830 AC 9/14/2021 72 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 2/4

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Descending PCI StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
SLWBAV 80 SLAUSON AVE FISHBURN AVE PINE AVE 2 A 675 36 24,300 AC 9/14/2021 72 VINEAV 10 VINEVALE AVE RANDOLPH ST 60TH ST 2 L 1,339 36 48,204 AC 9/20/2021 72 EVERAV 10 EVERETT AVE CL (S) 58TH ST 1 L 524 29 15,196 AC/PCC 9/21/2021 72 54THST 20 54TH ST (E) LOMA VISTA AVE ATLANTIC BLVD 2 L 4,170 27 112,590 AC 9/15/2021 71 ATSBBL 50 ATLANTIC BLVD 200' N/O SLAUSON AVE 55TH ST 2 A 1,227 27 33,129 AC 9/17/2021 71 KINGAV 10 KING AVE CL(S) SLAUSON AVE 2 A 2,019 27 54,513 AC 9/20/2021 71 SLWBAV 70 SLAUSON AVE GIFFORD AVE FISHBURN AVE 2 A 686 30 20,580 AC 9/14/2021 71 SLEBAV 80 SLAUSON AVE FISHBURN AVE PINE AVE 2 A 675 36 24,300 AC 9/14/2021 71 56THST 30 56TH ST (E) ATLANTIC BLVD HELIOTROPE AVE 2 L 2,022 27 54,594 AC 9/17/2021 70 HELIAV 10 HELIOTROPE AVE CL (S) 60TH ST 2 C 1,353 27 36,531 AC 9/20/2021 70 MALBWY 10 MALBURG WAY 42' S/O SLAUSON AVE SLAUSON AVE 2 L 42 42 1,764 AC 9/21/2021 70 RANDST 30 RANDOLPH ST ATLANTIC BLVD WOODWARD AVE 2 C 329 33 10,857 AC 9/17/2021 70 SLWBAV 10 SLAUSON AVE S DOWNEY RD MAYWOOD AVE 2 A 513 30 15,390 AC 9/14/2021 70 58THST 40 58TH ST (E) PINE AVE ATLANTIC BLVD 2 L 678 34 23,052 AC 9/16/2021 69 MAYFAV 30 MAYFLOWER AVE SLAUSON AVE 56TH ST 2 A 1,074 26 27,924 AC 9/20/2021 69 PROSAV 10 PROSPECT AVE RANDOLPH ST 60TH ST 2 L 1,343 36 48,348 AC 9/20/2021 69 SLWBAV 30 SLAUSON AVE EVERETT AVE LOMA VISTA AVE 2 A 659 30 19,770 AC 9/14/2021 69 MAYFAV 10 MAYFLOWER AVE RANDOLPH ST HELIOTROPE CIR 2 A 1,903 27 51,381 AC 9/20/2021 68 SLEBAV 70 SLAUSON AVE GIFFORD AVE FISHBURN AVE 2 A 686 30 20,580 AC 9/14/2021 67 SLWBAV 90 SLAUSON AVE PINE AVE 210' W/O ATLANTIC BLVD 2 A 467 36 16,812 AC 9/14/2021 67 WDLAAV 20 WOODLAWN AVE 60TH PL 52ND PL 2 L 1,443 27 38,961 AC 9/20/2021 67 52NDST 10 52ND ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,754 36 63,144 AC 9/15/2021 66 58THST 30 58TH ST (E) LOMA VISTA AVE PINE AVE 2 L 3,339 27 90,153 AC 9/16/2021 66 PALAAV 10 PALA AVE RANDOLPH ST 61ST ST 2 L 685 27 18,495 AC 9/21/2021 66 SLEBAV 40 SLAUSON AVE LOMA VISTA AVE CARMELITA AVE 2 A 661 30 19,830 AC 9/14/2021 66 SLWBAV 50 SLAUSON AVE CARMELITA AVE CORONA AVE 2 A 657 30 19,710 AC 9/14/2021 66 SLEBAV 20 SLAUSON AVE MAYWOOD AVE EVERETT AVE 2 A 598 30 17,940 AC 9/14/2021 65 SLEBAV 30 SLAUSON AVE EVERETT AVE 213' W/O LOMA VISTA AVE 2 A 446 30 13,380 AC 9/14/2021 65 SLEBAV 50 SLAUSON AVE CARMELITA AVE CORONA AVE 2 A 657 30 19,710 AC 9/14/2021 65 56THST 10 56TH ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,553 27 41,931 AC 9/17/2021 64 57THST 10 57TH ST (E) MAYWOOD AVE LOMA VISTA AVE 2 L 1,499 24 35,976 AC 9/16/2021 64 ATSBBL 60 ATLANTIC BLVD 55TH ST 52ND DR 2 A 885 27 23,895 AC 9/17/2021 64 CUDAAV 20 CUDAHY AVE 52ND ST CL 2 L 167 17 2,839 AC 9/21/2021 64 SLWBAV 20 SLAUSON AVE MAYWOOD AVE EVERETT AVE 2 A 598 30 17,940 AC 9/14/2021 64 59THPL 20 59TH PL (E) KING AVE ALAMO AVE 2 L 2,796 27 75,492 AC 9/16/2021 63 SLWBAV 40 SLAUSON AVE 234' E/O LOMA VISTA AVE CARMELITA AVE 2 A 427 30 12,810 AC 9/14/2021 63 56THST 20 56TH ST (E) LOMA VISTA AVE ATLANTIC BLVD 2 L 4,017 27 108,459 AC 9/17/2021 62 61STST 30 61ST ST (E) ATLANTIC BLVD HELIOTROPE CIR 2 L 2,067 27 55,809 AC 9/17/2021 62 WDLAAV 10 WOODLAWN AVE RANDOLPH ST 60TH PL 2 L 1,012 27 27,324 AC 9/20/2021 62 EVERAV 20 EVERETT AVE 58TH ST FRUITLAND AVE 2 L 2,427 26 63,102 AC 9/21/2021 60 52NDST 20 52ND ST (E) LOMA VISTA AVE ATLANTIC BLVD 2 L 4,439 36 159,804 AC 9/15/2021 59 52NDPL 40 52ND PL (E) HELIOTROPE AVE 70' E/O HELIOTROPE AVE 2 L 70 52 3,640 AC/PCC 9/15/2021 59 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 3/4

City of Maywood - PMP Update 2021
Section Description Inventory - Sorted by Descending PCI StreetID SectionID Street Name Begin Location End Location No. of Lanes
FC
Length
(ft) Width (ft) Area (ft) ST PCI Date PCI
PINEAV 10 PINE AVE CL(S) SLAUSON AVE 2 L 2,021 34 68,714 AC 9/20/2021 58 55THST 10 55TH ST (E) MAYWOOD AVE CORONA AVE 2 A 2,919 27 78,813 AC 9/16/2021 56 60THPL 10 60TH PL (E) HELIOTROPE AVE WALKER AVE 2 L 2,109 27 56,943 AC 9/17/2021 55 60THST 20 60TH ST (E) HELIOTROPE CIR ALAMO AVE 2 L 1,510 33 49,830 AC 9/17/2021 55 KINGAV 30 KING AVE 56TH ST CL 2 A 892 26 23,192 AC 9/20/2021 54 57THST 50 57TH ST (E) KING AVE HELIOTROPE AVE 2 L 1,366 29 39,614 AC 9/16/2021 52 61STST 40 61ST ST (E) HELIOTROPE CIR WALKER AVE 2 L 2,100 27 56,700 AC 9/17/2021 51 CARMAV 10 CARMELITA AVE FRUITLAND AVE CL (S) 2 L 2,930 26 76,180 AC 9/21/2021 51 52NDPL 50 52ND PL (E) 70' E/O HELIOTROPE AVE ALAMO 2 L 1,701 28 47,628 PCC 9/21/2021 46 SDWNRD 10 S DOWNEY RD SLAUSON AVE 163' N/O SLAUSON AVE 2 A 163 42 6,846 AC 9/21/2021 9 FC (Functional Class): A (Arterial), C (Collector), L (Local/Residential) ST (Surface Type): AC (Asphalt Concrete), AC/AC (Asphalt Concrete Overlay), AC/PCC (Composite Pavement), PCC (Portland Cement Concrete) 4/4

Appendix B

MAINTENANCE AND REHABILITATION DECISION TREE

Nichols Consulting Engineers, Chtd.

Maintenance and Rehabilitation (M&R) Decision Tree
This report presents the current maintenance and rehabilitation decision tree that exists in the database.

The decision tree forms the basis for all of the budgetary computations included in this report. Changes to the decision tree will make the results in the budget reports invalid. All pavement treatment unit costs relevant to the road types in the database were updated.

The decision tree lists the treatments and costs selected for preventive maintenance and rehabilitation activities. Each line represents a specific combination of functional classification and surface type.

The preventive maintenance portion of the report is identified as Condition Category I – Very Good. All preventive maintenance treatment listings are assigned only to sections in Condition Category I where the PCI ≥ 70. Sections with PCI values less than 70 are assigned to treatments listed in Categories II through V.

In the preventive maintenance category (PCI  70), a time sequence is used to identify the appropriate treatment and cost. Each preventive maintenance treatment description consists of three parts: 1) a CRACK treatment, 2) a SURFACE treatment, and 3) a RESTORATION treatment. These three parts allow the user to specify one of three different preventive maintenance treatments depending on the prior maintenance history of the section.

1. The CRACK treatment part can be used to specify the most frequent type of preventive maintenance activity planned (typically crack seals).

2. The SURFACE treatment part can be used to specify more extensive and less frequent preventive maintenance activities, such as chip seals or slurry seals. For example, a crack seal can be specified on a 3-year cycle with a slurry seal specified after 5 years.

3. The RESTORATION part can be used to specify a surface restoration treatment (such as an overlay) to be performed after a specified number of surface treatments. For example, after a certain number of successive slurry seals, an overlay can be specified instead of another slurry seal.

Rehabilitation treatments are assigned to sections in Condition Categories II through V (PCI less than 70).

Each line is defined by a specific combination of functional classification, surface type, and condition category.

COLUMN DESCRIPTION
Functional Class Functional Classification identifying the branch Surface Surface Type identifying the branch number.

Condition Category Condition Category (I through V).

Treatment Type First Row (Crack Treatment) indicates localized treatment (e.g. crack sealing).

Second Row (Surface Treatment) indicates surface treatment (e.g. slurry sealing).

Third Row (Restoration Treatment) indicates surface restoration (e.g. overlay).

Treatment Name of treatments from the "Treatment Descriptions" report.

Yrs. Between Crack Seals First Row - number of years between successive treatment applications specified in the first row (i.e. CRACK treatment).

Nichols Consulting Engineers, Chtd.

COLUMN DESCRIPTION
Yrs. Between Surface Seals Second Row - number of years between successive treatment applications specified in the second row (i.e. SURFACE treatment).

Number of Sequential Seals Number of times that the treatment application in the second row (i.e. SURFACE treatment) will be performed prior to performing the treatment application in the third row.

Note that the treatments assigned to each section should not be blindly followed in preparing a road maintenance program. Engineering judgment and project level analysis should be applied to ensure that the treatment is appropriate and cost effective for the section.

Arterial AC I - Very Good Crack Treatment DO NOTHING $0.00 7 Surface Treatment DO NOTHING $0.00 7
Restoration Treatment DO NOTHING $0.00 99
II - Good, Non-Load Related MILL AND THIN OVERLAY $28.00 III - Good, Load Related MILL AND THIN OVERLAY $30.00
IV - Poor MILL AND THICK OVERLAY $41.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $131.00
AC/AC I - Very Good Crack Treatment DO NOTHING $0.00 7
Surface Treatment DO NOTHING $0.00 7
Restoration Treatment DO NOTHING $0.00 99
II - Good, Non-Load Related MILL AND THIN OVERLAY $28.00 III - Good, Load Related MILL AND THIN OVERLAY $30.00
IV - Poor MILL AND THICK OVERLAY $41.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $131.00
AC/PCC I - Very Good Crack Treatment DO NOTHING $0.00 7 Surface Treatment DO NOTHING $0.00 7
Restoration Treatment DO NOTHING $0.00 99
II - Good, Non-Load Related DO NOTHING $0.00
III - Good, Load Related DO NOTHING $0.00
IV - Poor DO NOTHING $0.00
V - Very Poor DO NOTHING $0.00
PCC I - Very Good Crack Treatment DO NOTHING $0.00 9
Surface Treatment DO NOTHING $0.00 15
Restoration Treatment DO NOTHING $0.00 99
II - Good, Non-Load Related DO NOTHING $0.00
III - Good, Load Related PANEL REPLACE 5% $30.00
IV - Poor PANEL REPLACE 10% $60.00
V - Very Poor RECONSTRUCT STRUCTURE (PCC) $102.00
# of Surface
Seals before
Overlay
Functional
Class
City of Maywood
Printed: 12/21/2021
Decision Tree
Surface Condition Category Treatment Type Treatment Yrs Between Crack Seals
Yrs Between
Surface Seals
Cost/Sq Yd,
except Seal
Cracks in LF:

Functional Class and Surface combination not used
Criteria: 1 MTC StreetSaver
Selected Treatment is not a Surface Seal

Collector AC I - Very Good Crack Treatment SEAL CRACKS $1.25 10 Surface Treatment CRACK SEAL & SLURRY SEAL $4.75 10
Restoration Treatment MILL AND THIN OVERLAY $25.00 3
II - Good, Non-Load Related MICROSURFACING $9.00 10
III - Good, Load Related MILL AND THIN OVERLAY $25.00
IV - Poor MILL AND THIN OVERLAY $27.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $105.00
AC/AC I - Very Good Crack Treatment SEAL CRACKS $1.25 10 Surface Treatment CRACK SEAL & SLURRY SEAL $4.75
Restoration Treatment MILL AND THIN OVERLAY $25.00 3
II - Good, Non-Load Related MICROSURFACING $9.00 10
III - Good, Load Related MILL AND THIN OVERLAY $25.00
IV - Poor MILL AND THIN OVERLAY $27.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $105.00
AC/PCC I - Very Good Crack Treatment DO NOTHING $0.00 10 Surface Treatment DO NOTHING $0.00 10
Restoration Treatment DO NOTHING $0.00 99
II - Good, Non-Load Related DO NOTHING $0.00
III - Good, Load Related MILL AND THIN OVERLAY $20.00
IV - Poor MILL AND THIN OVERLAY $22.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $105.00
PCC I - Very Good Crack Treatment DO NOTHING $0.00 9
Surface Treatment DO NOTHING $0.00 15
Restoration Treatment DO NOTHING $0.00 99
II - Good, Non-Load Related DO NOTHING $0.00
III - Good, Load Related DO NOTHING $0.00
IV - Poor DO NOTHING $0.00
V - Very Poor DO NOTHING $0.00
# of Surface
Seals before
Overlay
Functional
Class
City of Maywood
Printed: 12/21/2021
Decision Tree
Surface Condition Category Treatment Type Treatment Yrs Between Crack Seals
Yrs Between
Surface Seals
Cost/Sq Yd,
except Seal
Cracks in LF:

Functional Class and Surface combination not used
Criteria: 2 MTC StreetSaver
Selected Treatment is not a Surface Seal

Residential/Local AC I - Very Good Crack Treatment SEAL CRACKS $1.25 10 Surface Treatment CRACK SEAL & SLURRY SEAL $4.75 10
Restoration Treatment MILL AND THIN OVERLAY $22.00 3
II - Good, Non-Load Related CRACK SEAL & SLURRY SEAL $6.75 10 III - Good, Load Related MILL AND THIN OVERLAY $22.00
IV - Poor MILL AND THIN OVERLAY $24.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $79.00
AC/AC I - Very Good Crack Treatment SEAL CRACKS $1.25 10 Surface Treatment CRACK SEAL & SLURRY SEAL $4.75 10
Restoration Treatment MILL AND THIN OVERLAY $22.00 3
II - Good, Non-Load Related CRACK SEAL & SLURRY SEAL $6.75 10 III - Good, Load Related MILL AND THIN OVERLAY $22.00
IV - Poor MILL AND THIN OVERLAY $24.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $79.00
AC/PCC I - Very Good Crack Treatment DO NOTHING $0.00 4 Surface Treatment DO NOTHING $0.00 8
Restoration Treatment DO NOTHING $0.00 3
II - Good, Non-Load Related DO NOTHING $0.00
III - Good, Load Related MILL AND THIN OVERLAY $20.00
IV - Poor MILL AND THIN OVERLAY $22.00
V - Very Poor RECONSTRUCT STRUCTURE (AC) $79.00
PCC I - Very Good Crack Treatment DO NOTHING $0.00 4
Surface Treatment DO NOTHING $0.00 15
Restoration Treatment DO NOTHING $0.00 99
II - Good, Non-Load Related DO NOTHING $0.00
III - Good, Load Related PANEL REPLACE 5% $20.00
IV - Poor PANEL REPLACE 10% $40.00
V - Very Poor RECONSTRUCT SURFACE (PCC) $80.00
# of Surface
Seals before
Overlay
Functional
Class
City of Maywood
Printed: 12/21/2021
Decision Tree
Surface Condition Category Treatment Type Treatment Yrs Between Crack Seals
Yrs Between
Surface Seals
Cost/Sq Yd,
except Seal
Cracks in LF:

Functional Class and Surface combination not used
Criteria: 3 MTC StreetSaver
Selected Treatment is not a Surface Seal

Appendix C

BUDGET NEEDS ANALYSIS RESULTS

Nichols Consulting Engineers, Chtd.

Budget Needs Reports
The purpose of this section is to answer the question: If the City had all the money in the world, what sections should be fixed and how much will it cost? Based on the Maintenance & Rehabilitation (M&R) decision tree and the PCIs of the sections, the program will then select a maintenance or rehabilitation action and compute the total costs over the analysis period. The Budget Needs represents the "ideal world" funding levels, while the Budget Scenario reports in the next section represent the most "cost effective" prioritization possible for the actual funding levels.

A budget needs analysis has been performed. The summary results from the analysis are provided. An interest rate of 3% and an inflation factor of 3% were used to project the costs for the analysis period.

This report shows the total ten-year budget that would be required to meet the City’s standards as exemplified in the M&R decision tree.

Budget Needs reports included in this appendix are listed below:
 Projected PCI/Cost Summary
 Preventive Maintenance Treatment/Cost Summary
 Rehabilitation Treatment/Cost Summary

Nichols Consulting Engineers, Chtd.

Needs - Projected PCI/Cost Summary
This report summarizes and projects the network PCI over the ten-year analysis period, both with and without treatments applied. It also reports the associated costs, which are based on the treatment unit costs presented in the M&R decision tree.

COLUMN DESCRIPTION
Year Year in the analysis period.

PCI Treated Projected network average PCI with all needed treatments applied.

PCI Untreated Projected network average PCI without any treatments applied.

PM Cost Total preventive maintenance treatment cost.

Rehab Cost Total rehabilitation treatment cost.

Cost The budget required for each year in the analysis period to meet the City’s standard as shown on the M&R decision tree.

Total Cost Total budget required over a ten-year period.

Year PCI Treated PCI Untreated PM Cost Rehab Cost Cost
2022 85 75 $344,449 $3,068,876 $3,413,325
2023 86 73 $38,213 $1,674,310 $1,712,523
2024 86 71 $192,653 $891,459 $1,084,112
2025 85 69 $96,391 $516,718 $613,109
2026 84 67 $79,752 $410,367 $490,119
2027 85 65 $41,129 $699,407 $740,536
2028 83 63 $84,608 $89,067 $173,675
2029 83 61 $11,760 $510,029 $521,789
2030 82 58 $0 $879,056 $879,056
2031 81 56 $186,087 $74,066 $260,153
Total Cost
$9,888,397
PM Total Cost
$1,075,042
% PM

10.87% $8,813,355
Rehab Total Cost
Needs - Projected PCI/Cost
Summary
Printed: 12/21/2021
City of Maywood
Inflation Rate = % 3.00
Criteria: 1 MTC StreetSaver

Nichols Consulting Engineers, Chtd.

Needs - Preventive Maintenance Treatment/Cost Summary
This report summarizes each preventive maintenance treatment type, quantity of pavement affected, and total costs over the analysis period. It also summarizes the total quantities and costs over the next ten years.

COLUMN DESCRIPTION
Treatment Type of preventive maintenance treatments needed.

Year Year in the analysis period (i.e. 2022, 2023, 2024, etc.).

Area Treated Quantities in linear feet (Seal Cracks) or square yard (Slurry Seal).

Cost Maintenance treatment cost.

Treatment Year Area Treated Cost
CRACK SEAL & SLURRY SEAL 2022 72,514.11 sq. yd. $344,449 2023 7,810.22 sq. yd. $38,213
2024 38,229.22 sq. yd. $192,653
2025 18,570.33 sq. yd. $96,391
2026 14,917.11 sq. yd. $79,752
2027 7,469 sq. yd. $41,129
2028 14,917.11 sq. yd. $84,608
2029 2,013 sq. yd. $11,760
2031 30,024.78 sq. yd. $186,087
Total 206,464.89 $1,075,042
Inflation Rate = % 3.00
City of Maywood Needs - Preventive Maintenance
Treatment/Cost Summary
Printed: 12/21/2021
Criteria: 1 MTC StreetSaver
Total Quantity 206,464.89 $1,075,042

Nichols Consulting Engineers, Chtd.

Needs - Rehabilitation Treatment/Cost Summary
This report summarizes each rehabilitation treatment type, quantity of pavement affected, and total costs over the analysis period. It also summarizes the total quantities and costs over the next ten years.

COLUMN DESCRIPTION
Treatment Type of rehabilitation treatments needed.

Year Year in the analysis period (i.e. 2022, 2023, 2024, etc.).

Area Treated Quantities in square yard.

Cost Rehabilitation treatment cost.

Treatment Year Area Treated Cost
CRACK SEAL & SLURRY SEAL 2022 2,757.33 sq.yd. $18,612
Total 2,757.33 sq.yd. $18,612
PANEL REPLACE 10% 2022 5,292 sq.yd. $211,680
Total 5,292 sq.yd. $211,680
RECONSTRUCT STRUCTURE (AC) 2022 760.67 sq.yd. $99,648
Total 760.67 sq.yd. $99,648
MILL AND THIN OVERLAY 2022 111,776.11 sq.yd. $2,738,936 2023 64,733.89 sq.yd. $1,674,310
2024 14,405.78 sq.yd. $398,469
2025 19,719 sq.yd. $516,718
2026 13,680.44 sq.yd. $410,367
2027 25,171.78 sq.yd. $699,407
2028 2,664 sq.yd. $89,067
2029 16,588 sq.yd. $510,029
2030 24,628 sq.yd. $879,056
2031 2,580.22 sq.yd. $74,066
Total 295,947.22 sq.yd. $7,990,425
MILL AND THICK OVERLAY 2024 11,333.89 sq.yd. $492,990
Total 11,333.89 sq.yd. $492,990
Needs - Rehabilitation
Treatment/Cost Summary
Printed: 12/21/2021
City of Maywood
Inflation Rate = % 3.00
Criteria: 1 MTC StreetSaver
Total Cost $8,813,355

Appendix D

BUDGET SCENARIO RESULTS

Nichols Consulting Engineers, Chtd.

Scenario 1: Available Budget $1M/Yr
Cost Summary Report
Network Condition Summary Report

City of Maywood Scenarios - Cost Summary
Interest: 3.00% Inflation: 3.00% Printed: 12/21/2021
Scenario: 2021 S1: 1M/yr
2022 $1,000,000
$898,483
$1,323
$897,160
$0
$0
$100,854 $0 $4,149,500 $0
$22,347
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2023 $1,000,000
$893,509
$17,808
$401,916
$473,785
$0
$105,768 $0 $4,552,932 $0
$4,941
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2024 $1,000,000
$899,858
$0
$675,286
$224,572
$0
$94,652 $348 $4,391,863 $0
$1,192
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2025 $1,000,000
$843,352
$0
$416,771
$426,581
$0
$155,853 $0 $3,819,818 $0
$844
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2026 $1,000,000
$814,467
$0
$204,131
$610,336
$0
$181,443 $0 $3,221,456 $0
$0
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2027 $1,000,000
$854,115
$0
$154,708
$699,407
$0
$123,273 $0 $2,468,246 $0
$9,341
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2028 $1,000,000
$958,807
$89,067
$140,698
$610,057
$118,985
$34,440 $560 $1,723,393 $0
$2,883
4%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2029 $1,000,000
$875,303
$0
$372,204
$503,099
$0
$95,307 $0 $1,451,748 $0
$2,251
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
Year PM Budget Rehabilitation Surplus PM Deferred Stop Gap Preventative
Maintenance
Criteria:

Scenarios Criteria:
1 MTC StreetSaver

2030 $1,000,000
$951,438
$340,604
$397,530
$213,304
$0
$36,537 $463 $1,471,277 $0
$752
4%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2031 $1,000,000
$890,113
$0
$512,083
$378,030
$0
$98,846 $1,154 $699,369 $0
$438
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
Functional Class Rehabilitation Prev. Maint. Stop Gap
Summary
Stop Gap
Funded Unmet
Arterial $3,645,626 $0 $0 $5,356
Collector $728,496 $535,045 $0 $3,205
Residential/Local $4,505,323 $491,928 $0 $36,428
Grand Total: $8,879,445 $1,026,973 $0 $44,989
Year PM Budget Rehabilitation Surplus PM Deferred Stop Gap Preventative
Maintenance
Criteria:

Scenarios Criteria:
2 MTC StreetSaver

Year Budget PM Year Budget PM Year Budget PM
2022 $1,000,000 10%
2023 $1,000,000 10%
2024 $1,000,000 9.5%
2025 $1,000,000 10%
2026 $1,000,000 10%
2027 $1,000,000 10%
2028 $1,000,000 3.5%
2029 $1,000,000 9.5%
2030 $1,000,000 3.7%
2031 $1,000,000 10%
Projected Network Average PCI by Year
With Selected Treatment Treated Centerline
Miles
Treated
Lane Miles
Year Never Treated
2022 75 78 2.89 5.77
2023 73 78 3.19 6.38
2024 71 78 2.76 5.41
2025 69 79 3.47 6.94
2026 67 79 3.33 6.66
2027 65 80 3.03 6.07
2028 63 81 2.18 4.36
2029 61 82 2.88 5.76
2030 58 82 1.90 3.80
2031 56 82 2.52 5.05
Percent Network Area by Functional Class and Condition Category Condition
Condition in base year 2022, prior to applying treatments.

Condition Arterial Collector Res/Loc Other Total
I 26.5% 10.3% 25.2% 0.0% 62.0%
II / III 8.7% 1.0% 27.2% 0.0% 36.9%
IV 0.0% 0.0% 1.0% 0.0% 1.0%
V 0.1% 0.0% 0.0% 0.0% 0.1%
Total 35.3% 11.3% 53.4% 0.0% 100.0%
Condition in year 2022 after schedulable treatments applied.

Collector Other Total
I 10.3% 0.0% 67.9%
II / III 1.0% 0.0% 31.0%
IV 0.0% 0.0% 1.0%
V 0.0% 0.0% 0.1%
Total
Arterial

32.4%

2.8%

0.0%

0.1%

35.3% 11.3%
Res/Loc

25.2%

27.2%

1.0%

0.0%

53.4% 0.0% 100.0%
Condition
Condition in year 2031 after schedulable treatments applied.

Arterial Collector Res/Loc Other Total
I 35.1% 10.7% 48.1% 0.0% 93.9%
II / III 0.2% 0.6% 5.3% 0.0% 6.1%
Total 35.3% 11.3% 53.4% 0.0% 100.0%
Scenarios - Network Condition Summary
Printed: 12/21/2021
City of Maywood
Scenario: 2021 S1: 1M/yr
Interest: 3% Inflation: 3%
Criteria: MTC StreetSaver
Scenarios Criteria:
1

Nichols Consulting Engineers, Chtd.

Scenario 2: Available Budget $1.5M/Yr
Cost Summary Report
Network Condition Summary Report

City of Maywood Scenarios - Cost Summary
Interest: 3.00% Inflation: 3.00% Printed: 12/21/2021
Scenario: 2021 S2: 1.5M/yr
2022 $1,500,000
$1,346,605
$1,323
$1,133,602
$211,680
$0
$144,843 $657 $3,657,391 $0
$20,039
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2023 $1,500,000
$1,347,995
$0
$874,210
$473,785
$0
$151,444 $0 $3,545,899 $0
$3,473
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2024 $1,500,000
$1,334,239
$0
$841,249
$492,990
$0
$157,038 $0 $2,857,852 $0
$684
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2025 $1,500,000
$1,347,057
$18,893
$1,017,033
$311,131
$0
$149,347 $653 $1,742,588 $0
$844
10%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2026 $1,500,000
$792,469
$0
$474,079
$206,236
$112,154
$135,768 $732 $1,201,182 $0
$0
9%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2027 $1,500,000
$699,407
$0
$0
$699,407
$0
$6,643 $0 $605,551 $0
$3,578
0%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2028 $1,500,000
$521,420
$89,067
$0
$432,353
$0
$120,129 $0 $227,395 $0
$0
8%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2029 $1,500,000
$765,539
$0
$510,029
$255,510
$0
$7,048 $0 $0 $0
$0
0%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
Year PM Budget Rehabilitation Surplus PM Deferred Stop Gap Preventative
Maintenance
Criteria:

Scenarios Criteria:
1 MTC StreetSaver

2030 $1,500,000
$879,056
$340,604
$538,452
$0
$0
$36,537 $963 $0 $0
$0
3%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
2031 $1,500,000
$74,066
$0
$74,066
$0
$0
$186,087 $1,413 $0 $0
$0
13%
$0
$0
II
III
IV
V
NonProject
Project
Funded
Unmet
Project
Total
Functional Class Rehabilitation Prev. Maint. Stop Gap
Summary
Stop Gap
Funded Unmet
Arterial $3,594,222 $0 $0 $2,067
Collector $702,138 $611,772 $0 $954
Residential/Local $4,811,493 $483,112 $0 $25,598
Grand Total: $9,107,853 $1,094,884 $0 $28,618
Year PM Budget Rehabilitation Surplus PM Deferred Stop Gap Preventative
Maintenance
Criteria:

Scenarios Criteria:
2 MTC StreetSaver

Year Budget PM Year Budget PM Year Budget PM
2022 $1,500,000 9.7%
2023 $1,500,000 10%
2024 $1,500,000 10%
2025 $1,500,000 10%
2026 $1,500,000 9.1%
2027 $1,500,000 0.05%
2028 $1,500,000 8%
2029 $1,500,000 0.05%
2030 $1,500,000 2.5%
2031 $1,500,000 12.5%
Projected Network Average PCI by Year
With Selected Treatment Treated Centerline
Miles
Treated
Lane Miles
Year Never Treated
2022 75 79 4.27 8.53
2023 73 81 4.80 9.60
2024 71 82 4.40 8.70
2025 69 84 5.05 10.10
2026 67 84 2.95 5.90
2027 65 84 1.38 2.75
2028 63 84 2.40 4.79
2029 61 84 1.50 2.99
2030 58 83 1.79 3.58
2031 56 82 1.83 3.66
Percent Network Area by Functional Class and Condition Category Condition
Condition in base year 2022, prior to applying treatments.

Condition Arterial Collector Res/Loc Other Total
I 26.5% 10.3% 25.2% 0.0% 62.0%
II / III 8.7% 1.0% 27.2% 0.0% 36.9%
IV 0.0% 0.0% 1.0% 0.0% 1.0%
V 0.1% 0.0% 0.0% 0.0% 0.1%
Total 35.3% 11.3% 53.4% 0.0% 100.0%
Condition in year 2022 after schedulable treatments applied.

Collector Res/Loc Other Total
I 10.3% 27.5% 0.0% 70.8%
II / III 1.0% 25.9% 0.0% 29.1%
V 0.0% 0.0% 0.0% 0.1%
Total
Arterial

33.0%

2.2%

0.1%

35.3% 11.3% 53.4% 0.0% 100.0%
Condition
Condition in year 2031 after schedulable treatments applied.

Arterial Collector Res/Loc Other Total
I 35.1% 10.7% 52.9% 0.0% 98.6%
II / III 0.2% 0.6% 0.5% 0.0% 1.4%
Total 35.3% 11.3% 53.4% 0.0% 100.0%
Scenarios - Network Condition Summary
Printed: 12/21/2021
City of Maywood
Scenario: 2021 S2: 1.5M/yr
Interest: 3% Inflation: 3%
Criteria: MTC StreetSaver
Scenarios Criteria:
1

Appendix E

PAVEMENT CONDITION MAPS

Nichols Consulting Engineers, Chtd.

Current Network Condition 2021

Current PCI Condition
Printed: 1/10/2022
City of Maywood
Test
Feature Legend
Category I - Very Good
Category II - Good (Non-Load)
Category III - Good (Load)
Category IV - Poor
Category V - Very Poor

Nichols Consulting Engineers, Chtd.

Scenario 1: Available Budget $1M/Yr
Projected Street Network Condition – 2031

Scenario PCI Condition
2021 S1: 1M/yr - 2031 Project Period - Total Rehab for 2031: $890,113 - Printed: 1/10/2022 City of Maywood
Test
Feature Legend
Category I - Very Good
Category II - Good (Non-Load)
Category III - Good (Load)

Nichols Consulting Engineers, Chtd.

Scenario 2: Available Budget $1.5M/Yr
Projected Street Network Condition - 2031

Scenario PCI Condition
2021 S2: 1.5M/yr - 2031 Project Period - Total Rehab for 2031: $74,066 - Printed: 1/10/2022 City of Maywood
Test
Feature Legend
Category I - Very Good
Category II - Good (Non-Load)

Appendix F
SECTIONS SELECTED FOR TREATMENT – SCENARIO 2

Year Budget PM Year Budget PM Year Budget PM
2022 $1,500,000 9.7%
2023 $1,500,000 10%
2024 $1,500,000 10%
2025 $1,500,000 10%
2026 $1,500,000 9.1%
2027 $1,500,000 0.05%
2028 $1,500,000 8%
2029 $1,500,000 0.05%
2030 $1,500,000 2.5%
2031 $1,500,000 12.5%
Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2022
52ND PL (E) ATLANTIC BLVD MAYFLOWER
AVE
52NDPL 20 L AC/AC $19,509 30,185 CRACK SEAL &

SLURRY SEAL
1,369 27 36,963 73 73 81
53RD ST (E) PINE AVE CUDAHY AVE 53RDST 30 C AC $14,041 22,328 CRACK SEAL &

SLURRY SEAL
739 36 26,604 87 87 93
53RD ST (E) CUDAHY AVE ATLANTIC BLVD 53RDST 40 C AC $4,980 22,328 CRACK SEAL &

SLURRY SEAL
178 53 9,434 87 87 93
59TH PL (E) ATLANTIC BLVD KING AVE 59TH PL 10 L AC $12,711 22,481 CRACK SEAL &

SLURRY SEAL
669 36 24,084 74 74 82
CUDAHY AVE 54TH ST 52ND ST CUDAAV 10 L AC $12,257 22,297 CRACK SEAL &

SLURRY SEAL
683 34 23,222 76 76 84
MALBURG WAY 42' S/O SLAUSON
AVE
SLAUSON AVE MALBWY 10 L AC $1,323 15,656 CRACK SEAL &

SLURRY SEAL
42 42 1,764 70 70 79
OTIS AVE SLAUSON AVE-EB CITY LIMIT OTISAV 10 L AC $2,551 22,479 CRACK SEAL &

SLURRY SEAL
151 32 4,832 74 74 82
RANDOLPH ST 353' W/O PINE CLARKSON AVE RANDST 10 C AC $11,931 24,328 CRACK SEAL &

SLURRY SEAL
685 33 22,605 76 76 85
RANDOLPH ST WOODWARD AVE WALKER AVE RANDST 40 C AC $66,863 24,611 CRACK SEAL &

SLURRY SEAL
3,839 33 126,687 77 77 85
Treatment Total $146,166
52ND PL (E) 70' E/O

HELIOTROPE AVE
ALAMO 52NDPL 50 1,701 28 47,628 L PCC 46 46 100 $211,680 17,745 PANEL REPLACE 10% Treatment Total $211,680
61ST ST (E) ATLANTIC BLVD HELIOTROPE
CIR
61STST 30 L AC $136,422 17,100 MILL AND THIN

OVERLAY
2,067 27 55,809 62 61 100
ATLANTIC BLVD-SB 55TH ST 52ND DR ATSBBL 60 A AC $79,650 19,901 MILL AND THIN

OVERLAY
885 27 23,895 63 63 100
CUDAHY AVE 52ND ST CL CUDAAV 20 L AC $6,940 16,498 MILL AND THIN

OVERLAY
167 17 2,839 64 63 100

MAYFLOWER AVE RANDOLPH ST HELIOTROPE
CIR
MAYFAV 10 A AC $171,270 18,421 MILL AND THIN

OVERLAY
1,903 27 51,381 67 67 100
MAYFLOWER AVE SLAUSON AVE 56TH ST MAYFAV 30 A AC $93,080 18,028 MILL AND THIN

OVERLAY
1,074 26 27,924 68 68 100
SLAUSON AVE-EB MAYWOOD AVE EVERETT AVE SLEBAV 20 A AC $59,800 19,554 MILL AND THIN

OVERLAY
598 30 17,940 64 64 100
SLAUSON AVE-EB EVERETT AVE 213' W/O LOMA

VISTA AVE
SLEBAV 30 A AC $44,600 19,554 MILL AND THIN

OVERLAY
446 30 13,380 64 64 100
Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 1 MTC StreetSaver

Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2022
SLAUSON AVE-EB LOMA VISTA AVE CARMELITA AVE SLEBAV 40 A AC $66,100 19,198 MILL AND THIN

OVERLAY
661 30 19,830 65 65 100
SLAUSON AVE-EB CARMELITA AVE CORONA AVE SLEBAV 50 A AC $65,700 19,554 MILL AND THIN

OVERLAY
657 30 19,710 64 64 100
SLAUSON AVE-EB GIFFORD AVE FISHBURN AVE SLEBAV 70 A AC $68,600 18,826 MILL AND THIN

OVERLAY
686 30 20,580 66 66 100
SLAUSON AVE-WB S DOWNEY RD MAYWOOD AVE SLWBAV 10 A AC $51,300 17,620 MILL AND THIN

OVERLAY
513 30 15,390 69 69 100
SLAUSON AVE-WB MAYWOOD AVE EVERETT AVE SLWBAV 20 A AC $59,800 19,908 MILL AND THIN

OVERLAY
598 30 17,940 63 63 100
SLAUSON AVE-WB EVERETT AVE LOMA VISTA AVE SLWBAV 30 A AC $65,900 18,044 MILL AND THIN

OVERLAY
659 30 19,770 68 68 100
SLAUSON AVE-WB 234' E/O LOMA

VISTA AVE
CARMELITA AVE SLWBAV 40 A AC $42,700 20,229 MILL AND THIN

OVERLAY
427 30 12,810 62 62 100
SLAUSON AVE-WB CARMELITA AVE CORONA AVE SLWBAV 50 A AC $65,700 19,198 MILL AND THIN

OVERLAY
657 30 19,710 65 65 100
SLAUSON AVE-WB PINE AVE 210' W/O

ATLANTIC BLVD
SLWBAV 90 A AC $56,040 18,826 MILL AND THIN

OVERLAY
467 36 16,812 66 66 100
Treatment Total $1,133,602
Year 2022 Area Total 679,543 Year 2022 Total $1,491,448 Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2023
57TH ST (E) GIFFORD AVE ATLANTIC BLVD 57THST 30 L AC $29,913 21,097 CRACK SEAL &

SLURRY SEAL
2,038 27 55,026 80 78 86
58TH ST (E) EVERETT AVE LOMA VISTA AVE 58THST 20 L AC $12,956 21,733 CRACK SEAL &

SLURRY SEAL
662 36 23,832 77 75 83
59TH PL (E) ALAMO AVE WALKER AVE 59THPL 30 L AC $11,969 20,260 CRACK SEAL &

SLURRY SEAL
688 32 22,016 82 80 88
60TH ST (E) PINE AVE CL 60THST 50 L AC $5,050 8,626 CRACK SEAL &

SLURRY SEAL
344 27 9,288 92 90 95
FLORA AVE SLAUSON AVE E 60TH ST FLORAV 10 L AC $11,899 20,718 CRACK SEAL &

SLURRY SEAL
684 32 21,888 81 79 87
PINE AVE SLAUSON AVE 58TH ST PINEAV 20 L AC $6,469 11,116 CRACK SEAL &

SLURRY SEAL
350 34 11,900 90 88 94
PINE AVE 58TH ST 52ND ST PINEAV 30 L AC $30,735 20,720 CRACK SEAL &

SLURRY SEAL
2,094 27 56,538 81 79 87
WALKER AVE RANDOLPH ST END OF CDS WALKAV 10 L AC $32,428 21,733 CRACK SEAL &

SLURRY SEAL
1,657 36 59,652 77 75 83
WILCOX AVE RANDOLPH ST 61ST ST WILCAV 10 L AC $10,025 21,385 CRACK SEAL &

SLURRY SEAL
683 27 18,441 79 77 85
Treatment Total $151,444
Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 2 MTC StreetSaver

Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2023
57TH ST (E) KING AVE HELIOTROPE
AVE
57THST 50 L AC $108,807 17,598 MILL AND THIN

OVERLAY
1,366 29 39,614 51 49 100
59TH PL (E) KING AVE ALAMO AVE 59THPL 20 L AC $190,073 16,840 MILL AND THIN

OVERLAY
2,796 27 75,492 63 61 100
61ST ST (E) HELIOTROPE CIR WALKER AVE 61STST 40 L AC $155,736 17,738 MILL AND THIN

OVERLAY
2,100 27 56,700 50 48 100
ATLANTIC BLVD-SB 200' N/O SLAUSON
AVE
55TH ST ATSBBL 50 A AC $113,743 17,631 MILL AND THIN

OVERLAY
1,227 27 33,129 70 68 100
CARMELITA AVE FRUITLAND AVE CL (S) CARMAV 10 L AC $209,242 17,735 MILL AND THIN

OVERLAY
2,930 26 76,180 50 48 100
KING AVE CL(S) SLAUSON AVE KINGAV 10 A AC $187,162 17,624 MILL AND THIN

OVERLAY
2,019 27 54,513 70 68 100
PALA AVE RANDOLPH ST 61ST ST PALAAV 10 L AC $46,567 15,957 MILL AND THIN

OVERLAY
685 27 18,495 66 64 100

RANDOLPH ST ATLANTIC BLVD WOODWARD
AVE
RANDST 30 C AC $31,064 16,845 MILL AND THIN

OVERLAY
329 33 10,857 69 66 100
SLAUSON AVE-EB CORONA AVE GIFFORD AVE SLEBAV 60 A AC $68,083 17,221 MILL AND THIN

OVERLAY
661 30 19,830 71 69 100
SLAUSON AVE-EB FISHBURN AVE PINE AVE SLEBAV 80 A AC $83,430 17,638 MILL AND THIN

OVERLAY
675 36 24,300 70 68 100
SLAUSON AVE-WB GIFFORD AVE FISHBURN AVE SLWBAV 70 A AC $70,658 17,638 MILL AND THIN

OVERLAY
686 30 20,580 70 68 100
SLAUSON AVE-WB FISHBURN AVE PINE AVE SLWBAV 80 A AC $83,430 17,221 MILL AND THIN

OVERLAY
675 36 24,300 71 69 100
Treatment Total $1,347,995
Year 2023 Area Total 732,571 Year 2023 Total $1,499,439 Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2024
53RD ST (E) LOMA VISTA AVE PINE AVE 53RDST 20 C AC/AC $48,638 13,661 CRACK SEAL &

SLURRY SEAL
3,341 26 86,866 94 88 94
53RD ST (E) ATLANTIC BLVD MAYFLOWER
AVE
53RDST 50 C AC/AC $27,495 13,013 CRACK SEAL &

SLURRY SEAL
1,364 36 49,104 93 88 94
57TH ST (E) ATLANTIC BLVD KING AVE 57THST 40 L AC/AC $13,264 22,870 CRACK SEAL &

SLURRY SEAL
658 36 23,688 82 79 87
60TH ST (E) ATLANTIC BLVD PINE AVE 60THST 40 L AC $13,586 18,880 CRACK SEAL &

SLURRY SEAL
674 36 24,264 85 81 89
CLARKSON AVE RANDOLPH ST 60TH ST CLARAV 10 L AC $19,450 14,455 CRACK SEAL &

SLURRY SEAL
1,336 26 34,736 89 86 92
FISHBURN AVE CL (S) 58TH ST FISHAV 10 L AC $14,211 16,464 CRACK SEAL &

SLURRY SEAL
705 36 25,380 88 84 91
WOODWARD AVE RANDOLPH ST 60TH ST WDWAAV 10 L AC $20,394 20,332 CRACK SEAL &

SLURRY SEAL
1,349 27 36,423 82 78 86
Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 3 MTC StreetSaver

Treatment Total $157,038
52ND ST (E) MAYWOOD AVE LOMA VISTA AVE 52NDST 10 L AC $163,753 16,024 MILL AND THIN

OVERLAY
1,754 36 63,144 66 62 100
58TH ST (E) LOMA VISTA AVE PINE AVE 58THST 30 L AC $233,795 16,023 MILL AND THIN

OVERLAY
3,339 27 90,153 66 62 100
ATLANTIC BLVD-NB 200' W/O

SLAUSON AVE
55TH ST ATNBBL 50 A AC $117,251 16,806 MILL AND THIN

OVERLAY
1,228 27 33,156 73 69 100
EVERETT AVE CL (S) 58TH ST EVERAV 10 L AC/PCC $35,826 14,421 MILL AND THIN

OVERLAY
524 29 15,196 72 69 100
HELIOTROPE AVE CL (S) 60TH ST HELIAV 10 C AC $107,655 17,056 MILL AND THIN

OVERLAY
1,353 27 36,531 69 63 100
HELIOTROPE AVE 60TH ST SLAUSON AVE HELIAV 20 C AC $53,390 16,239 MILL AND THIN

OVERLAY
671 27 18,117 72 67 100
SLAUSON AVE-EB PINE AVE 210' W/O

ATLANTIC BLVD
SLEBAV 90 A AC $59,453 17,219 MILL AND THIN

OVERLAY
467 36 16,812 72 68 100
SLAUSON AVE-WB CORONA AVE GIFFORD AVE SLWBAV 60 A AC $70,126 17,219 MILL AND THIN

OVERLAY
661 30 19,830 72 68 100
Treatment Total $841,249
55TH ST (E) MAYWOOD AVE CORONA AVE 55THST 10 A AC $380,903 16,138 MILL AND THICK

OVERLAY
2,919 27 78,813 55 49 100
KING AVE 56TH ST CL KINGAV 30 A AC $112,087 16,382 MILL AND THICK

OVERLAY
892 26 23,192 53 47 100
Treatment Total $492,990
Year 2024 Area Total 675,405 Year 2024 Total $1,491,277 Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2025
52ND PL (E) 52ND ST CUDAHY AVE 52NDPL 10 L AC/AC $12,458 12,086 CRACK SEAL &

SLURRY SEAL
800 27 21,600 95 88 94
52ND PL (E) MAYFLOWER AVE HELIOTROPE
AVE
52NDPL 30 L AC $9,281 11,806 CRACK SEAL &

SLURRY SEAL
596 27 16,092 95 88 94
53RD ST (E) MAYWOOD AVE LOMA VISTA AVE 53RDST 10 C AC $25,551 17,421 CRACK SEAL &

SLURRY SEAL
1,704 26 44,304 96 90 95
58TH ST (E) PINE AVE ATLANTIC BLVD 58THST 40 L AC $18,893 13,718 CRACK SEAL &

SLURRY SEAL
678 34 23,052 69 63 73
58TH ST (E) ATLANTIC BLVD KING AVE 58THST 50 L AC $13,703 12,859 CRACK SEAL &

SLURRY SEAL
660 36 23,760 93 87 93
60TH ST (E) ALAMO AVE DISTRICT BLVD 60THST 30 L AC $19,984 12,852 CRACK SEAL &

SLURRY SEAL
1,050 33 34,650 93 87 93
CORONA AVE CL (N) CL (S) COROAV 10 L AC $42,495 11,764 CRACK SEAL &

SLURRY SEAL
2,834 26 73,684 95 88 94
HELIOTROPE AVE SLAUSON AVE CL HELIAV 30 C AC $19,613 18,249 CRACK SEAL &

SLURRY SEAL
1,308 26 34,008 95 89 95

RANDOLPH ST ATLANTIC BLVD WOODWARD
AVE
RANDST 30 C AC $6,262 10,988 CRACK SEAL &

SLURRY SEAL
329 33 10,857 69 89 94
Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 4 MTC StreetSaver

Treatment Total $168,240
54TH ST (E) LOMA VISTA AVE ATLANTIC BLVD 54THST 20 L AC $300,741 14,571 MILL AND THIN

OVERLAY
4,170 27 112,590 71 65 100
56TH ST (E) ATLANTIC BLVD HELIOTROPE
AVE
56THST 30 L AC $145,827 14,885 MILL AND THIN

OVERLAY
2,022 27 54,594 70 64 100
60TH PL (E) HELIOTROPE AVE WALKER AVE 60THPL 10 L AC $165,929 16,754 MILL AND THIN

OVERLAY
2,109 27 56,943 54 48 100
60TH ST (E) HELIOTROPE CIR ALAMO AVE 60THST 20 L AC $145,202 16,754 MILL AND THIN

OVERLAY
1,510 33 49,830 54 48 100
FISHBURN AVE 58TH ST 52ND ST FISHAV 20 L AC $145,704 14,232 MILL AND THIN

OVERLAY
2,098 26 54,548 72 66 100
PROSPECT AVE RANDOLPH ST 60TH ST PROSAV 10 L AC $129,143 15,191 MILL AND THIN

OVERLAY
1,343 36 48,348 69 63 100

SLAUSON AVE-EB MAYFLOWER AVE HELIOTROPE
AVE
SLEBAV 120 A AC $62,789 16,400 MILL AND THIN

OVERLAY
663 26 17,238 75 69 100
VINEVALE AVE RANDOLPH ST 60TH ST VINEAV 10 L AC $128,759 14,234 MILL AND THIN

OVERLAY
1,339 36 48,204 72 66 100
WOODLAWN AVE 60TH PL 52ND PL WDLAAV 20 L AC $104,070 15,766 MILL AND THIN

OVERLAY
1,443 27 38,961 67 61 100
Treatment Total $1,328,164
Year 2025 Area Total 763,263 Year 2025 Total $1,496,404 Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2026
53RD ST (E) LOMA VISTA AVE PINE AVE 53RDST 20 C AC/AC $51,601 11,935 CRACK SEAL &

SLURRY SEAL
3,341 26 86,866 94 88 94
53RD ST (E) ATLANTIC BLVD MAYFLOWER
AVE
53RDST 50 C AC/AC $29,169 11,746 CRACK SEAL &

SLURRY SEAL
1,364 36 49,104 93 88 94
58TH ST (E) MAYFLOWER AVE WOODLAWN
AVE
58THST 70 L AC $22,535 13,623 CRACK SEAL &

SLURRY SEAL
1,405 27 37,935 95 86 92
HELIOTROPE AVE CL (S) 60TH ST HELIAV 10 C AC $21,701 10,668 CRACK SEAL &

SLURRY SEAL
1,353 27 36,531 69 89 94
HELIOTROPE AVE 60TH ST SLAUSON AVE HELIAV 20 C AC $10,762 10,668 CRACK SEAL &

SLURRY SEAL
671 27 18,117 72 89 94
Treatment Total $135,768
54TH ST (E) MAYWOOD AVE LOMA VISTA AVE 54THST 10 L AC $122,866 14,034 MILL AND THIN

OVERLAY
1,654 27 44,658 73 66 100
57TH ST (E) LOMA VISTA AVE GIFFORD AVE 57THST 20 L AC $147,082 13,358 MILL AND THIN

OVERLAY
1,980 27 53,460 75 68 100
KING AVE SLAUSON AVE 56TH ST KINGAV 20 A AC $140,764 15,970 MILL AND THIN

OVERLAY
1,072 35 37,520 77 68 100
PINE AVE CL(S) SLAUSON AVE PINEAV 10 L AC $206,236 16,134 MILL AND THIN

OVERLAY
2,021 34 68,714 57 49 100
SLAUSON AVE-WB KING AVE 130' W/O

MAYFLOWER
AVE
SLWBAV 110 A AC $63,367 15,576 MILL AND THIN

OVERLAY
563 30 16,890 78 70 100
Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 5 MTC StreetSaver

Treatment Total $680,315
S DOWNEY RD SLAUSON AVE 163' N/O

SLAUSON AVE
SDWNRD 10 A AC $112,154 4,566 RECONSTRUCT

STRUCTURE (AC)
163 42 6,846 8 0 100
Treatment Total $112,154
Year 2026 Area Total 456,641 Year 2026 Total $928,237
Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2027

RANDOLPH ST ATLANTIC BLVD WOODWARD
AVE
RANDST 30 C AC $6,643 11,069 CRACK SEAL &

SLURRY SEAL
329 33 10,857 69 88 94
Treatment Total $6,643
52ND PL (E) HELIOTROPE AVE 70' E/O

HELIOTROPE
AVE
52NDPL 40 L AC/PCC $10,315 16,840 MILL AND THIN

OVERLAY
70 52 3,640 59 49 100
52ND ST (E) LOMA VISTA AVE ATLANTIC BLVD 52NDST 20 L AC $494,018 15,798 MILL AND THIN

OVERLAY
4,439 36 159,804 58 48 100
EVERETT AVE 58TH ST FRUITLAND AVE EVERAV 20 L AC $195,074 15,657 MILL AND THIN

OVERLAY
2,427 26 63,102 60 49 100
Treatment Total $699,407
Year 2027 Area Total 237,403 Year 2027 Total $706,050
Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2028
53RD ST (E) LOMA VISTA AVE PINE AVE 53RDST 20 C AC/AC $54,743 11,045 CRACK SEAL &

SLURRY SEAL
3,341 26 86,866 94 89 94
53RD ST (E) ATLANTIC BLVD MAYFLOWER
AVE
53RDST 50 C AC/AC $30,946 10,956 CRACK SEAL &

SLURRY SEAL
1,364 36 49,104 93 88 94
HELIOTROPE AVE CL (S) 60TH ST HELIAV 10 C AC $23,022 10,747 CRACK SEAL &

SLURRY SEAL
1,353 27 36,531 69 88 94
HELIOTROPE AVE 60TH ST SLAUSON AVE HELIAV 20 C AC $11,418 10,747 CRACK SEAL &

SLURRY SEAL
671 27 18,117 72 88 94
Treatment Total $120,129
56TH ST (E) LOMA VISTA AVE ATLANTIC BLVD 56THST 20 L AC $345,349 15,190 MILL AND THIN

OVERLAY
4,017 27 108,459 62 49 100
ATLANTIC BLVD-NB 55TH ST 52ND DR ATNBBL 60 A AC $89,067 15,829 MILL AND THIN

OVERLAY
888 27 23,976 82 69 100
WOODLAWN AVE RANDOLPH ST 60TH PL WDLAAV 10 L AC $87,004 15,188 MILL AND THIN

OVERLAY
1,012 27 27,324 62 49 100
Treatment Total $521,420
Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 6 MTC StreetSaver

Year 2028 Area Total 350,377 Year 2028 Total $641,549
Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2029

RANDOLPH ST ATLANTIC BLVD WOODWARD
AVE
RANDST 30 C AC $7,048 10,567 CRACK SEAL &

SLURRY SEAL
329 33 10,857 69 88 94
Treatment Total $7,048
56TH ST (E) MAYWOOD AVE LOMA VISTA AVE 56THST 10 L AC $137,520 14,726 MILL AND THIN

OVERLAY
1,553 27 41,931 64 49 100
57TH ST (E) MAYWOOD AVE LOMA VISTA AVE 57THST 10 L AC $117,990 14,726 MILL AND THIN

OVERLAY
1,499 24 35,976 64 49 100
RANDOLPH ST 353' W/O PINE CLARKSON AVE RANDST 10 C AC $77,226 13,747 MILL AND THIN

OVERLAY
685 33 22,605 76 68 100
RANDOLPH ST WOODWARD AVE WALKER AVE RANDST 40 C AC $432,803 13,451 MILL AND THIN

OVERLAY
3,839 33 126,687 77 69 100
Treatment Total $765,539
Year 2029 Area Total 238,056 Year 2029 Total $772,587
Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2030
HELIOTROPE AVE CL (S) 60TH ST HELIAV 10 C AC $24,424 10,259 CRACK SEAL &

SLURRY SEAL
1,353 27 36,531 69 88 94
HELIOTROPE AVE 60TH ST SLAUSON AVE HELIAV 20 C AC $12,113 10,259 CRACK SEAL &

SLURRY SEAL
671 27 18,117 72 88 94
Treatment Total $36,537
59TH PL (E) ATLANTIC BLVD KING AVE 59TH PL 10 L AC $74,578 11,453 MILL AND THIN

OVERLAY
669 36 24,084 74 69 100
GIFFORD AVE CL (S) FRUITLAND AVE GIFFAV 10 A AC $283,119 15,062 MILL AND THIN

OVERLAY
2,763 26 71,838 86 69 100
LOMA VISTA AVE CL (S) FRUITLAND AVE LOVIAV 10 A AC $397,530 14,391 MILL AND THIN

OVERLAY
2,942 32 94,144 85 68 100
MAYFLOWER AVE 56TH ST CL MAYFAV 40 A AC $57,485 15,421 MILL AND THIN

OVERLAY
561 26 14,586 85 68 100
OTIS AVE SLAUSON AVE-EB CITY LIMIT OTISAV 10 L AC $14,963 11,447 MILL AND THIN

OVERLAY
151 32 4,832 74 69 100
RANDOLPH ST CLARKSON AVE ATLANTIC BLVD RANDST 20 A AC $51,381 13,736 MILL AND THIN

OVERLAY
338 36 12,168 87 70 100
Treatment Total $879,056
Year 2030 Area Total 276,300 Year 2030 Total $915,593
Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 7 MTC StreetSaver

Area ID
Year:

Street Name Begin Location End Location Street ID Section ID FC Surface
Type Cost Rating Treatment
Current
Length Width Area PCI
PCI
Before
PCI
After
Treatment
2031
58TH ST (E) MAYWOOD AVE EVERETT AVE 58THST 10 L AC $14,091 16,652 CRACK SEAL &

SLURRY SEAL
787 26 20,462 95 78 86
60TH ST (E) ATLANTIC BLVD HELIOTROPE
CIR
60THST 10 L AC $36,387 16,660 CRACK SEAL &

SLURRY SEAL
1,957 27 52,839 95 78 86
61ST ST (E) CL PINE AVE 61STST 10 L AC $7,625 16,651 CRACK SEAL &

SLURRY SEAL
346 32 11,072 95 78 86
61ST ST (E) PINE AVE ATLANTIC BLVD 61STST 20 L AC $12,532 16,651 CRACK SEAL &

SLURRY SEAL
674 27 18,198 95 78 86
PALM AVE RANDOLPH ST 61ST ST PALMAV 10 L AC $12,644 17,196 CRACK SEAL &

SLURRY SEAL
680 27 18,360 89 74 83
RANDOLPH ST 353' W/O PINE CLARKSON AVE RANDST 10 C AC $15,567 9,202 CRACK SEAL &

SLURRY SEAL
685 33 22,605 76 89 94
RANDOLPH ST WOODWARD AVE WALKER AVE RANDST 40 C AC $87,241 9,202 CRACK SEAL &

SLURRY SEAL
3,839 33 126,687 77 89 94
Treatment Total $186,087
CUDAHY AVE 54TH ST 52ND ST CUDAAV 10 L AC $74,066 11,064 MILL AND THIN

OVERLAY
683 34 23,222 76 69 100
Treatment Total $74,066
Year 2031 Area Total 293,445 Year 2031 Total $260,153
Grand Total Section Area: 4,703,004 Grand Total $10,202,737 Interest: 3.00%
City of Maywood Scenarios - Sections Selected for Treatment Inflation: 3.00% Printed: 12/22/2021
Scenario: 2021 S2: 1.5M/yr
Scenarios Criteria:
** - Treatment from Project Selection 8 MTC StreetSaver

Scenario Treatments
2021 S2: 1.5M/yr - 2022 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY
PANEL REPLACE 10%

Scenario Treatments
2021 S2: 1.5M/yr - 2023 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

Scenario Treatments
2021 S2: 1.5M/yr - 2024 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THICK OVERLAY

MILL AND THIN OVERLAY

Scenario Treatments
2021 S2: 1.5M/yr - 2025 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

Scenario Treatments
2021 S2: 1.5M/yr - 2026 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

RECONSTRUCT STRUCTURE (AC)

Scenario Treatments
2021 S2: 1.5M/yr - 2027 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

Scenario Treatments
2021 S2: 1.5M/yr - 2028 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

Scenario Treatments
2021 S2: 1.5M/yr - 2029 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

Scenario Treatments
2021 S2: 1.5M/yr - 2030 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

Scenario Treatments
2021 S2: 1.5M/yr - 2031 Project Period - Printed: 1/10/2022 City of Maywood
Test
Feature Legend

CRACK SEAL & SLURRY SEAL

MILL AND THIN OVERLAY

AGENDA REPORT

CITY OF MAYWOOD
AGENDA ITEM NO. 14.

DATE: May 27, 2026
TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: JENNIFER VASQUEZ, CITY MANAGER
BY: DAISY GUERRERO, DEPUTY DIRECTOR OF BUILDING AND PLANNING SUBJECT: APPROVAL AND AUTHORIZATION TO ACCEPT U.S. DEPARTMENT OF ENERGY GRANT AWARD OF $250,000 FOR THE MAYWOOD TEEN TECH CENTER AND

APPROVE THE MATCHING FUNDS REQUIREMENT FOR THE GRANT
RECOMMENDATION:

Staff recommends that the City Council accept and approve the U.S. Department of Energy (“DOE”) Cooperative Agreement Award No. DE-OE0000951 for the Maywood Teen Tech Center Project in the amount of $250,000; authorize the City Manager, or designee, to execute all grant agreements, certifications, reporting documents, and related documents necessary for implementation and administration of the grant; approve the required City cost-share/match contribution in the amount of approximately $327,180 toward the project; and authorize staff to take all actions necessary to implement the project in accordance with DOE requirements and timelines.

BACKGROUND:

The City of Maywood has been actively pursuing funding opportunities to support the development of the Maywood Teen Tech Center, including resiliency and sustainability improvements intended to benefit residents during emergencies, power outages, and climate-related events.

The U.S. Department of Energy (“DOE”), Office of Electricity, awarded the City a Cooperative Agreement under Award No. DE-OE0000951 for the “Maywood Community Teen Tech Center Energy Storage Project.” The City originally pursued this grant with the anticipation that the solar photovoltaic and battery energy storage improvements would be installed at the Southeast Rio Vista YMCA facility to help offset operational and resiliency-related costs. However, following further evaluation of the building’s structural conditions and feasibility analysis, staff determined that implementation at the YMCA location would result in substantially higher project costs and additional structural improvements.

As a result, in 2025, the City formally requested approval from the DOE to relocate the project to the City’s future Teen Tech Center facility. The Teen Tech Center will now serve as the location for the proposed solar photovoltaic and battery energy storage system and is anticipated to function as the City’s Community Resilience Center during emergencies, power outages, and climate-related events. The project is also intended to support powering medical equipment, lighting, refrigeration for medications, communications, and other critical needs for vulnerable residents during climate disasters or utility disruptions.

DISCUSSION:

The project aligns with the City’s broader climate resiliency, sustainability, emergency preparedness, and environmental justice goals. The DOE award provides $250,000 in federal funding, with a required local costshare contribution of approximately $327,180, for a total estimated project cost of approximately $577,180.

The proposed project includes:
• Site survey and system design;
• Procurement of photovoltaic and battery storage equipment; • Installation of rooftop solar photovoltaic systems and energy storage systems; • Utility interconnection and system operation; and
• System inspection and monitoring.

The energy storage and resiliency improvements are intended to provide long-term community benefits, including:
• emergency backup power capabilities,
• increased energy resiliency,
• reduced energy costs,
• environmental sustainability benefits,
• support for medically vulnerable residents,
• and enhanced community preparedness during power outages and climate emergencies.

The DOE has also issued a National Environmental Policy Act (“NEPA”) categorical exclusion determination for the project, confirming that the proposed activities qualify under applicable categorical exclusions and that no additional NEPA review is required for the approved scope of work.

Due to staffing transitions, operational impacts resulting from government shutdowns and administrative processing delays, and changes in project coordination over time, implementation and execution of portions of the project timeline were prolonged. Staff has continued coordinating with DOE representatives and project stakeholders to ensure compliance with all grant requirements and maintain project eligibility.

The grant award also includes various federal reporting, compliance, and project management obligations, including quarterly financial reporting, project management plans, status reporting, and final reporting requirements.

LEGAL REVIEW:

The City Attorney has reviewed this report.

FISCAL IMPACT:

The DOE grant award provides $250,000 in federal funding for the project. The City’s required costshare/match contribution is approximately $327,180, bringing the total estimated project cost to approximately $577,180. Staff will continue pursuing additional grant opportunities, partnerships, and funding sources, where feasible, to support project implementation and offset local costs.

This grant amount will be budgeted accordingly upon approval.

ATTACHMENT(S)

1. Maywood Community Resilience Center Energy Storage Project - Award No. OE-0000951

2. Maywood Community Resilience Center Energy Storage Project - Pending Award No. OE-0000951

3. Attachment 1 - Statement of Project Objectives

4. Attachment 2 - Federal-Assistance-Reporting-Checklist

5. Attachment 3 Budget

6. Attachment 4 – Intellectual Property Provisions

7. Attachment 5 – Environmental Review

8. Special Terms and Conditions

9. Assistance_DE-OE0000951

626 Cochran Mill Road, Pittsburgh, PA 15236
[email protected] Phone (412) 386-4984 www.netl.doe.gov July 26, 2023
Daisy Guerrero
Deputy City Clerk and Assistant to the City Manager
City of Maywood
4319 E. Slauson Avenue
Maywood, CA 90270
Dear Ms. Guerrero:

SUBJECT: FY23 Congressionally Directed Spending project entitled, “Maywood Community Resilience Center Energy Storage Project”, Pending Award No. OE-0000951 Thank you for submitting a summary description of your pending agreement for your FY2023 Congressionally Directed Spending Project. Upon review of your summary, DOE has determined the minimum non-federal cost sharing percentage for your project is 50%.

Therefore, your application should reflect a DOE funding amount of $250,000.00, and your non-federal cost share amount of $250,000.00, for a total project amount of $500,000.00. As noted previously, the required cost share percentage is a minimum. You may choose to provide additional cost share resulting in a higher total project amount. Cost sharing is required of non-federal recipients of funding under Section 988 of the Energy Policy Act of 2005.

You are now required to submit a complete application package to the DOE representatives assigned to work with you on this project. The DOE representatives are: Rachel Price, Contract Specialist at [email protected] and Tyler Romberger, Project Manager at [email protected]. As mentioned in our previous letter, the forms can be accessed through the DOE website at https://netl.doe.gov/business/business-forms/financial-assistance.

Please submit your application package within thirty (30) calendar days of receipt of this letter. It is important to include the pending award number referenced in the above ‘Subject’ line on all forms/submissions. A complete application package must include the following forms and information:

1. Pre-Award Information Sheet and all required attachments, including but not limited to: Current and Pending Support, Participants and Collaborating Organizations, and any other required disclosures, waivers, attachments or supporting documentation.

2. SF-424 Application for Federal Assistance.

3. Certification and Assurances for use with the SF-424.

4. Detailed Budget Justification.

5. Copy of your approved Indirect Rate Agreement or a Rate Proposal supporting your proposed indirect costs in the Detailed Budget Justification.

City of Maywood OE-0000951 July 26, 2023
2 6. SF-LLL Disclosure of Lobbying Activities.

7. Environmental Questionnaire at https://netl.doe.gov/business/businessforms/financial-assistance.

8. Statement of Project Objectives (SOPO).

9. Commitment Letters from Third Parties Contributing to Cost Share

10. Subrecipient/Subcontractor Information: for each subrecipient/subcontractor who is expected to perform work estimated to be more than $250,000 or 25 percent of the total award costs, provide: (1) separate detailed budget justification; and (2) description of work.

11. Copy of the most recent independent Single Audit (for non-profits, states, local governments, and educational institutions) or independent Compliance Audit (applicable to for-profit entities).

12. A short statement on whether the work will involve construction, alteration, maintenance, or repair of publicly owned infrastructure. Infrastructure includes but is not limited to buildings and real property; dams, ports, harbors, and other maritime facilities; electrical transmission facilities and systems; utilities; and structures that generate, transport, and distribute energy (such as EV charging stations).

As a reminder, in addition to providing a complete application package, your organization must also register in the following systems:

1. System for Award Management (SAM). All non-federal entities are required to register in SAM in-order-to do business with the federal government. To register in SAM, follow the process described at: https://www.sam.gov. Registrants must always maintain an active SAM registration with current information during which it has an active federal award or applicant under consideration by a federal awarding agency.

As part of the registration process, SAM will generate a Unique Entity Identifier (UEI) number. The UEI must be included in block 8.c. of the SF-424 Application for Federal Assistance. A UEI is required for all applicants.

2. FedConnect. DOE will send your award documents electronically through FedConnect. Your organization will also acknowledge award documents through FedConnect. To register, go to: https://www.fedconnect.net. To create an organization account, your organization’s SAM MPIN is required. It is imperative that you register as soon as possible. More information is available at
https://www.fedconnect.net/FedConnect/Marketing/Documents/FedConnect_Ready_S et_ Go.pdf. Questions pertaining to registration for FedConnect should be directed to https://fcsupport.unisonglobal.com/support/home.

The Financial Assistance Regulations, found at https://www.ecfr.gov/current/title-2/subtitleA/chapter-II/part-200 and https://www.ecfr.gov/current/title-2/subtitle-B/chapter-IX/part-910 govern how the government administers funds to you and will assist you in understanding your requirements as an award recipient (See 2 CFR 200 – Uniform Administrative

City of Maywood OE-0000951 July 26, 2023
3 Requirements, Cost Principles and Audit Requirements for Federal Awards; and 2 CFR 910 – Department of Energy Addendum to 2 CFR 200).

After submission of a complete application and DOE review, your award will be processed as quickly as possible. The target completion date for completing award negotiations will be one hundred twenty (120) calendar days after receipt of a complete application. Failure to comply with the application submittal dates and instructions may result in substantial delays in processing your award.

You may not incur pre-award costs without prior approval of DOE. All pre-award costs are incurred at your risk. DOE is under no obligation to reimburse such costs if for any reason you do not receive an award or if the award is less than anticipated and inadequate to cover such costs. All costs must be allowable, allocable, and reasonable for the awarded scope of work in accordance with 2 CFR 200 Subpart E or 48 CFR 31.2, as applicable. The earliest date pre-award costs will be considered for approval is December 29, 2022, the date the Energy and Water Development and Related Agencies Appropriations Act, 2023, was enacted.

Please note, NETL’s decision on whether and how to distribute federal funds is subject to the National Environmental Policy Act (NEPA) and NETL must conduct a NEPA review for all proposed project activities prior to authorizing the use of federal funds. Based on information available, NETL has not issued a final NEPA determination for this project. You should carefully consider and should seek legal counsel or other expert advice before taking any action related to the proposed project that would have an adverse effect on the environment or limit the choice of reasonable alternatives prior to NETL completing the NEPA review process.

NETL does not guarantee or assume any obligation to reimburse costs where the costs were incurred prior to receiving written authorization from the Contracting Officer. If you elect to undertake activities that may have an adverse effect on the environment or limit the choice of reasonable alternatives prior to receiving such written authorization from the Contracting Officer, you are doing so at risk of not receiving federal funding and such costs may not be recognized as allowable cost share. Nothing contained in the pre-award cost reimbursement regulations or any pre-award costs approval letter from the Contracting Officer override the NEPA requirements to obtain the written authorization from the Contracting Officer prior to taking any action that may have an adverse effect on the environment or limit the choice of reasonable alternatives.

This letter should not be construed as a commitment on the part of DOE to either make an award or to make an award for a particular amount, notwithstanding the amount expected based on the Energy and Water Development and Related Agencies Appropriations Act, 2023 under the heading “Energy Projects” through reference to the Congressional Record – Explanatory Statement.”
On behalf of the Department, I would like to express a sincere appreciation of your interest in this project. Administrative questions regarding your pending award, the application process

City of Maywood OE-0000951 July 26, 2023
4 or forms should be sent to Rachel Price, and technical questions concerning your project should be directed to the cognizant Project Manager, Tyler Romberger.

Sincerely,
David J. Staudt
Associate Director, Financial Assistance
Finance & Acquisition Center
National Energy Technology Laboratory

Maywood Community Resilience Center Energy Storage Project Pending Award No. OE-0000951
The City of Maywood, located in southeast Los Angeles County, is an under-resourced community of color disproportionately victimized by environmental injustice, hazards, and climate change. Handling these challenges formidable due to the City’s historical lack of resources, staff capacity, aging infrastructure, and proximity to predominantly commercial industrial areas. The purpose of this project is to develop a Community Resilience Center that will amplify the voices of the community, increase access to solar energy addressing systemic inequities, and create career and leadership opportunities.

According to the California Office of Environmental Health Hazard Assessment CalEnviroScreen 3.0, the pollution burden index in all eight of Maywood’s census tracts range from 85% to 95%. In the California Healthy Places Index Score, which takes into consideration social, economic, and health conditions to measure overall health outcomes, Maywood is placed in the lowest tier, and 13 out of 85 distinct communities in Los Angeles County. Therefore, the City of Maywood in response to the environmental challenges continues to successfully develop and implement a climate mitigation and climate adaptation project and policy measures.

Despite the recent progress, there is still so much to do, and the establishment of a Resilience Center is a significant step in the right direction.

The City, with technical assistance provided by GRID Alternatives, and the Strategic Growth Council, has planned and designed a Community Resilience Center. The City must now take new steps to execute this project and bring it to fruition. Receiving Community Project funds will help the City install a 110.7 kWdc solar photovoltaic and 30kW/60kWh battery energy storage system within the Community Resilience Center, for a turnkey price of $500,000. The system is expected to save the Center over $20,000 annually, and provide backup power to critical loads for at-risk members of the community, including but not limited to cell phone charging, powering medical equipment, lighting, and refrigeration for medicines.

The project will provide substantial and lasting benefits to the community. It is an investment in Maywood’s plan to mitigate the impact of climate change and deepen the community’s engagement in this effort to improve and preserve the quality of life of our residents and the future generations of the City of Maywood.

It will help provide adaptability during climate disasters and support long-term energy independence. A power outage of more than two hours is a matter of life and death for the residents who depend on in-home medical equipment. Energy resiliency is the ability for all communities to prepare for, adapt to, and thrive in response to power outages and climate change. Disadvantaged communities must be empowered in the decisionmaking process to build stronger health and socioeconomic outcomes. Power failures may bring the most immediate risk for users of ventilators, heart pumps and oxygen. Ventilators and heart pumps have internal batteries that last 45 minutes to a few hours. Millions of Americans use electric-powered portable oxygen concentrators if they have low oxygen levels because of acute respiratory distress syndrome, chronic obstructive pulmonary disease, lung cancer, and pneumonia. In the case of a power outage, these devices may be able to run on batteries for just three or four hours. More residents dependent on Medicare are electricitydependent. Additional benefits include, family health, sustaining life, reducing energy imports, tenant retention, job security, emergency preparedness, reliability, safety, and so much more.

The project, when completed, will raise the voices and leadership of economic and environmental justice communities within Maywood and its neighbors, and create equitable and lasting solutions. The City plans to host various community meetings to educate our residents on the benefits of this project and inform them of the resources available to them at no cost. We will also disseminate information in our quarterly newsletters, mailers, provide informative pamphlets at City events and meetings, and outreach during our neighborhood watch meetings.

City of Maywood Contact Information
Daisy Guerrero
Deputy City Clerk / Assistant to the City Manager
[email protected]
(323) 562-5714

Attachment 1
DE-OE0000951

STATEMENT OF PROJECT OBJECTIVES (SOPO)
Maywood Community Resilience Center Energy Storage Project A. OBJECTIVES
The purpose of this project is to install a solar photovoltaic and battery energy storage system within the Community Resilience Center to provide backup power to critical loads for members of the community, that will enable powering medical equipment, lighting, refrigeration for medicines, and other critical power-related needs.

B. SCOPE OF WORK
The recipient will install a photovoltaic system and battery energy storage system (ESS) resilience center that will provide power to critical loads for powering medical equipment, lighting, and refrigeration for medicines that will help them adapt to climate disasters and support long-term energy independence.

Project Implementation will include the following tasks:
• Site survey
• Design
• Project installation and Inspection
• Utility interconnection / System operation
C. TASKS TO BE PERFORMED
Task 1.0 - Project Management and Planning
Subtask 1.1 – Project Management
Within 30 days of award, the Recipient shall provide a Project Management Plan (PMP) detailed as outlined in the provided template including relevant details from the award negotiation process and through consultation with the Federal Project Officer (FPO). The Recipient shall not proceed beyond Task

1.0 until the PMP has been accepted by the FPO.

The PMP shall be revised and resubmitted as often as necessary to capture any major/significant changes to the planned approach, budget, key personnel, major resources, etc. The Recipient shall manage and execute the project in accordance with the accepted PMP.

Subtask 1.2 – National Environmental Policy Act (NEPA) Compliance As required, the CDP Recipient shall provide the documentation necessary for NEPA compliance.

Subtask 1.3 – Interoperability/Cybersecurity Plan
Within 30 days of award, the Recipient shall submit an Interoperability and Cybersecurity Plan (I/CSP) in accordance with instructions provided with the Federal Assistance Reporting Checklist. This plan is subject to DOE review and acceptance, and the Recipient is expected to comply with this plan throughout the life

Attachment 1
DE-OE0000951
of the project. The Recipient should refer to the document named “Cybersecurity and Interoperability Plan Guidance” for additional requirements/guidelines regarding preparation of this plan.

Task 2.0 - Planning
Subtask 2.1 - Project Design
The recipient will complete project design and conduct a site survey Subtask 2.2 – System Design
Prepare project site to accommodate a rooftop photovoltaic system and an energy storage system.

Subtask 2.3 – Equipment Procurement
The recipient will determine and procure the photovoltaic system and energy storage system to meet current and future system demands.

Subtask 2.4 ESS Autonomy
The recipient will determine autonomy requirements and the energy storage system loads.

Task 3.0 - Installation
Subtask 3.1 Installation Design Developed
The recipient will develop installation design plans.

Subtask 3.2 – Equipment Installation
The recipient will install the utility interconnection services, a rooftop photovoltaic system, and an energy storage system.

Task 4.0 Inspect System and monitor performance
Subtask 4. 1 Monitor performance

DELIVERABLES
• Periodic, topical, final, and other reports in accordance with the Federal Assistance Reporting Checklist and accompanying instructions.

E. BRIEFINGS/TECHNICAL PRESENTATIONS
The Recipient shall prepare, and present periodic briefings, technical presentations and demonstrations as requested by the Federal Project Officer, which may be held at a DOE or Recipient’s facility, other mutually agreeable location, or via webinar. These may include all or a combination of the following:

Kickoff Briefing - Not more than 30 days after submission of the updated Project Management Plan, the Recipient shall prepare and present a project summary briefing as part of a Project Kickoff Meeting.

Attachment 1
DE-OE0000951
Final Project Briefing - Not less than 30 days prior to the end of the project, the Recipient shall prepare and present a Final Project Briefing on the results and accomplishments of the entire project.

Other Briefings – The Recipient shall prepare, and present technical, financial, and/or administrative briefings as requested by the DOE. Additionally, the DOE may require Recipients to make technical presentations at national and/or industry conferences.

DOE F 4600.2
(NETL 04/2026)
All Other Editions Are Obsolete
U.S. Department of Energy

FEDERAL ASSISTANCE REPORTING CHECKLIST

AND INSTRUCTIONS
ATTACHMENT 2

1. Award Number: 2. Program/Project Title:

DE-OE0000951
Maywood Community Resilience Center Energy
Storage Project 3. Recipient:

The City of Maywood

4. Reporting Requirements (see attached “Federal Assistance Reporting Instructions” for additional guidance)
Detailed instructions included after the Table of Contents Frequency Addresses
*See attached “Federal Assistance Reporting
Instructions” for complete submission instructions.

I. PROJECT MANAGEMENT REPORTING
A Research Performance Progress Report (RPPR) Q A. EERE PMC B. Financial Report (SF-425) F, Q B. EERE PMC
C. Scientific and Technical Reporting

1. Accepted Manuscript of Journal Article(s) A5, P C.1. OSTI E-Link

2. Conference Product(s) A5, P C.2. OSTI E-Link

3. Technical Report(s) A5, P C.3. OSTI E-Link

4. Software & Manual(s) A5, P C.4. DOE CODE

5. Dataset(s) A5, P C.5. OSTI E-Link Datasets

6. Other STI (Dissertation / Thesis, etc.) A5, P C.6. OSTI E-Link D. Intellectual Property Reporting

1. Intellectual Property Reporting A5, P D.1. iEdison

2. Invention Utilization Report A5, P D.2. iEdison
E Project Management Plan (PMP) A5 E. EERE PMC
F. Special Status Report A5 F. See Section I.F for instructions and due dates G. Continuation Application A5 G. EERE PMC
H. Other (see Special Instructions) A5 I. See Special Instructions II. AWARD MANAGEMENT REPORTING
A. Participants and Collaborating Organizations A5 A. EERE PMC B. Current and Pending Support A5 B. EERE PMC
C. Demographic Reporting A5 C. EERE PMC
D. Financial Conflict of Interest A5 D. EERE PMC
E. Tangible Personal Property Report - Annual Property Report (SF-428 & SF-428A)
Y E. EERE PMC
F. Tangible Personal Property Report – Disposition Request/Report (SF428 & SF-428C)A5 F. EERE PMC G. Uniform Commercial Code (UCC) Financing Statements A5 G. See Section II. G. for instructions and due dates.

H. Federal Subaward Reporting System (FSRS) A5 H. SAM.gov - FSRS I. Annual Incurred Cost Proposal (AICP)

1. AICP – NETL Cognizant Y180 I. See Section II. I. for instructions and due dates.

2. AICP – Other Agency Cognizant Y180 I. See Section II. I. for instructions and due dates.

J. Fringe Reconciliation Form Y180 J. See Section II. J. for instructions and due dates.

K. DOE For-Profit Compliance Audit O K. See Section II. K. for instructions and due dates.

L. Single Audit: States, Locals, Tribal Governments, and Non-Profits O L. See section II. L. for instructions and due dates.

M.Other (see Special Instructions) A M. See Federal Assistance Reporting Instructions III. CLOSEOUT REPORTING
A. Final Scientific/Technical Report
A.1. Final Scientific/Technical Report – Unlimited F A.1. OSTI E-Link A.2. Final Scientific/Technical Report – Data Protection F A.2. OSTI E-Link B. Invention Certification (DOE F 2050.11) F B. EERE PMC C. Tangible Personal Property Report – Final Report (SF-428 & SF428B)F C. EERE PMC D. Verification of Receipt of Accepted Manuscripts F D. See section III.D. for instructions and due dates E. Other (see Special Instructions) F E. See Special Instructions IV. POST-PROJECT REPORTING
A. Scientific and Technical Reporting P A. OSTI E-Link
B. Intellectual Property Reporting P B. iEdison

FREQUENCY CODES AND DUE DATES:

A5 – As Specified or within five (5) calendar days after the event.

F – Final; within 120 calendar days after expiration or termination of the award.

O – Other: See instructions for further details.

P – Post-project (after the period of performance); within five (5) calendar days after the event, or as specified.

Q – Quarterly; within 30 calendar days after the end of the federal fiscal year quarter.

S – Semiannually; within 30 days after end of the reporting period.

Y – Yearly; within 90 calendar days after the end of the federal fiscal year or termination of the award.

Y180 – Yearly; within 180 calendar days after the close of the recipient’s fiscal year.

FULL URLS:

OSTI E-Link: https://www.osti.gov/elink/2413-submission.jsp OSTI E-Link Datasets: https://www.osti.gov/elink/2416-submission.jsp DOE CODE: https://www.osti.gov/doecode/
iEdison: https://www.nist.gov/iedison
EERE PMC: https://www.eere-pmc.energy.gov/SubmitReports.aspx FSRS: https://www.sam.gov/fsrs

5. Special Instructions:

Recipient’s fiscal year end date: 06/30
No indirect costs proposed
De minimis rate used and No fringe proposed

5. Special Instructions Continued:

I. Project Management Reporting:

B. Financial Report (SF 425)
In addition, to the instructions for the SF-425 Federal Financial Report, the recipient is required to annotate block 12 of the Federal Financial Report with a breakdown of costs for the reporting period and cumulative associated with research and development and demonstration in this format (note – if this information does not fit on the form, please attach the breakdown to the report):

I. Other (see Special Instructions):

All deliverables identified in the Statement of Project Objectives (SOPO) must be submitted in accordance with the SOPO and also uploaded to the EERE PMC website.

II. Award Management Reporting
M. Trafficking in Persons
If the estimated value of services required to be performed under the grant or cooperative agreement outside the United States exceeds $500,000, private entities and State, local, government, Indian Tribe, or foreign public entities when a private entity could be a subrecipient must submit an annual certification to the cognizant Grants Officer that states the following:
• The recipient has implemented a plan meeting the requirements of 2 CFR 175.105(b)(3)-(5) to prevent the activities described in 2 CFR 175(a) and is in compliance with this plan; • The recipient has implemented procedures to prevent activities described in 2 CFR 175(a) and to monitor, detect, and terminate any subrecipient, contractor, subcontractor, or employee of the recipient engaging in any activities described in 2 CFR 175.105(a); and • To the best of the recipient’s knowledge, neither the recipient, nor any subrecipient, contractor, or subcontractor of the selectee or any agent of the selectee or of such a subrecipient, contractor, or subcontractor, is engaged in any activities described in 2 CFR 175.105(a).

DOE may ask selectees to provide a copy of their Trafficking in Persons compliance plan.

Federal Share Cost Share Total Federal Share Cost Share Total R&D Costs in
Current Reporting
Period ($)
Demonstration Costs
in Current Reporting
Period ($)
% share of Total
R&D Costs for
Current Reporting
Period
% share of Total
Demonstration Costs
for Current
Reporting Period
Cumulative R&D
Costs ($)
Cumulative
Demonstration Costs
($)
Cumulative % share
of R&D Costs
Cumulative % share
of Demonstration
Costs
R&D Task Costs Demonstration Task Costs

Table of Contents
I. Project Management Reporting ......................................................................................... 3 A. Research Performance Progress Report (RPPR)................................................................. 3 B. Financial Report SF-425 Federal Financial Report.............................................................. 3 C. Scientific and Technical Reporting...................................................................................... 3

1. Accepted Manuscript of Journal Article ......................................................................... 4

2. Conference Product(s).................................................................................................... 5

3. Technical Report(s) ......................................................................................................... 6

4. Software & Manual(s)..................................................................................................... 7

5. Dataset(s)........................................................................................................................ 7

6. Other STI (Dissertation / Thesis, etc.)............................................................................. 8 D. Intellectual Property Reporting .......................................................................................... 9

1. Intellectual Property Reporting ...................................................................................... 9

2. Invention Utilization Report.......................................................................................... 10 E. Project Management Plan (PMP) ..................................................................................... 10

1. Revised Plan(s).............................................................................................................. 11

2. Content of revised PMP................................................................................................ 11 F. Special Status Reports....................................................................................................... 11 G. Continuation Application.................................................................................................. 14 H. Other (see Special Instructions)........................................................................................ 14 II. Award Management Reporting ........................................................................................ 15 A. Participants and Collaborating Organizations.................................................................. 15 B. Current and Pending Support........................................................................................... 18 C. Demographic Reporting.................................................................................................... 19 D. Financial Conflict of Interest Report................................................................................. 20 E. Tangible Personal Property Report – Annual Property Report (SF-428 & SF-428A)........ 21 F. Tangible Personal Property Report – Disposition Request/Report (SF-428 & SF-428C).. 21 G. Uniform Commercial Code (UCC) Financing Statements................................................. 21 H. Federal Subaward Reporting System (FSRS)..................................................................... 22 I. Annual Incurred Cost Proposals........................................................................................ 23 J. Fringe Reconciliation Form ............................................................................................... 24 K. DOE For-Profit Compliance Audit ..................................................................................... 24

L. Single Audit: States, Local Government, Tribal Governments, Institution of Higher Education (IHE), or Non-Profit Organization .................................................................... 25 M. Other (see Special Instructions)........................................................................................ 26 III. Closeout Reporting ........................................................................................................... 26 A. Final Scientific/Technical Report ...................................................................................... 26 B. Invention Certification (DOE F 2050.11)........................................................................... 29 C. Tangible Personal Property Report – Final Report (SF-428 & SF-428B)........................... 29 D. Verification of Receipt of Accepted Manuscripts............................................................. 29 E. Other (see Special Instructions)........................................................................................ 30 IV. Post-Project Reporting...................................................................................................... 30 A. Scientific and Technical Reporting.................................................................................... 30 B. Intellectual Property Reporting ........................................................................................ 30 V. Appendix A: Notice To Recipients (Prime Recipients And Subrecipients) Regarding Protected Data, Limited Rights Data And Protected Personally Identifiable Information........... 31 VI. Appendix B: Research Performance Progress Report (RPPR) Template .......................... 33 VII. Appendix C: Project Management Plan Template.............................................................. 2

***
Federal Assistance Reporting Instructions (04/2026)
Throughout the performance of the project, it is important that you mark Protected Data/Limited Rights Data as described in Appendix A. It is equally important that you not submit Protected Personally Identifiable Information (Protected PII). See Appendix A for guidance on Protected PII.

Report Templates Link: https://netl.doe.gov/business/business-forms/financialassistance ***
I. Project Management Reporting
A. Research Performance Progress Report (RPPR)
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 30 calendar days after the end of the quarterly reporting period (January 30, April 30, July 30, October 30)
Every quarter, the prime recipient is required to submit a Research Performance Progress Report (RPPR) for the project – i.e., the entirety of work performed by the prime recipient, subrecipients, and contractors – to DOE. The RPPR must include the information detailed in the RPPR template in Appendix B.

B. Financial Report SF-425 Federal Financial Report
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 30 calendar days after the end of the quarterly reporting period (January 30, April 30, July 30, October 30) and within 120 calendar days after expiration or termination of the award
Every quarter, the prime recipient is required to submit a completed SF-425 for the project to DOE, covering the entirety of work performed by the prime recipient, subrecipients, and contractors. A fillable version of the SF-425 is available at https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html or https://www.netl.doe.gov/business/business-forms/financial-assistance.

C. Scientific and Technical Reporting
The dissemination of scientific and technical information (STI) ensures public access to the results of federally funded research. STI refers to information products in any medium or format used to convey results, findings, or technical innovations from research and development or other scientific and technological work that are prepared with the intention of being preserved and disseminated in the broadest sense applicable (i.e., to the public or, in the case of controlled unclassified information or classified information, disseminated

among authorized individuals). By properly submitting STI to DOE Energy Link System (ELink), the information will be made available to the public through OSTI.GOV.

NOTE: SCIENTIFIC/TECHNICAL PRODUCTS INTENDED FOR PUBLIC RELEASE MUST NOT CONTAIN PROTECTED PERSONALLY IDENTIFIABLE INFORMATION (PII). Please refer to Appendix A for more information.

NOTE: For awards made after August 8, 2024, the digital persistent identifier (e.g., ORCID iD) for individuals must be used when publishing products (when that is an option). The digital persistent identifier for individuals must be provided when reporting outputs to the Department of Energy Office of Scientific and Technical Information (DOE OSTI).

1. Accepted Manuscript of Journal Article
Submit to: DOE Energy Link System (E-Link) available at https://www.osti.gov/elink/2413- submission.jsp
Submission
deadline:

No later than the published online date of the article
Public access to scholarly publications is enabled by providing the Accepted Manuscript (AM) of the Journal Article to DOE OSTI and is consistent with the U.S. Government's retained license to published results of federally-funded research. If the recipient has a journal article accepted for publication which contains information/data produced under the award, then the recipient must submit an AN 241.3 for the author’s full-text version of the accepted manuscript, as described below, no later than the published online date of the article.

Content. The recipient is to announce to DOE the final peer-reviewed AM, i.e., the version of a journal article that has been peer reviewed and accepted for publication in a journal by providing a persistent link to the accepted manuscript on the Recipient’s publicly accessible institutional repository or submitting the full text (see Electronic Submission Process below). Do NOT submit the journal’s published version of the article, i.e., do NOT submit a copyrighted reprint. The Recipient should not submit the content of peer reviews or a commitment to publish. The Recipient should provide only the accepted manuscript content intended to be the published article.

DOE will make no additional review of the content of the AM because the AM is the version of the journal article with the content to be published (i.e., publicly released) by the journal publisher. The Recipient is responsible for ensuring the suitability of the content for public release. The terms and conditions of award provide that PII, proprietary, export control or classified information shall be protected. DOE may choose to defer providing public access until an administrative interval period has passed.

The recipient must self-certify at the time of submission to DOE via E-Link that the content is appropriate and that it is not a copyrighted reprint, i.e., the final version of the published article. Recipients are reminded that the article is to include an acknowledgement of federal support and a legal disclaimer as required in the Special Terms and Conditions.

The recipient is also reminded that all data produced under the award should comply with the award’s data management plan (DMP). The DMP provides a plan for making all research data displayed in publications resulting from the proposed work digitally accessible at the time of publication. At a minimum, the DMP (1) describes how data sharing and preservation will enable validation of the results from the proposed work, how the results could be validated if data are not shared or preserved and (2) has a plan for making all research data displayed in publications resulting from the proposed work digitally accessible at the time of publications.

Electronic Submission Process. The AM of Journal Article must be announced via the DOE Energy Link System (E-Link) and must be accompanied by a completed DOE Announcement Notice (AN) 241.3 (https://www.osti.gov/elink/2413-submission.jsp).

Within the AN 241.3, provide relevant journal information (article title, journal name, volume, issue, and any other pertinent publication information). If a Digital Object Identifier (DOI) has been issued by the publisher, much of this information can be autopopulated by entering the DOI in the AN 241.3. Also provide a persistent link to the repository location of the accepted manuscript. An example of an acceptable persistent link is a URL to the specific location of the Accepted Manuscript of Journal Article hosted on a public, openly accessible university research publications website. If a persistent link is not available or if the website has access restrictions (preventing public access), then the Recipient must upload the full-text of the Accepted Manuscript using the AN 241.3 and E-Link instructions.

Full-text of accepted manuscripts must be in Adobe Portable Document Format (PDF) and be one integrated PDF file that contains all text, tables, diagrams, photographs, schematics, graphs, and charts. Please refer to
https://www.osti.gov/stip/about/faqs/what-type-of-pdf-for-submission for PDF document creation.

2. Conference Product(s)
Submit to: DOE Energy Link System (E-Link) available at https://www.osti.gov/elink/2413- submission.jsp
Submission
deadline:

Within five (5) calendar days after the event, or as specified

The recipient must submit a copy of any scientific/technical conference papers, proceedings, or presentations.

Content: The content should include a copy of the paper, presentation, or proceeding and: (1) name of conference; (2) location of conference; (3) date of conference; and (4) conference sponsor. Also include an acknowledgement of federal support and a legal disclaimer as described in the Special Terms and Conditions. Conference products must be submitted in the Adobe PDF format as one integrated PDF file containing all text, tables, diagrams, photographs, schematic, graphs, and charts.

Electronic Submission Process: Scientific/technical conference proceedings, papers/presentations must be submitted via the DOE Energy Link System (E-Link) with a completed DOE Announcement Notice (AN) 241.3 (https://www.osti.gov/elink/2413- submission.jsp).

The recipient is responsible for ensuring the suitability of the content for public release.

The terms and conditions of award provide that submissions must not contain any Protected Personally Identifiable Information (PII), limited rights data (proprietary data), classified information, information subject to export control classification, or other information not subject to release.

DOE will not review conference papers/presentations or proceedings prior to making the document publicly available via OSTI since the document was already presented in a public setting. The Recipient is responsible for ensuring the suitability of the content for public release. The terms and conditions of award provide that PII, proprietary, export control or classified information shall be protected. The Recipient must self-certify at the time of submission to DOE E-Link that the content is appropriate for and has been publicly released.

3. Technical Report(s)
Submit to: DOE Energy Link System (E-Link) available at https://www.osti.gov/elink/2413- submission.jsp
Submission
deadline:

Within five (5) calendar days after the event, or as specified The recipient must submit a copy of any scientific/technical reports.

Content: The content should include a copy of the report as well as an acknowledgement of federal support and a legal disclaimer as described in the Special Terms and Conditions.

Electronic Submission Process: Scientific/technical reports must be submitted via the DOE Energy Link System (E-Link) with a completed DOE Announcement Notice (AN) 241.3 (https://www.osti.gov/elink/2413-submission.jsp).

The recipient is responsible for ensuring the suitability of the content for public release.

The terms and conditions of award provide that submissions must not contain any Protected Personally Identifiable Information (PII), limited rights data (proprietary data), classified information, information subject to export control classification, or other information not subject to release.

4. Software & Manual(s)
Submit to: DOE CODE available at https://www.osti.gov/doecode/ Submission
deadline:

Within five (5) calendar days after the event, or as specified The recipient must submit all software deliverables created under the award including source code, the executable object code and the minimum support documentation needed by a competent user to understand and use the software and to be able to modify the software in subsequent development efforts, unless otherwise specified in the award.

DOE CODE is DOE’s software services platform for submitting and searching for software resulting from DOE-funded research. Through submission to DOE CODE, users have the option to obtain a Digital Object Identifier (DOI) for the code, making it more easily discoverable, citable, and shared.

Content. When a recipient submits software to OSTI through DOE CODE, a set of required metadata elements and a link to the software repository must be provided.

Electronic Submission Process. Recipients will submit software by going to https://www.osti.gov/doecode/. Before submissions can be made, the recipient will be required to create an account. The recipient may create an account by visiting the top right of the DOE CODE homepage. Once the account is created, submissions may be made through the submit software/code link on the homepage. For more information about DOE CODE please visit https://www.osti.gov/doecode/faq.

5. Dataset(s)
Submit to: DOE Energy Link System (E-Link) available at https://www.osti.gov/elink/2416- submission.jsp
Submission
deadline:

Within five (5) calendar days after the event, or as specified

Scientific/technical datasets (data-streams, data files, etc.) support the technical reports and published literature resulting from DOE-funded research. They are also recognized as valuable information entities in their own right that, now and in the future, need to be available for citation, discovery, retrieval, and reuse. The assignment and registration of a Digital Object Identifier (DOI) is a free service for DOE-funded researchers which is provided by OSTI to enhance access to this important resource. In order to obtain a DOI, provide to OSTI the specific data elements relevant to the dataset, as specified in DOE AN 241.6.

Content. If the recipient generates publicly available datasets resulting from work funded by DOE, they may announce these datasets to OSTI and have them registered with DataCite to obtain a DOI, which ensures long-term linkage between the DOI and the dataset’s location. To register and publicly announce a dataset, the recipient must provide an AN 241.6, including the required data elements needed for describing the dataset. Note: Do NOT submit the dataset itself, only the metadata for registering the dataset, obtaining a DOI, and announcing its availability.

Electronic Submission Process. Notification of scientific datasets must be submitted electronically via the DOE Energy Link System (E-Link) and must be accompanied by a completed DOE Announcement Notice (AN) 241.6 (https://www.osti.gov/elink/2416- submission.jsp). Within the AN 241.6, provide relevant information about the dataset as well as the URL where the dataset can be accessed.

6. Other STI (Dissertation / Thesis, etc.)
Submit to: DOE Energy Link System (E-Link) available at https://www.osti.gov/elink/2413- submission.jsp
Submission
deadline:

Within five (5) calendar days after the event, or as specified Recipients are encouraged to announce other forms of STI especially if they are the primary means by which certain research results are disseminated or if they contain research results not already announced to DOE by the recipient in technical reports, accepted manuscript of journal articles, conference products, software, datasets, or other STI.

Other types of STI produced which may be used for public dissemination of project results include: dissertation/thesis, patent, book, or other similar products. These types of STI may also be announced using DOE AN 241.3 by following instructions on the ELink website (https://www.osti.gov/elink/2413-submission.jsp).

D. Intellectual Property Reporting

1. Intellectual Property Reporting
Submit to: https://www.nist.gov/iedison
Submission
deadline:

Within five (5) calendar days after the event, or as specified iEdison requires a login and password. If the recipient’s organization does not already have an iEdison administrator account, the recipient may register for one at: iEdison Registration.

In accordance with the patent rights clause of the award, the recipient and subrecipient(s), if any, must complete the following intellectual property reports in iEdison when applicable:

Disclosing a subject invention, including anticipated uses and sales (use iEdison’s Invention Report);
Reporting publications, manuscript submissions, or other public disclosures concerning a subject invention (add documents to the Invention Report); If authorized by the award agreement, electing (or declining) to retain title to a subject invention (modify the Invention Report and input “Title Election Date” or “Not Elect Title Reason”);
Disclosing the filing or termination of patent applications on a subject invention (i.e., patent applications disclosing or claiming a subject invention). Patent disclosures must be made (using iEdison’s Patent Report) for filing the following patent applications:
• An initial domestic patent application (including provisional or non-provisional); • A domestic divisional or continuation patent application; • A domestic continuation-in-part application; and
• A foreign patent application.

Discontinuing prosecution of a patent application, maintenance of a patent, or defense in a patent reexamination or opposition proceeding, regardless of jurisdiction (modify the Patent Report); and,
Requesting an extension of time to:
• Elect (or decline) to retain title to a subject invention (modify the Invention Report); and
• File an initial domestic or foreign patent application (modify the Invention Report).

Failure to submit Intellectual Property Reporting Forms in a timely manner may result in forfeiture of the recipient’s or subrecipient’s rights in the subject inventions and related patent applications.

2. Invention Utilization Report
Submit to: https://www.nist.gov/iedison
Submission
deadline:

For each subject invention, reports are due annually once the recipient or subrecipient elects to retain title to the subject invention and must continue to be provided for 10 years thereafter
The recipient and subrecipient(s), if any, must provide Invention Utilization Reports in iEdison for any subject inventions made under the award. Reports are due one year after the disclosure date of each subject invention and must continue to be provided for 10 years after the date of disclosure. Failure to submit Invention Utilization Reports in a timely manner may result in forfeiture of the recipient’s or subrecipient’s rights in the subject inventions.

E. Project Management Plan (PMP)
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within thirty days of the effective date of the DOE award Iterations and Maintenance
The recipient is required to develop, update, and adhere to a project management plan. The purpose of the plan is to establish cost, schedule, and technical performance baselines, and to formalize the processes by which the project will be managed. These processes include considerations such as risk management, change management, and communications management. While it is primarily the project recipient’s responsibility to maintain the plan, federal staff may request changes. The plan is intended to be a living document, modified as necessary, and comprising the following iterations:

Application Draft
The recipient must submit a draft of the project management plan with the initial application for financial assistance.

Negotiation Draft
The selected recipient may be called upon by the selecting Office to revise its project management plan during the negotiation phase.

Active Plan
Following formal award of the financial assistance agreement, the recipient must submit an updated project management plan, to include any changes requested during negotiation and a timeline based upon the actual award date.

1. Revised Plan(s)
During the life of the project the recipient must submit a revised project management plan based on the following circumstances:
a. Developments that have a significant favorable impact on the project. b. Problems, delays, or adverse conditions which materially impair the recipient’s ability to meet the objectives of the award, or which may require the program office to respond to questions relating to such events from the public. Specifically, the recipient must update the plan when any of the following incidents occur:
i. Any event which is anticipated to cause significant schedule or cost changes, such as changes to the funding and costing profile or changes to the project timeline.
ii. Any change to Technology Readiness Level.
iii. Any significant change to risk events (including both potential and realized events) or to risk management strategies.
iv. Failure to meet a milestone or milestones; any dependencies should be adjusted. v. Any changes to partnerships.
vi. Any significant change to facilities or other project resources. vii. Any other incident that has the potential for high visibility in the media.

2. Content of revised PMP
All interim and draft PMP revisions can be exchanged via email with the NETL project officer. However, all final versions of the PMP need to be uploaded to the EERE PMC website. The revised PMP must stay consistent with the PMP template outlined in Appendix C.

F. Special Status Reports
Submit to: See instructions below, submit either by email to the Federal Project Manager or to https://www.eere-pmc.energy.gov/SubmitReports.aspx
Submission
deadline:

As specified, see instructions below, submit either in 48 hours or within five (5) business days after the event
Problems, delays, adverse conditions which materially impair the recipient’s ability to meet the objectives of the award, or which may require DOE to respond to questions relating to such

events from the public. The recipient must report any of the following incidents and include the anticipated impact and remedial action to be taken to correct or resolve the problem/condition.

Within 48 hours, provide notification to the DOE Federal Project Manager by email, with a copy to the cognizant Grants Officer, the following events:

1. Any fatality, injury, or illness that results in loss of consciousness or requires medical treatment beyond first aid involving an employee, or member of the public.

2. Any imminent or actual environmental contamination or the need for environmental cleanup (including, but not limited to, contamination or cleanup resulting from an accident connected to or arising from the presence, leakage or spill of hazardous materials) in accordance with National environmental Policy Act 42 USC §§4321, et seq.

Examples of due care may include, but are not limited to, visual site inspection of any portions of the property where environmental contamination is likely or suspected, or other reasonable measures. Such notice must be made to DOE following any immediate mitigation efforts, as appropriate, and contacts made to requisite agencies.

3. Actual physical property damage in excess of $50,000.

Within 48 hours, the recipient is responsible for reporting cybersecurity incident(s) as follows:

4. The recipient is responsible for identifying a cybersecurity incident. In general, a cybersecurity incident is identified as any incident that may cause financial harm or loss of intellectual property created or supported in performance of the award, including malware and ransomware attacks; affecting operations or the security of, or access to, data, including disruption of both physical operations and business operations for a duration greater than one (1) hour or any Cybersecurity incidents that have national security implications.

Once identified, the recipient is responsible for reporting Cybersecurity incidents to the Cybersecurity Incident mailbox within 48 hours of the incident. The recipient sends a password protected document via email attachment that includes the date and time of the incident, a high-level description of the incident, a summary of the known impacts, and current and planned mitigation activities. The recipient sends a second email to the Cybersecurity Incident mailbox including the password to the protected document.

Within five (5) business days, the recipient must submit to https://www.eerepmc.energy.gov/SubmitReports.aspx the following events:

5. If the recipient or project team member receives any other award of federal funds for activities that potentially overlap with the activities funded under the DOE award, the recipient must promptly notify DOE in writing of the potential overlap and state whether project funds from any of those other federal awards have been, are being, or are to be used (in whole or in part) for one or more of the identical cost items under the

DOE award.

6. If an individual on the project team is or is believed to be participating in a foreign government-sponsored talent recruitment program of a foreign country of risk.

7. If the recipient is considering new collaborations with foreign entities and governments, the recipient must provide written notification to DOE and await further guidance from DOE prior to contacting the proposed foreign entity or government regarding the potential collaboration or negotiating the terms of any potential agreement. In general, a collaboration will involve some provision of a thing of value to, or from, the recipient.

A thing of value includes but may not be limited to all resources made available to, or from, the recipient in support of and/or related to the DOE award, regardless of whether or not they have monetary value. Things of value also may include in-kind contributions (such as office/laboratory space, data, equipment, supplies, employees, students). In-kind contributions not intended for direct use on the DOE award but resulting in provision of a thing of value from or to the DOE award must also be reported.

8. Any current or pending subsidiary, foreign business entity, or offshore entity that is based in or funded by any foreign country of risk or foreign entity based in a country of risk.

9. Any current or pending contractual or financial obligation or other agreement specific to a business arrangement, or joint venture-like arrangement with an entity owned by a country or risk or foreign entity based in a country of risk.

10. Any current or pending change in ownership structure of the recipient or subrecipients that increases foreign ownership related to a country of risk. Each notification shall be accompanied by a complete and up-to-date capitalization table showing all equity interest held including limited liability company (LLC) and partnership interests, as well as derivative securities. Include both the number of shares issued to each equity holder, as well as the percentage of that series and of all equity on fully diluted basis. For each equity holder, provide the place of incorporation and the principal place of business, as applicable. If the equity holder is a natural person, identify the citizenship(s).

11. Any current or pending venture capital or institutional investment by an entity that has a general partner or individual holding a leadership role in such entity who has a foreign affiliation with a foreign country or risk.

12. Any current or pending technology license, transfer or intellectual property sales to a foreign country of risk within the same technology area as the award (e.g., batteries, biotechnology, grid, energy generation and storage, advanced computing).

13. Any changes to the recipient or the subrecipients’ board of directors, including additions to the number of directors, the identify of new directors, as well as each new director’s citizenship, shareholder affiliation (if applicable); each notification shall include a complete up-to-date list of all directors (and board observers), including their full name, citizenship and shareholder affiliation, date of appointment, duration of term, as well as a description of observer rights as applicable.

14. Any proposed changes to the equipment used on the project that would result in:
a. Unmanned aircraft, control, and communications components originally made or manufactured in a foreign country of risk (including relabeled or rebranded

equipment).
b. Coded equipment where the source code is written in a foreign country of risk. c. Equipment from a foreign country of risk that will be connected to the internet or other remote communication system.
d. Any entity from a foreign country of risk that will have physical or remote access to any part of the equipment used on the project after delivery.

15. Potential or actual violations of environmental, health, or safety, or labor laws and regulations, any significant environmental permit violation, and any incident which causes a significant process or hazard control system failure.

16. Any incident arising out of or relating to work under the award that has the potential for high visibility in the media.

17. Potential or actual violations of federal, state, and municipal laws arising out of or relating to work under the award.

18. Potential or actual noncompliance with DOE reporting requirements under the award,

19. Potential or actual bankruptcy/insolvency of the prime recipient or subrecipient.

20. Potential or actual violation of U.S. export control laws and regulations arising out of or relating to the work under the award.

21. Any notices or claims of patent or copyright infringement arising out of or relating to the performance of the DOE award.

22. Refusal of a subrecipient to accept flow down requirements in the Special Terms and Conditions and/or any Attachment to the DOE award.

23. Any improper claims or excess payments arising out of or relating to work under the award.

24. Potential or actual violations of the cost share requirements under the award.

25. Potential or actual violations of the lobbying restrictions in the award.

26. Any event which is anticipated to cause a significant schedule slippage or cost increase.

27. Developments that have a significant favorable impact on the project.

G. Continuation Application
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within five (5) calendar days after the event, or as specified A continuation application is a non-competitive application for an additional budget period within a previously approved period of performance. The continuation application should be submitted at least ninety (90) calendar days before the end of each budget period, or as specified in the Special Terms and Conditions of the award.

H. Other (see Special Instructions)
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within five (5) calendar days after the event, or as specified

II. Award Management Reporting
A. Participants and Collaborating Organizations
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 30 calendar days after the end of the quarterly reporting period (January 30, April 30, July 30, October 30) only when there has been a change to Participants and Collaborating Organizations.

1. Who has been involved?
Agencies need to know who has worked on the project to gauge and report performance in promoting partnerships and collaborations. The following information on participants and other collaborating organizations was provided during award negotiations. If there are any changes to Participants and Collaborating Organizations information previously submitted to DOE, at the Recipient and subrecipient level, the Recipient must submit updated information within 30 calendar days after the end of the quarterly reporting period in which the change occurred. For changes to covered individuals, please refer to the Current and Pending Support reporting for additional requirements.
a. What individuals have worked on the project?
Provide the following information for: (1) all senior and key personnel, including Project director(s)/Principal investigator(s) (PDs/PIs); and (2) each person who has worked or is expected to work at least one person month per year on the project regardless of the source of compensation (a person month equals approximately 160 hours of effort). Please note that such reporting does not constitute a formal institutional report of effort on the project, but rather is used by agency program staff to evaluate the progress of the project during a given reporting period. i. Provide the name and identify the role the person played in this project.

Indicate the total number of months (including partial months) (Calendar, Academic, Summer) that the individual worked on this project. Using the project roles identified below, select the most senior role in which the person worked on the project for any significant length of time. For example, if an undergraduate student graduated, entered graduate school, and continued to work on the project, show that person as a graduate student, preferably explaining the change in involvement.
ii. Project Roles:

PD/PI
Co PD/PI
Faculty
Community College Faculty
Technical School Faculty

K-12 Teacher
Postdoctoral (scholar, fellow or other postdoctoral position) Other Professional
Technician
Staff Scientist (doctoral level)
Statistician
Graduate Student (research assistant)
Non-Student Research Assistant
Undergraduate Student
Technical School Student
High School Student
Consultant
Research Experience for Undergraduates (REU) Participant Other (specify)
iii. Describe briefly how this person contributed to this project.

If information is unchanged from a previous progress report, provide the name only and indicate “no change.”
iv. Identify the person’s state, U.S. territory, and/or country of residence.

State whether this person has collaborated internationally. If the participant was U.S.-based, state whether this person collaborated internationally with an individual located in a foreign country and specify whether the person traveled to the foreign country as part of that collaboration, and, if so, what the duration of stay was. The foreign country(ies) should be identified.

If the participant was not U.S.-based, state whether this person traveled to the U.S. or another country as part of a collaboration, and, if so, what the duration of stay was. The destination country should be identified.

Example:
• Name: Mary Smith
• Total Number of Months: 5.5
• Project Role: Graduate Student
• Researcher Identifier: 1234567
• Contribution to Project: Ms. Smith has performed work in the area of combined error-control and constrained coding.
• State, U.S. territory, and/or country of residence: Michigan, U.S.A. • Collaborated with individual in foreign country: Yes
• Country(ies) of foreign collaborator: China
• Travelled to foreign country: Yes
• If traveled to foreign country(ies), duration of stay: 5 months

b. What other organizations have been involved as partners? Describe partner organizations – academic institutions, other nonprofits, industrial or commercial firms, state or local governments, schools or school systems, or other organizations (foreign or domestic) – that have been involved with the project.

Partner organizations may provide financial or in-kind support, supply facilities or equipment, collaborate in the research, exchange personnel, or otherwise contribute.

Provide the following information for each partnership:
• Organization Name:
• Location of Organization: (if foreign location list country) • Partner’s contribution to the project: (identify one or more) o Financial support;
o In-kind support (e.g., partner makes software, computers, equipment, etc., available to project staff);
o Facilities (e.g., project staff use the partner’s facilities for project activities); o Collaborative research (e.g., partner’s staff work with project staff on the project);
o Personnel exchanges (e.g., project staff and/or partner’s staff use each other’s facilities, work at each other’s site); and
o Other.
• More detail on partner and contribution (foreign or domestic).

If there is nothing significant to report during this reporting period, state “Nothing to Report.”
c. Have other collaborators or contacts been involved?
Some significant collaborators or contacts within the recipient’s organization may not be covered by “What people have worked on the project?” Likewise, some significant collaborators or contacts outside the recipient’s organization may not be covered under “What other organizations have been involved as partners?” For example, describe any significant:
• Collaborations with others within the recipient’s organization, especially interdepartmental or interdisciplinary collaborations;
• Collaborations or contact with others outside the organization; and • Collaborations or contacts with others outside the United States or with an international organization.

Identify the state(s), U.S. territory(ies), or country(ies) of collaborations or contacts.

It is likely that many recipients will have no other collaborators or contacts to report.

If there is nothing significant to report during this reporting period, state “Nothing to Report.”
B. Current and Pending Support
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx or as instructed below Submission
deadline:

Within thirty (30) calendar days only when there is a change to Current and Pending Support for existing covered individuals
Prior to award, the Recipient was required to provide current and pending support disclosure statements (“CPS Common Form”) and Biographical Sketch (“Biosketch”) for each covered individual, as defined by the award Terms and Conditions, at the recipient and subrecipient level, regardless of funding source.

New covered Individuals:

Before covered individuals may start work on the project, the Recipient must submit CPS Common Forms and Biosketch(es) for new covered individuals and must receive prior approval from DOE/NNSA. R&D covered individuals must comply with the Digital Persistent Identifier (PID) and Research Security Training Requirements Terms and Conditions.

Changes to Previously Submitted Current and Pending Support Disclosures During the Period of Performance of the Award:

The Recipient must ensure that the covered individuals are aware that, should circumstances change which impact the responses previously provided on either the CPS Common Form or the Biosketch, the individual must submit an updated CPS Common Form and/or updated Biosketch. The Recipient must submit the updated CPS Common Form(s) and updated Biosketch(es) to DOE within 30 calendar day safter the end of the quarterly reporting period in which the change occurred. Reporting Timeframe Exception:

Adjustments to level of effort on previously reported support that is not foreign country of concern (FCOC)-related may be reported with the next scheduled annual progress report.

How to Submit New or Updated Forms:

Generate the CPS Common Form and Biosketch via SciENcv (Science Experts Network Curriculum Vitae). SciENcv will produce a DOE compliant PDF version of the Common Forms. Refer to the Special Terms and Conditions associated with this award for additional information.

Instructions for First-Time SciENcv Users:

1. Navigate to SciENcv (Science Experts Network Curriculum Vitae)

2. To log in, click More Options, Login.gov, then sign in

3. From the dashboard, click Manage SciENcv, then click Create New Document

4. Select DOE Biographical Sketch or DOE Current and Pending (Other) Support

5. From there, it is an easy web interface to add responses

6. When ready, click Download PDF, which will prompt the user to certify their responses, then the document will download and can be sent to DOE.

C. Demographic Reporting
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 30 days after issuance of award

DEMOGRAPHIC INFORMATION FOR SIGNIFICANT CONTRIBUTORS
(Research Performance Progress Report, Appendix)
Demographic data (i.e., gender, ethnicity, race, and disability status) should be provided directly by the Principal Investigator, Program Director, and Business Contact with the understanding that the submission of this report is mandatory. There are no adverse consequences for responding “Do not wish to provide” in any question. Confidentiality of demographic data will be in accordance with agency’s policy and practices for complying with the requirements of the Privacy Act. Demographic Reporting is submitted via a webbased form in the PMC and includes the questions outlined below.

Gender:
o Male
o Female
o Do not wish to provide
Ethnicity:
o Hispanic or Latina/o
o Not-Hispanic or not-Latina/o
o Do not wish to provide
Race (select one or more):
o American Indian or Alaska Native
o Asian
o Black or African American
o Native Hawaiian or other Pacific Islander
o White
o Do not wish to provide
Disability Status:
o Yes (check yes if any of the following apply to you)
 Deaf or serious difficulty hearing
 Blind or serious difficulty seeing even when wearing glasses  Serious difficulty walking or climbing stairs

 Other serious disability related to a physical, mental, or emotional condition.
o No
o Do not wish to provide
This measure is designed as a binary measure; it encompasses all self-reported disabilities. Please do not use it to report the number of individuals who have different types of disabilities (e.g., hearing impairments).

Note: This construct is not designed to be used at an individual-level (i.e., it should not be used for determining accommodation needs or disability status for particular individuals associated with the project).

D. Financial Conflict of Interest Report
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within thirty (30) calendar days only when there is a change Prior to award, the Recipient was required to: 1) ensure all Investigators on this Award completed their significant financial disclosures; 2) review the disclosures; 3) determine whether a FCOI exists; 4) develop and implement a management plan for FCOIs; and 5) provide DOE with an initial FCOI report that includes all FCOIs (i.e., managed and unmanaged/unmanageable). The Recipient must be in full compliance with the other requirements set forth in DOE’s interim COI Policy
https://www.energy.gov/management/department-energy-interim-conflict-interest-policyrequirements-financial-assistance. Further, the recipient must submit updated reports within 30 days of a change.

The DOE interim Conflict of Interest Policy for Financial Assistance (COI Policy) is applicable to all recipients that receive, DOE funding by means of a financial assistance award (e.g., a grant, cooperative agreement, or technology investment agreement) and, through the implementation of this policy by the entity, to each Investigator who is planning to participate in, or is participating in, the project funded wholly or in part under this Award.

The term “Investigator” means the PI and any other person, regardless of title or position, who is responsible for the purpose, design, conduct, or reporting of a project funded by DOE or proposed for funding by DOE. The Recipient must flow down the requirements of the interim COI Policy to any subrecipient, with the exception of DOE National Laboratories.

Further, the Recipient must identify all financial conflicts of interests (FCOI), i.e., managed and unmanaged/ unmanageable, in its initial and ongoing FCOI reports.

E. Tangible Personal Property Report – Annual Property Report (SF-428 & SF-428A) Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 90 calendar days after the end of the annual reporting period The prime recipient must submit an annual inventory of federally-owned property (government-furnished) where the award specifies that title to the property vests with the federal government, whether it is in the possession of the prime recipient or subrecipient(s). The prime recipient must complete an SF-428 and SF-428A, available at https://www.netl.doe.gov/business/business-forms/financial-assistance or https://www.grants.gov/forms/forms-repository/post-award-reporting-forms.

F. Tangible Personal Property Report – Disposition Request/Report (SF-428 & SF-428C) Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 5 calendar days of the event or as specified
The prime recipient must request disposition instructions for, or report disposition of federally-owned property or equipment acquired with project funds, whether the property or equipment is/was in the possession of the prime recipient or subrecipient(s). Recipients may also be required to provide compensation to the awarding agency when acquired equipment is sold or retained for use on activities not sponsored by the federal government. Any equipment with an acquisition cost above $10,000 must be included in the inventory.

If disposition occurs at any time other than award closeout (i.e., at any time throughout the life of the project or after project completion and closeout as long as the federal government retains an interest in the item), the prime recipient must complete an SF-428 and SF-428C, available at https://netl.doe.gov/business/business-forms/financial-assistance or Post-Award Reporting Forms – Grants.gov.

If disposition instructions are requested at the time of award closeout, the prime recipient must submit the SF-428 and SF-428B (see III. Closeout Reporting).

Only the DOE Grants Officer has authority to approve disposition requests and issue disposition instructions.

G. Uniform Commercial Code (UCC) Financing Statements
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within five (5) calendar days after the event, or as specified.

If a for-profit recipient or subrecipient desires to purchase a piece of equipment for their project, and the per-unit dollar value of said equipment is $10,000 or more, and the federal share of the financial assistance agreement is more than $1M, the recipient or subrecipient must file a UCC financing statement.

A UCC financing statement provides public notice that the federal government has an undivided reversionary interest in the equipment, and as such the equipment cannot be sold or used as collateral for a loan (encumbered).

The for-profit recipient or subrecipient must file the UCC financing statement(s) with the Secretary of State where the equipment will be physically located and must pay any associated costs for such filings.

The initial UCC financing statement may also be referred to as a UCC1. For additional pieces of equipment not specified in the award budget, TBD equipment, or equipment needed in future budget periods, the recipient can file an amendment to the original UCC1 financing statement, by submitting the UCC3 financing statement amendment.

Each UCC financing statement or amendment is to be filed with the appropriate Secretary of State office, where the equipment will be physically located.

Note: All costs associated with filing UCC financing statements, UCC financing statement amendments, and UCC financing statement terminations, are allowable and allocable costs which can be charged to the federal award.

At a minimum, the recipient must have stated in their UCC financing statement in block 4. (collateral) the following:
• “Title to all equipment (not real property) purchased with federal funds under this financial assistance agreement is conditional pursuant to the terms of 2 CFR 910.360, and the federal government retains an undivided reversionary interest in the equipment at the federal cost-share proportion specified in the award terms and conditions.” • Federal Award Identification Number (e.g., DE- CR000XXXX) H. Federal Subaward Reporting System (FSRS)
Submit to: https://www.sam.gov/fsrs
Submission
deadline:

The prime recipient is required to file a FFATA sub-award report by the end of the month following the month in which the prime recipient awards any subgrant greater than or equal to $30,000. The recipient must also report a subaward if a modification increases the Federal funding to an amount that equals or exceeds $30,000.

The Federal Subaward Reporting System (FSRS) is the reporting tool prime recipients use to capture and report subaward and executive compensation data regarding their first-tier subrecipients to meet the Federal Funding Accountability and Transparency Act (FFATA) reporting requirements. Prime recipients will report against subrecipients’ awards. The subrecipient information entered in FSRS will then be displayed on USASpending.gov associated with the prime recipient’s award furthering federal spending transparency.

The prime recipient is required to file a FFATA sub-award report by the end of the month following the month in which the prime recipient awards any sub-award greater than or equal to $30,000. The recipient must also report a subaward if a modification increases the Federal funding to an amount that equals or exceeds $30,000.

I. Annual Incurred Cost Proposals
Submit to: If DOE is the Cognizant Federal Agency, send the Annual Incurred Cost Proposal to one of the following offices:
• [email protected] (if the Golden Field Office is cognizant); OR
• [email protected] (if OCED is cognizant);
OR
• [email protected] and [email protected] (if NETL is Cognizant)
Otherwise, submit the proposal to the Recipient’s appropriate Cognizant Federal Agency office.

Submission
deadline:

Within 180 calendar days after the close of the recipient’s fiscal year* *The end of the period of the performance, or closure of an award, does not dismiss this reporting requirement.

Prime recipients must submit a certified annual Incurred Cost Proposal (ICP), reconciled to its financial records, in order to finalize and reconcile billing rates incurred and billed to the Government.

An ICP submission is required unless one of the following conditions apply to the DOE award:
• Recipient elected to apply the de minimis rate of up to 15% as allowed under 2 CFR 200.414(f);
• Recipient proposed fringe benefits only; or
• Recipient has a pre-determined Negotiated Indirect Cost Rate Agreement (NICRA).

Recipients are strongly encouraged to self-assess their ICP using the Defense Contract Audit Agency’s (DCAA) ICP Adequacy Checklist to ensure an adequate submission. The ICP must be reconciled to the recipient’s financial statements, within 180 calendar days after the close of the recipient’s fiscal year. The Contracting Officer for Indirect Cost Rates may grant, in writing, reasonable extensions for exceptional circumstances only. If NETL is the

Cognizant Federal Agency, the written request for extension should be sent to the [email protected] email address. The format and content of the incurred cost proposal should follow the DCAA ICE (Incurred Cost Electronically) Model in order to be considered an adequate proposal. DCAA’s ICE Model and Adequacy Checklist can be found on the DCAA website at: https://www.dcaa.mil/Home/ICEmodel and https://www.dcaa.mil/Home/ICSubmissionAdequacy.

J. Fringe Reconciliation Form
Submit to: [email protected] and [email protected] Submission
deadline:

Within 180 calendar days after the close of the recipient’s fiscal year* *The end of the period of the performance, or closure of an award, does not dismiss this reporting requirement.

Prime recipients must submit a certified annual Fringe Reconciliation Form, reconciled to its financial records, to finalize and reconcile fringe billing rates incurred and billed to the Government.

A Fringe Reconciliation Form submission is required when one of the following conditions apply to the DOE award:
• Recipient elected to apply the de minimis rate of up to 15% as allowed under 2 CFR 200.414(f) and proposed fringe; or
• Recipient proposed fringe benefits only.

The Fringe Reconciliation Form must be reconciled to the recipient’s financial statements, within 180 calendar days after the close of the recipient’s fiscal year. The Grants Officer for Fringe Costs may grant, in writing, reasonable extensions for exceptional circumstances only. The written request for extension should be sent to [email protected]. To be considered an adequate submission, Recipients must use the Fringe Reconciliation Form located at: Fringe Reconciliation Form. The Fringe Reconciliation Form must be sent to [email protected] and [email protected].

K. DOE For-Profit Compliance Audit
Submit to: Email a copy of the annual DOE For-Profit Compliance Audit to:
• [email protected] and
• The DOE Grants Officer
• [email protected] and [email protected]
Submission
deadline:

Within the earlier of 30 days after receipt of the auditor’s report(s) or 9 months after the end of the audit period (recipient’s fiscal year-end)* *The end of the period of the performance, or closure of an award, does not dismiss this reporting requirement.

A for-profit recipient which expends $1 million or more during the recipient’s fiscal year in DOE awards may have a compliance audit conducted for that year in accordance with 2 CFR 910.500-910.521 (subject to any deviation issued pursuant to 2 CFR § 910.133).

The DOE For-Profit Compliance Audit must be conducted in accordance with the regulations at 2 CFR 910.500-521 (subject to any deviation issued pursuant to 2 CFR § 910.133) and must refer to the appropriate regulations used by the auditor in their examination.

The compliance audit report must be submitted, along with audited financial statements, if required and available.

L. Single Audit: States, Local Government, Tribal Governments, Institution of Higher Education (IHE), or Non-Profit Organization
Submit to: Federal Audit Clearinghouse - https://www.fac.gov/ Submission
deadline:

Within the earlier of 30 days after receipt of the auditor’s report(s) or 9 months after the end of the audit period (recipient’s fiscal year-end)* *The end of the period of the performance, or closure of an award, does not dismiss this reporting requirement.

As required by 2 CFR 200 Subpart F, recipients that expend $1 million or more during the recipient’s fiscal year in federal awards must have a single or program-specific audit conducted. The single audit must be conducted in accordance with §200.514 Scope of audit, except when it elects to have a program-specific audit conducted.

For most single audits, the requirement is for annual single audits. However, there are occasions where a single audit is not required annually. Per 2 CFR 200.504 - Frequency of audits, a state, local government, or Indian tribe that is required by constitution or statute to undergo its audits less frequently than annually, is permitted to undergo its audits biennially. Also, any nonprofit organization that had biennial audits for all biennial periods ending between July 1, 1992, and January 1, 1995, is permitted to undergo its single audits biennially.

For a program-specific audit, when a recipient expends federal award funds under only one federal program (excluding R&D) and the federal program's statutes, regulations, or the terms and conditions of the federal award do not require a financial statement audit of the auditee, the auditee may elect to have a program-specific audit conducted. A programspecific audit may not be elected for R&D unless all of the federal awards expended were received from the same federal agency, or the same federal agency and the same passthrough entity, and that federal agency, or pass-through entity in the case of a subrecipient, approves in advance a program-specific audit.

The single audit report shall include audited financial statements.

M. Other (see Special Instructions)
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within five (5) calendar days after the event, or as specified III. Closeout Reporting
A. Final Scientific/Technical Report
Submit to: DOE Energy Link System (E-Link) available at https://www.osti.gov/elink/2413- submission.jsp
Submission
deadline:

Within 120 calendar days after expiration or termination of the award The prime recipient must submit a Final Scientific/Technical Report to DOE for all projects.

The scientific/technical report is intended to increase the diffusion of knowledge gained by DOE-funded research, and all requirements shall be interpreted in that light.

Content: Research findings and other significant scientific and technical information (STI) resulting from the DOE-sponsored projects shall be included in the final scientific/technical report, subject to the following provisions:

1. The scientific/technical report is to cover the entire period of performance. For Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) awards, a final scientific/technical report must be submitted after the completion of each phase, e.g., Phase I, Phase II, and sequential Phase II, as described in the Special Instructions.

2. STI that is publicly accessible need not be duplicated in the report if a citation with a link to where the information may be found is included in the report. For example, articles found in PAGES (i.e., DOE’s Public Access Gateway for Energy and Science, https://www.osti.gov/pages/) are accessible to the public.

3. Provide identifying information: the DOE award number; sponsoring program office; name of recipient; project title; name of project director/principal investigator; and consortium/team members.

4. Include the DOE acknowledgement of Federal support and legal disclaimer language as described in the Special Terms and Conditions.

5. Include any limitations on public release of the report, if authorized by the award agreement. If the document being submitted contains patentable material or

protected data (i.e., data first produced in the performance of the award that is protected from public release for a period of time by terms of the award agreement) as set forth in the award agreement, then (1) prominently display on the cover of the report any authorized distribution limitation notices, such as patentable material or protected data and (2) clearly identify patentable or protected data on each page of the report. Reports delivered without such notices or with restrictive notices not authorized by the award agreement may be deemed to have been furnished with unlimited rights, and the Government assumes no liability for the disclosure, use or reproduction of such reports. Any restrictive markings must also be noted in the distribution limitation section of the Announcement Notice (AN) 241.3. No protected PII should be included.

6. Provide an abstract or executive summary, which should be a minimum of one paragraph and written in terms understandable by an educated layperson. (Refer to https://www.osti.gov/stip/about/statutory-authorities for ANSI/NISO guidance as needed.) The abstract included in an application may serve as a model for this.

7. Summarize project activities for the entire period of funding, including original hypotheses, approaches used, and findings. Include, if applicable, facts, figures, analyses, and assumptions used during the life of the project to support the results in a manner that conveys to the scientific community the STI created during the project. To minimize duplication, the report may reference STI, including journal articles, that is publicly accessible. See also #2.

8. For guidance offered by the National Information Standards Organization on typical attributes and content of a technical report, if needed, refer to ANSI/NISO Z39.18- 2005 (R2010), Scientific and Technical Reports – Preparation, Presentation, and Preservation (see https://www.osti.gov/stip/about/statutory-authorities).

Electronic Submission Process: The final scientific/technical report must be submitted via the DOE Energy Link System (E-Link) with a completed electronic version of DOE Announcement Notice (AN) 241.3, “U.S. Department of Energy (DOE), Announcement of Scientific and Technical Information (STI).” The recipient can complete, upload, and submit the DOE AN 241.3 online via E-Link (https://www.osti.gov/elink/2413-submission.jsp).

Specific guidance for the submission process is provided in the Special Notes below.

Text documents must be submitted in Adobe Portable Document Format (PDF) and be one integrated PDF file that contains all text, tables, diagrams, photographs, schematics, graphs, and charts. Please refer to for PDF document creation.

The recipient must mark the appropriate block in the “Intellectual Property/Distribution Limitations” Section of the DOE AN 241.3. Reports that are electronically uploaded must not contain any limited rights data (proprietary data), classified information, protected PII, information subject to export control classification, or other information not subject to release. During the upload process, the recipient must self-certify that no content of this

nature is being submitted. For assistance with reports containing such content, contact the Grants Officer.

1. Final Technical Report – Unlimited:

If the award does NOT authorize the recipient, under the provisions of the Energy Policy Act of 2005, to protect the data produced during the award, where public release of the technical report is protected for a limited period-of-time, the technical report must be submitted to E-Link as a “Final Technical Report” (covering the entire project period of performance) and must not have any data protection markings on the cover page. The “STI Product Type” of “Technical Report” with the “Report Sub Type” of “Final Technical Report” must be selected. When submitting the final technical report to E-Link, the recipient must select “unlimited” from the Intellectual Property/Distribution Limitation selections. The final technical report will be released without any protections and may become publicly available immediately.

2. Final Technical Report – Protected Data:

If the award authorizes the recipient, under the provisions of the Energy Policy Act of 2005, to protect the data produced during the course of the award, where public release of the final technical report is protected for a limited period-of-time, and the recipient elects to protect the report, the recipient will be required to 1) submit a final technical report with the protected data (which will be protected during the identified data protection period) and 2) a version of the technical report that can be publicly disseminated immediately.

For the protected data version of the final technical report, the report must cover the entire project period of performance, include the proper data protection marking (included in the terms of the award), and place that marking on the cover page of the final technical report before submitting it to E-Link. The “STI Product Type” of “Technical Report” with the “Report Sub Type” of “Final Technical Report” must be selected. The recipient must also select the block in the Intellectual Property/Distribution Limitation section of the DOE AN 241.3 as “Protected Data” and provide a release date for the technical report when submitting the final technical report.

The release date is the date the technical report will become publicly available. The release date must be based on the data protection period authorized by the award. The data protection period is calculated beginning from the date that the data was produced. The release date must coincide with the data marking on the technical report.

Additionally, the Department’s policy is to ensure timely public access to unrestricted scientific and technical research results. To make these results publicly accessible, even when the award authorizes the recipient to protect the data for a period-of-time, the recipient must also submit an “unlimited” version of the technical report. This version should not include any data subject to data protections. The “unlimited” version of the

technical report must be uploaded to E-Link without any markings. The “STI Product Type” of “Technical Report” with the “Report Sub Type” of “Technical Report Other” must be selected. The recipient must select “unlimited” from the Intellectual Property/Distribution Limitation selections. The “unlimited” version of the technical report is submitted with unlimited data rights, and the Government assumes no liability for the disclosure, use or reproduction of such report.

B. Invention Certification (DOE F 2050.11)
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 120 calendar days after expiration or termination of the award The prime recipient is required to submit an Invention Certification DOE F 2050.11. The Invention Certification form is available at https://www.netl.doe.gov/business/businessforms/financial-assistance under Closeout Forms.

The Invention Certification must include a list of all subcontracts at any tier containing a patent rights clause (or state that there were none).

C. Tangible Personal Property Report – Final Report (SF-428 & SF-428B) Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 120 calendar days after expiration or termination of the award The prime recipient must submit a final inventory of and request disposition instructions for any federally-owned property and/or property or equipment acquired with project funds with an acquisition cost above $10,000, whether the property is/was in the possession of the prime recipient or subrecipients.

The prime recipient must complete an SF-428 and SF-428B, available at https://www.netl.doe.gov/business/business-forms or Post Award Reporting Forms | Grants.gov.

If disposition occurs at any time other than award closeout, the prime recipient must complete an SF-428 and SF-428C (see section II).

Only the DOE Grants Officer has authority to approve disposition requests and issue disposition instructions.

D. Verification of Receipt of Accepted Manuscripts
Recipients are required to submit Accepted Manuscripts of Journal Articles resulting in whole or in part from a DOE-funded project to E-Link (See section 1.C.1. Accepted Manuscript of Journal Article).

As part of the closeout process, DOE will verify that all accepted manuscripts have been submitted. Recipients are required to submit all missing accepted manuscript before closeout is finalized.

E. Other (see Special Instructions)
Submit to: https://www.eere-pmc.energy.gov/SubmitReports.aspx Submission
deadline:

Within 120 calendar days after expiration or termination of the award IV. Post-Project Reporting
A. Scientific and Technical Reporting
Scientific and Technical Reporting requirements as outlined in I.C. Scientific and Technical Reporting remain applicable after the award ends. If the recipient has created Scientific and Technical Information (STI) such as publications, conference products, technical reports, book chapters, etc. which include information/data produced under the award, they are required to submit this document to https://www.osti.gov/elink/forms.jsp. Recipients must continue to include proper DOE Acknowledgement and Legal Disclaimer language in all STI.

Please see section I.C. Scientific and Technical Reporting for additional information on submissions.

Note that after the project ends, recipients are no longer required to submit notification of STI directly to DOE.

B. Intellectual Property Reporting
Intellectual Property Reporting requirements as outlined in I.D. Intellectual Property Reporting remain applicable after the award ends.

Recipients are required to continue submitting intellectual property reports, as applicable, to iEdison https://public.era.nih.gov/iedison.

Note that after the project ends, recipients are no longer required to submit notification of intellectual property directly to DOE.

V. Appendix A: Notice To Recipients (Prime Recipients And Subrecipients) Regarding Protected Data, Limited Rights Data And Protected Personally Identifiable Information
I. PROTECTED DATA AND LIMITED RIGHTS DATA
The recipient is required to mark protected data and limited rights data in accordance with the IP clause set of the award agreement. Failure to properly mark data may result in its public disclosure under the Freedom of Information Act (FOIA, 5 U.S.C. § 552) or otherwise.

A. Protected Data - Technical Data or Commercial or Financial Data First Produced in the Performance of the Award
The U.S. Government normally retains unlimited rights in any technical data, or commercial or financial data produced in performance of Government financial assistance awards, including the right to distribute to the public.

However, under certain DOE awards, the recipient may mark certain categories of data produced under the award as protected from public disclosure (“Protected Data”). If the award agreement provides for protected data and the recipient wants the data to be protected, the recipient must properly mark any documents containing Protected Data as set forth in the IP clause set of the award agreement.

B. Limited Rights Data - Data Produced Outside of the Award at Private Expense Limited Rights Data is data (other than computer software) developed at private expense outside any Government financial assistance award or contract that embody trade secrets or are commercial or financial and confidential or privileged. Prior to including any Limited Rights Data in any documents to DOE, the recipient should review the award agreement. In most DOE awards, the recipient should not deliver any limited rights data to DOE if the recipient wants to protect the Limited Rights Data. If the DOE award does allow and require the delivery of limited rights data, then the recipient must properly mark any documents containing Limited Rights Data as set forth in the IP clause of the award agreement.

II. PROTECTED PERSONALLY IDENTIFIABLE INFORMATION
The recipient should not include any Protected Personally Identifiable Information (Protected PII) in their submissions to DOE. Protected PII is defined as any data that, if compromised, could cause harm to an individual such as identify theft. Protected PII includes, but is not limited to:
• Social Security Numbers in any form;
• Place of Birth associated with an individual;
• Date of Birth associated with an individual;
• Mother’s maiden name associated with an individual;

• Biometric record associated with an individual;
• Fingerprint;
• Iris Scan;
• DNA;
• Medical history information associated with an individual; • Medical conditions, including history of disease;
• Metric information, e.g., weight, height, blood pressure; • Criminal history associated with an individual;
• Ratings;
• Disciplinary actions;
• Passport number;
• Educational transcripts;
• Financial information associated with an individual;
• Credit card numbers; and
• Security clearance history or related information (not including actual clearances held).

VI. Appendix B: Research Performance Progress Report (RPPR) Template Research Performance Progress Report (RPPR) Template
{Title of Project}

WORK PERFORMED UNDER AGREEMENT
{Agreement Number}
{Recipient Organization Name}
{Address}
{City, State, Zip Code}
{Unique Entity Identifier}
Period of Performance: {start date} to {end date}
Reporting Period: {start date} to {end date}
Current Report Term or Frequency: {i.e., Annual, Semi-Annual, Quarterly} Submitted: {date}

PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR
{Name and Title}
{Phone Number}
{E-Mail}

BUSINESS CONTACT
{Name and Title}
{Phone Number}
{E-Mail}

SUBMITTING OFFICIAL
{Name and Title}
{Phone Number}

{E-Mail}
{Signature of Submitting Official}
(Electronic Signatures are Acceptable)
{Include the following Statement}
“By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate. I am aware that any false, fictitious, or fraudulent information, misrepresentations, halftruths, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001, Section 287 and Title 31, Sections 3729-3730). I further understand and agree that the information contained in this report are material to Federal agency’s funding decisions and I have an ongoing responsibility to promptly update the report within the time frames stated in the terms and conditions of the above referenced Award, to ensure that my responses remain accurate and complete.”

SUBMITTED TO
U. S. Department of Energy
National Energy Technology Laboratory
DOE Project Officer: {Name}

This report should not contain any proprietary, business sensitive, or other information not subject to public release.

TABLE OF CONTENTS
I. PROGRESS AND ACCOMPLISHMENTS ............................................................... 1 A. Major Accomplishments ..................................................................................... 1 B. Metrics................................................................................................................ 1 C. Milestones .......................................................................................................... 2 D. Product or Technology Production ..................................................................... 2 E. Plans for Future Work ........................................................................................ 4 II. SCHEDULE STATUS ...........................................................................4 III. COST STATUS.....................................................................................6 A. Spend Plan......................................................................................................... 7 IV. RISK AND CHANGE MANAGEMENT..................................................1 A. Technical Changes............................................................................................. 1 B. Personnel and Team Member Changes............................................................. 1 C. Risk Management Log.............................................................................................. 1 D. Other Issues, Concerns and Challenges .................................................................. 1

1 RECIPIENT SHOULD REMOVE ALL ITALICIZED INSTRUCTIONS AND EXAMPLES FROM EACH SECTION PRIOR TO SUBMITTAL TO DOE.

PROGRESS AND ACCOMPLISHMENTS
A. Major Accomplishments

1. Current Reporting Period
Provide a brief narrative, listed by task and subtask, that describes: 1) major activities completed; 2) specific goals/objectives reached; 3) significant results, including major findings, developments, or conclusions (both positive and negative); and 4) key outcomes or other achievements for this reporting period.

2. Overall Project Status
Provide a concise summary that describes the cumulative progress made to support the goals and objectives of the project.

B. Metrics
Complete the following table for each metric identified in the PMP. Provide a narrative in the Accomplishments section if the goal of a metric was achieved during this reporting period. Provide a narrative below the table that explains any actual or anticipated obstacles to achieve the goals.

PROJECT METRICS
SOPO
Task/
Subtask
Number
Metric Units
(%, $, #, etc.)
Goal
[OR]
Goal
for
Budget
Period
Progress
Reporting
Period
Cumulative
[OR]
Cumulative
for
Budget
Period

2 C. Milestones
Complete the following table for each milestone (or decision point if applicable) identified in the PMP. Provide a narrative in the Accomplishments section if a milestone was completed during this reporting period. For each milestone, also list the corresponding task/subtask number(s) and indicate how achievement was verified. Provide a narrative below the table that explains any actual or anticipated variance. Product or Technology Production

MILESTONE LOG
Milestone
(or Decision Point)
SOPO
Task/
Subtask
Number(s)
Completion Date Verification
Method
(or Decision
Criteria)
Status
(Completed,
Ahead of Schedule,
On Schedule, Delayed)
Planned Actual

3 1. Identify and discuss technology or techniques resulting from the research activities. Also describe technology transfer activities and information dissemination/sharing that occurred during the reporting period, including at a minimum, but not limited to:

Publications, conference papers, presentations, or other public releases. List and briefly discuss the major publication(s) resulting from work under this award and confirm that acknowledgement of federal support was included in the published material as required in the Terms and Conditions of the Financial Assistance Agreement.

Journal articles. List author(s); title; journal name, volume, year, page numbers, and status (published; accepted, awaiting publication; submitted, under review; other).

Other publications, conference papers and presentations. Identify any other publications, conference papers and/or presentations not reported above. Specify the status as noted above.

Books or other non-periodical, one-time publications. Report any book, monograph, thesis, dissertation, abstract, or the like published as (or in) a separate publication, rather than a periodical or series. Also list any significant publication included in the proceedings of a conference/symposium, or in the report of a one-time study, or similar advisory/investigative committee. For each one-time publication, identify:
author(s); title; editor; title of collection, if applicable; bibliographic information; year; type of publication (book, white paper, thesis or dissertation, other); status of publication (published; accepted, awaiting publication; submitted, under review; other).

Website(s) or other Internet site(s). List the URL for any Internet site(s) or page(s) that disseminates the results of the research activities. A short description of each site/page should be provided. It is not necessary to include the publications already specified above in this section.

2. Inventions, Patent Applications, Licenses
Identify inventions, patent applications with date, and/or licenses that have resulted from the research. Submission of this information as part of Quarterly Progress Report is not a substitute for any other invention reporting process specified in the Terms and Conditions of the Financial Assistance Agreement.

3. Other products
Identify any other significant products that were developed under this project such as data or databases, physical collections, audio and/or video recording, software or NetWare, models, educational aid or curricula, instruments or equipment.

4 D. How have the Results Been Disseminated to Communities of Interest? Describe how the results have been disseminated to communities of interest.

Include any outreach activities that have been undertaken for the purpose of enhancing public understanding and increasing interest in learning and careers in science, technology, and the humanities.

If there is nothing significant to report during this reporting period, state “Nothing to Report.”
E. Plans for Future Work

1. Work for Next Quarter
Briefly describe planned work that will be performed during the next reporting period.

2. Upcoming Events
List any planned work that could result in opportunities for external visibility such as major meetings, publications, demonstrations, presentations and any other outreach activities. In addition, list any internal project meetings that may be of interest to the DOE Project Officer. Information about such events should be provided for at least two quarters beyond the current reporting period.

SCHEDULE STATUS
Complete the following table for each task and subtask, baselined against the schedule contained in the current PMP.

Complete the following table for each deliverable identified in the PMP. Provide a narrative below the table that explains any actual or anticipated variance.

DELIVERABLE LOG

SCHEDULE & COST SUMMARY
SOPO
Task/
Subtask
Number
SOPO Title
or Description
Start
Date
Completion
Date %
Complete
Total
Planned
Cost
Total
Cost to
Planned Actual Planned Actual Date

1.0 Project Management

5 SOPO
Task/
Subtask
Number
Deliverable
Completion Date
Status
(Completed,
Planned Actual On Schedule, Delayed)

1.1 Project Management Plan MM/DD/YY

1.3 Data Management Plan MM/DD/YY

1.4 Commercialization Plan MM/DD/YY

6 COST STATUS
Baseline Budget and Incurred Cost Complete the following table and ensure that entries in the Total Approved Project Budget column are consistent with the SF-424A and the accepted PMP. Provide a narrative below the table that explains any actual or anticipated variance within one Budget Category that is ≥10% of the total approved budget.

BASELINE BUDGET AND INCURRED COST
Budget Category
Total Approved
Project Budget
Prior
Cumulative
Incurred Cost
Incurred Cost
During
Reporting
Period
Total
Cumulative
Incurred Cost
Fed. Non-Fed. Fed. Non-Fed. Fed. Non-Fed. Fed. Non-Fed.

Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
(List each contract valued at $25,000 or
more. Add rows as necessary.)
Remaining Contractual
(Sum of all contracts that are individually
valued at under $25,000)
Construction
Other
Sub-Total Direct Charges
Indirect Charges
Total

7 Spend Plan
Complete the following tables for the current budget period. The list should correspond to the Federal Fiscal Year (FY). For example, “FY21, Q1” would refer to the quarter that began October 1, 2020.

TOTAL PROGRAM OBLIGATIONS FOR CURRENT BUDGET PERIOD
Approved
Budget
(Federal Share)
Total Federal
Obligations
(Including Carry-over
from Prior Budget Period)
Total Cumulative
Incurred Costs
(Federal Share)
Unfunded Balance
of Budget
(Federal Share)

QUARTERLY SPEND PLAN
(based on Current Budget Period)
Quarter Federal Share Non-Federal Share
Planned Actual Planned Actual
FY##, Q1
FY##, Q2
FY##, Q3
FY##, Q4
FY##, Q1
*Add/Remove
rows as needed.

TOTAL

RISK AND CHANGE MANAGEMENT
A. Technical Changes
Briefly explain any recent or planned changes to the technical approach and discuss reasons for the change. Address how these changes may impact planned milestones, tasks, activities, or deliverables. Note that some changes (e.g., scope, objectives, primary site/location) may require prior DOE approval.

B. Personnel and Team Member Changes
Briefly explain any recent or planned changes to the roles, responsibilities, and involvement of personnel or team members listed in the PMP and describe how these changes could impact the project (e.g., scope, risk). Note that changes to key personnel require prior DOE approval. Key personnel are identified in the Financial Assistance Agreement, and at a minimum include the Principal Investigator and Business Point of Contact.

C. Risk Management Log
Use the table to indicate the status of each risk identified in the PMP. Also list any new risks discovered during the reporting period. Provide a narrative below the table that describes any new, emergent, realized, or mitigated risks.

D. Other Issues, Concerns and Challenges
Unless addressed elsewhere in this Report, discuss actual, anticipated, or resolved issues, concerns, challenges, or any other events/incidents or circumstances adversely impacting project execution. Describe steps taken to resolve these items.

RISK MANAGEMENT LOG
Risk
Likelihood
(High, Medium, Low)
Impact
(High, Medium, Low)
Potential
Impact to
SOPO Tasks/
Subtasks
Mitigation
Strategy
Status
(New,
Emerging,
Realized,
Mitigated)

2 VII. Appendix C: Project Management Plan Template
Title Page:

PROJECT MANAGEMENT PLAN
{Title of Project}

WORK PERFORMED UNDER AGREEMENT
{Agreement Number/TBD}
{Recipient Organization Name}
{Address}
{City, State, Zip Code}
Period of Performance: {start date} to {end date}
Current Budget Period: {start date} to {end date}
Submitted: {date}
Revision: {#}

PRINCIPAL INVESTIGATOR
{Name}
{Phone Number}
{E-Mail}

BUSINESS CONTACT
{Name}
{Phone Number}
{E-Mail}

SUBMITTED TO
U. S. Department of Energy
National Energy Technology Laboratory
DOE Project Officer: {Name/TBD}

This report should not contain any proprietary, business sensitive, or other information not subject to public release.

TABLE OF CONTENTS
ACRONYM LIST ........................................................................................1 I. EXECUTIVE SUMMARY AND TECHNICAL APPROACH..................2 II. KEY PERSONNEL .............................................................................3 III. TEAM MEMBERS ..............................................................................4 IV. PROJECT BUDGET AND SPEND PLAN...........................................6 V. MILESTONE LOG ..............................................................................9 VI. PROJECT SCHEDULE AND DELIVERABLES ................................10 VII. METRICS.........................................................................................11 VIII. RISK MANAGEMENT ......................................................................12

1 ACRONYM LIST
DMP: Data Management Plan
DOE: Department of Energy
FOA: Funding Opportunity Announcement
FY: Fiscal Year (federal)
PMP: Project Management Plan
Q#: Quarter #
SOPO: Statement of Project Objectives
Add project specific acronyms as needed.

2 RECIPIENT SHOULD REMOVE ALL ITALICIZED INSTRUCTIONS AND EXAMPLES FROM EACH.

EXECUTIVE SUMMARY AND TECHNICAL APPROACH
Provide a synopsis of the overall project that briefly describes the technical approach, objective(s), goals, and expected results. Identify and discuss technology or techniques resulting from the project. Discuss technology transfer activities and information dissemination/sharing that will occur during this project.

3 KEY PERSONNEL
List the project team’s key personnel, their role, and contact information. Key personnel are identified in the Financial Assistance Agreement and, at a minimum, include the Principal Investigator and Business Point of Contact. Note that changes to key personnel require prior DOE approval.

KEY PERSONNEL
Role Name Phone Email
Principal Investigator
Business Point of
Contact

4 TEAM MEMBERS
Complete the following table to provide a summary of Prime Recipient and Team Member planned activities by SOPO task and/or subtask number(s).

Complete the following table to provide information about the roles, location, and funding for members of the project team. If a team member has multiple roles and/or multiple locations, include a separate entry for each role and location. Include any team member:
• receiving or providing project funds (government or cost share) equal to or greater than $25,000;
• providing intellectual property (include value if applicable); and/or • serving as demonstration host/location regardless of value.

For each team member listed in the table, select the role description from the following:
• Subrecipient,
• Demonstration Host/Location,
• Vendor (e.g., services, equipment, supplies, etc.)
• Intellectual Property Provider (e.g., source code, data, algorithms, etc.), • Cost Share Provider, and
• Other

SUMMARY OF TEAM MEMBER PLANNED ACTIVITIES
Team Member Planned Activities by SOPO Task/Subtask Number(s) Prime Recipient 1.0 - Manage and execute the project. Develop required plans.

X.Y - Design evaluations.

Utility ABC X.Y - Providing data.

X.Y - Software demonstration host; will install at
backup/secondary control center.

Professor Tom Smith,
(University Name)
X.Y - Engineering code development.

5 Use the address that is closest to where the team member’s work will be performed.

SUMMARY OF TEAM MEMBER ROLES AND FUNDING
Team Member Role Location Value
Utility XYZ Demo Host/Location 123 Main Street
Morgantown, WV 26505
$0
Utility XYZ Demo Host/Location 14 Main Street
Pittsburgh, PA 15219
$0
Vendor ABC Vendor 456 Main Street
Pittsburgh, PA 15219
$100,000
Another Utility Cost Share Provider 1 Another Utility Drive Morgantown, PA 19543
$250,000

6 PROJECT BUDGET AND SPEND PLAN
Complete the following tables and ensure that each budget category is consistent with the SF424A form included with the Financial Assistance Agreement.

PLANNED BUDGET - PHASE 1
Budget Category Federal Share Non-Federal Share Total
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
(List each contract valued at $25,000 or
more. Add rows as necessary)
Remaining Contractual
(Sum of all contracts that are individually
valued at under $25,000)
Construction
Other
Sub-Total Direct Charges
Indirect Charges
Total

7 PLANNED BUDGET - PHASE 2
Budget Category Federal Share Non-Federal Share Total
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
(List each contract valued at $25,000 or
more. Add rows as necessary)
Remaining Contractual
(Sum of all contracts that are individually
valued at under $25,000)
Construction
Other
Sub-Total Direct Charges
Indirect Charges
Total

8 Complete the following table to outline the planned spending for each quarter during the project.

The list should correspond to the Federal Fiscal Year (FY). For example, “FY21, Q1” would refer to the quarter that began October 1, 2020.

QUARTERLY SPEND PLAN
Quarter Federal Share Non-Federal Share Total
FY##, Q1
FY##, Q2
FY##, Q3
FY##, Q4
FY##, Q1
Add/Remove rows
as needed.

TOTAL

9 MILESTONE LOG
Complete the following table to identify milestones that demonstrate significant progress toward meeting the overall project goals. If the project contains any go/no-go decision points, include them and their associated decision criteria in the table. A milestone is a time-based marker that indicates that a significant activity, process, or phase of work has been initiated or completed. For each milestone, list the associated SOPO task/subtask and how the achievement of the milestone will be verified. Additional milestone guidance is provided immediately following this PMP template.

MILESTONE LOG
Milestone
(or Decision Point)
SOPO
Task/
Subtask
Number
Planned
Completion
Date
Verification Method
(or Decision Criteria)
NDAs with industry
partners are signed
X.Y MM/DD/YY Confirmation email to Federal Project
Officer.

Design specification
complete.

X.Y MM/DD/YY Confirmed in quarterly report.

10 PROJECT SCHEDULE AND DELIVERABLES
Complete the following table to provide the schedule and estimated cost for executing each of the tasks and subtasks described in the SOPO.

SCHEDULE & COST SUMMARY
SOPO
Task/
Subtask
Number
SOPO Task/
Subtask Title
Planned
Start
Date
Planned
Completion
Date
Planned
Total Cost

1.0 Project Management and Planning MM/DD/YY MM/DD/YY
Complete the following table to include only the deliverables defined in the SOPO.

DELIVERABLES LOG
SOPO
Task/
Subtask
Number
Deliverable
Planned
Completion
Date

1.1 Project Management Plan MM/DD/YY

1.3 Data Management Plan As Needed

1.4 Commercialization Plan MM/DD/YY

11 METRICS
Complete the following table to include all the metrics stipulated in the FOA, and any metrics defined by the Recipient.

PROJECT METRICS
SOPO
Task/
Subtask
Number
Tracking
Metric
Units
(%, $, #, etc.) Goal
X.X Estimated capital cost $/unit $1,000
X.X Number of utilities participating
in energy emergency exercises # 15
X.X System energy efficiencies % Improvement by >20%
X.X Outage time of critical loads Hours/
Interruption Reduced by >98%

12 RISK MANAGEMENT
Complete the following table to identify both internal and external risks (i.e., technical, resource, management, etc.), that may impact the likelihood of project success. For each identified risk, indicate any relevant task/subtask, likelihood of occurrence and the extent and potential impact on successful project completion. Provide a narrative below the table that describes the project’s risk management process, including at a minimum: monitoring frequency, new risk identification, risk retirement, and team member involvement.

RISK MANAGEMENT LOG
Risk
Likelihood
(High, Medium, Low)
Impact
(High, Medium, Low)
Potential Impact
(Identify SOPO Task/Subtask,
if applicable)
Mitigation
Strategy
Inability to secure
required cost
share.

Low
High
Scope of project
will be reduced, or
project may be
terminated.
{Insert appropriate mitigation
strategy here}
Loss of utility
partner.

Low
Medium
Significant delay in
starting
demonstration
phase in Task 5.0.
{Insert appropriate mitigation
strategy here}

Guidance for Creating Project Management Plan Milestones A milestone is used to gauge overall progress toward achieving the project goals. In order to exhibit project progress/achievement as accurately as possible, a milestone must be specific, measurable, attainable, relevant, and timely. While DOE expects all projects to have at least one high-level milestone per year, a sufficient number of milestones should be included that demonstrate work completed or progress made towards achieving project goals. Fundamentally, a milestone:
• Marks the end or the beginning of an event;
• Occurs by a specific date;
• Has no duration of time, expends no resources, and has no associated costs; and • Can be verified.

A milestone is not a process, task, activity, or deliverable. However, as shown in the following examples, the completion of a process, task, activity; or submission of a deliverable can be a milestone.
• A process: “Oversight of the NEPA program” may be a significant element of the project, however it does not help measure actual progress. On the other hand, “Obtain a NEPA Categorical Exclusion” (as part of the NEPA process) can be a milestone.
• A SOPO task/subtask or activity: While the task “Development of the Preliminary Design” may be substantial, it is not a milestone. However, “Complete the Preliminary Design” could be a milestone since it would be a measure of progress made towards achieving the project goals.
• A deliverable: “Submit the Communications Plan” may be considered a milestone since it marks completion of a significant task, activity, phase, etc. As such, the deliverable can provide a measure of project progress. However, unless the deliverable marks the completion of an important work package or phase, it may not possess sufficient significance to warrant being a milestone.

It is understood that Recipients will use a variety of internal indicators, benchmarks, etc. to track/gauge the progress made by the team toward completing the planned project.

However, many of these may not have the significance to be included as a PMP milestone.

City of Maywood Award Number: DE-OE0000951
Federal Non-Federal Federal Non-Federal Total
(a) (b) (c ) (d) (e) (f) (g)

1. OE- BP 1 81.122 $250,000 $327,180 $577,180

2. 3. $0

4. $0

5. Totals $0 $0 $250,000 $327,180 $577,180
Budget Period 1 Budget Period 2 (3) (4)
$43,000 $43,000
$0 $0
$0 $0
$0 $0
$257,000 $257,000
$277,180 $277,180
$0 $0
$0 $0
$577,180 $0 $0 $577,180
$0 $0
$577,180 $0 $0 $577,180

7. $0
SF-424A (Rev. 4-92)
Applicant Name:

Budget Information - Non Construction Programs
OMB Approval No. 0348-0044
New or Revised Budget
Section A - Budget Summary
Catalog of Federal
Domestic Assistance
Number
Grant Program Function or Activity
Estimated Unobligated Funds
Authorized for Local Reproduction
h. Other
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
j. Indirect Charges
f. Contractual
g. Construction
Previous Edition Usable Prescribed by OMB Circular A-102 k. Totals (sum of 6i-6j)
Program Income
Section B - Budget Categories
e. Supplies
i. Total Direct Charges (sum of 6a-6h)
Grant Program, Function or Activity

6. Object Class Categories Total (5)

(b) Applicant (c ) State (d) Other Sources (e) Totals

8. $327,180 $327,180

9. $0

10. $0

11. $0

12. $327,180 $0 $0 $327,180
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th quarter

13. $250,000 $62,500 $62,500 $62,500 $62,500

14. $327,180 $81,795 $81,795 $81,795 $81,795

15. $577,180 $144,295 $144,295 $144,295 $144,295
(b) First (c ) Second (d) Third (e) Fourth

16. 17.

18. 19.

20. $0 $0 $0 $0

21. Direct Charges 22. Indirect Charges

23. Remarks
SF-424A (Rev. 4-92)
Prescribed by OMB Circular A-102
Section F - Other Budget Information
Future Funding Periods (Years)
Non-Federal
Total (sum of lines 13 and 14)
Total (sum of lines 16-19)
Section E - Budget Estimates of Federal Funds Needed for Balance of the Project (a) Grant Program
OE-BP 1
Section D - Forecasted Cash Needs
(a) Grant Program
Section C - Non-Federal Resources
Federal
Total (sum of lines 8 - 11)
Previous Edition Usable
Authorized for Local Reproduction
$577,180 /100% $0
Instructions for the SF-424A
Public Reporting Burden for this collection of information is estimated to average 3.0 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and

Public Reporting Burden for this collection of information is estimated to average 3.0 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please do not return your completed form to the Office of Management and Budget; send it to the address provided by the sponsoring agency.

General Instructions
This form is designed so that application can be made for funds from one or more grant programs. In preparing the budget, adhere to any existing Federal grantor agency guidelines which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. For some programs, grantor agencies may require budgets to be separately shown by function or activity. For other programs, grantor agencies may require a breakdown by function or activity. Sections A, B, C, and D should include budget estimates for the whole project except when applying for assistance which requires Federal authorization in annual or other funding period increments. In the later case, Sections A, B, C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in Lines a-k of Section B.

Section A. Budget Summary Lines 1-4 Columns (a) and (b) For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the catalog program title and the catalog number in Column (b).

For applications pertaining to a single program requiring budget amounts by multiple functions or activities, enter the name of each activity or function on each line in Column (a), and enter the catalog number in Column (b). For applications pertaining to multiple programs where none of the programs require a breakdown by function or activity, enter the catalog program title on each line in Column (a) and the respective catalog number on each line in Column (b).

For applications pertaining to multiple programs where one or more programs require a breakdown by function or activity, prepare a separate sheet for each program requiring the breakdown. Additional sheets should be used when one form does not provide adequate space for all breakdown of data required. However, when more than one sheet is used, the first page should provide the summary totals by programs.

Lines 1-4, Columns (c) through (g)
For new applications, leave Columns (c) and (d) blank. For each line entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year).

For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns (c) and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and (f).

For supplemental grants and changes to existing grants, do not use Columns (c) and (d). Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease of non-Federal funds. In Column (g) enter the new total budgeted amount (Federal and non-Federal) which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in Columns (e) and (f). The amount(s) in Column (g) should not equal the sum of amounts in Columns (e) and (f).

Line 5—Show the totals for all columns used.

Section B. Budget Categories
In the column headings (a) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1-4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headings on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non-Federal) by object class categories.

Lines 6a-i—Show the totals of Lines 6a to 6h in each column.

Line 6j—Show the amount of indirect cost.

Line 6k—Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, Column (g), Line 5. For supplemental grants and changes to grants, the total amount of the increase or decrease as shown in Columns (1)-(4), Line 6k should be the same as the sum of the amounts in Section A, Columns (e) and (f) on Line 5.

Line 7—Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Show under the program narrative statement the nature and source of income. The estimated amount of program income may be considered by the federal grantor agency in determining the total amount of the grant.

SF-424A (Rev. 4-92
Previous Edition Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102 Section C. Non-Federal Resources
Lines 8-11—Enter amounts of non-Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet.

Column (a)—Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary.

Column (b)—Enter the contribution to be made by the applicant.

Column (c)—Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank.

Section E. Budget Estimates of Federal Funds Needed for Balance of the Project
Lines 16-19—Enter in Column (a) the same grant program titles shown in Column
(a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants.

If more than four lines are needed to list the program titles, submit additional schedules as necessary.

g
Column (d)—Enter the amount of cash and in-kind contributions to be made from all other sources.

Column (e)—Enter totals of Columns (b), (c), and (d).

Line 12—Enter the total for each of Columns (b)-(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f) Section A.

Section D. Forecasted Cash Needs
Line 13—Enter the amount of cash needed by quarter from the grantor agency during the first year.

Line 14—Enter the amount of cash from all other sources needed by quarter during the first year.

Line 15—Enter the totals of amounts on Lines 13 and 14.

Line 20—Enter the total for each of the Columns (b)-(e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line.

Section F. Other Budget Information
Line 21—Use this space to explain amounts for individual direct object-class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency.

Line 22—Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense.

Line 23—Provide any other explanations or comments deemed necessary.

SF-424A (Rev. 4-92
Previous Edition Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102

Department of Energy
October 2, 2023
Standard Intellectual Property (IP) Provisions for Financial Assistance Awards issued ON OR AFTER October 1, 2021
Recipient Name
Award Number
Type of Award
Type of Project
Type of Recipient
US Manufacture/DEC
Special Data Statute
Supplemental
Instructions
The City of Maywood
DE-OE0000951
Cooperative Agreement
Non-R&D
Large Business, Government Entity or Foreign
None
None -- No Special Data (Unlimited Rights)
None
DOE IP Clause Number NRD-821
Data Rights No Data Clause
Patent Rights No Patent Clause
USM Requirements No Patent Clause
Provisions
Attachment 4

Department of Energy
October 2, 2023
Intellectual property rights are subject to 2 CFR 200.315 (e.g. institution of higher education or nonprofit organizations) or 2 CFR 910.362 (e.g. for-profit).

NETL F 451.1-1-1 P.1
Revised: 11.07.2025
Reviewed: 11.07.2025
(previous editions obsolete)
U.S. DEPARTMENT OF ENERGY – NATIONAL ENERGY TECHNOLOGY LABORATORY

CATEGORICAL EXCLUSION (CX)

DETERMINATION FORM
ADMINISTRATIVE AND ROUTINE ACTIONS EXCEPTED FROM NEPA REVIEW, 10 CFR 1021 APPENDIX A The NETL NEPA Division has reviewed all proposed project activities and has determined that NEPA does not apply.

Facility Operation
B1.3 - Routine maintenance
B1.7 - Electronic equipment
B1.13 - Pathways, short access roads, and rail lines
B1.15 - Support buildings
B1.31 - Installation or relocation of machinery and equipment Safety and Health
B2.1 - Workplace enhancements
B2.2 - Building and equipment instrumentation
B2.3 - Personnel safety and health equipment
Site Characterization, Monitoring, and General Research B3.1 - Site characterizations and environmental monitoring B3.2 - Aviation activities (aerial survey and mapping)
B3.6 - Small-scale research and development, laboratory operations, and pilot projects
B3.7 - New terrestrial infill exploratory and experimental wells B3.9 - Projects to reduce emissions and waste generation B3.11 - Outdoor tests and experiments on materials and
equipment components
Electrical Power and Transmission
B4.4 - Power marketing services and activities
B4.6 - Additions and modifications to transmission facilities B4.11 - Electric power substations and interconnection facilities B4.12 - Construction of powerlines (up to 10 miles, or up to 20 miles if within previously disturbed or developed powerline or pipeline rights-of-way)
B4.13 - Upgrading and rebuilding existing power lines
B4.14 - Construction and operation of electrochemical-battery or flywheel energy storage systems
Funding Authority (Base, IIJA, IRA, CDS): DOE Funding Office (FE, EERE, OE, etc.):

Solicitation (NOFO) Number: Award Number:

Prime Recipient Name and Location: Sub-Recipient Name and Location:

NETL Org.: NETL Project Manager:

Title of Proposed Action:

Brief Description of Proposed Action:

Conservation, Fossil, and Renewable Energy Activities
B5.1 – Actions to conserve energy or water
B5.3 – Modification or abandonment of wells
B5.4 – Repair or replacement of pipelines
B5.5 – Short pipeline segments (up to 20 miles)
B5.12 – Workover of Existing Wells
B5.13 – Experimental wells for injection of small quantities of carbon dioxide (up to 500,000 tons per geologic formation)
B5.14 – Combined heat and power or cogeneration systems B5.15 – Small-scale renewable energy research and development and pilot projects
B5.16 – Solar photovoltaic systems
B5.18 – Wind turbines
B5.21 – Methane gas recovery and utilization systems
B5.22 – Alternative fuel vehicle fueling stations
B5.23 – Electric vehicle charging stations
Other
Specify category/categories in space below
THE PROPOSED ACTION FALLS WITHIN THE FOLLOWING CATEGORICAL EXCLUSION(S) FROM 10 CFR 1021, Appendix B

U.S. DEPARTMENT OF ENERGY – NATIONAL ENERGY TECHNOLOGY LABORATORY

CATEGORICAL EXCLUSION (CX)

DETERMINATION FORM
NETL F 451.1-1-1 P.2
Revised: 11.07.2025
Reviewed: 11.07.2025
(previous editions obsolete)

THE PROPOSED ACTION FALLS WITHIN THE FOLLOWING CATEGORICAL EXCLUSION(S) ADOPTED FROM OTHER FEDERAL AGENCIES PURSUANT TO SECTION 109 OF NEPA (42 U.S.C. 4336c) (APPENDIX C OF DOE’S NEPA IMPLEMENTING PROCEDURES).

This action (1) would not present any extraordinary circumstances such that the action might have a significant impact upon the human environment; (2) is not connected to other actions with potentially significant impacts; and (3) has not been segmented in order to meet the definition of a Categorical Exclusion.

SELECT ONE OF THE FOLLOWING
This Determination includes all tasks, phases, recipients, and locations for the proposed action.

This Determination does not includes all tasks, phases, recipients, and locations for the proposed action. Only the following tasks, phases, recipients, or locations specified below are included:

NCO Comment Only: The following comment is provided for the consideration of the Contract Specialist or Contracting Officer:

The NETL Project Manager acknowledges the responsibility to obtain a NEPA determination prior to initiating or modifying any activities outside the scope of this Categorical Exclusion determination.

DOE Project Manager Signature: Date:

NEPA Compliance Officer Signature: Date:

U.S. DEPARTMENT OF ENERGY – NATIONAL ENERGY TECHNOLOGY LABORATORY

CATEGORICAL EXCLUSION (CX)

DETERMINATION FORM
Instructions
Provide the following information:
• Funding Authority
• DOE Funding Office
• Solicitation Number
• Award Number
• Prime Recipient Name and Location
• Sub-Recipient Name and Location
• NETL Organization
• NETL Manager
• Title of proposed action
• Brief description of activities
Check all the boxes that apply; Use the “Other” category and the space provide to list any information not already listed.

Acquire the signature of the initiator as well as the NEPA Compliance Officer A space is provided above the signature blocks to list any considerations that may be valuable to the contracting officer.

The purpose of this form is to request and obtain approval for a Categorical Exclusion (CX) determination under the National Environmental Policy Act (NEPA) for National Energy Technology Laboratory activities and extramural awards.

NETL F 451.1-1-1 P.3
Revised: 11.07.2025
Reviewed: 11.07.2025
(previous editions obsolete)
U.S. DEPARTMENT OF ENERGY – NATIONAL ENERGY TECHNOLOGY LABORATORY

CATEGORICAL EXCLUSION (CX)

DETERMINATION FORM

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0
Special Terms and Conditions
The City of Maywood (“recipient”), which is identified in Block 5 of the Assistance Agreement, and the United States Department of Energy (“DOE”), enter into this award, referenced above, to achieve the project objectives stated in the Attachments to this award.

This award consists of the Assistance Agreement, Standard Terms and Conditions, Special Terms and Conditions, and the following Attachments:

Attachment
Number
Title
Special Terms and Conditions
1 Statement of Project Objectives
2 Federal Assistance Reporting Checklist and Instructions 3 Budget Information SF-424A
4 Intellectual Property Provisions
5 Environmental Review
Applicability of Special Terms and Conditions
These Special Terms and Conditions comply with 2 CFR 200.211(d) and are a companion document to the Standard Terms and Conditions, available at Funding Opportunities, and address the unique aspects of a particular award driven by program specific requirements, statutory criteria, risks, or other considerations. The Standard Terms and Conditions comply with 2 CFR 200.211(c) and provide a common set of financial assistance terms that can be applied to all applicable DOE awards. Recipients must meet the requirements set forth in both the Standard and Special Terms and Conditions. In instances where requirements may conflict, the Special Terms and Conditions will take precedence.

Notice Regarding Use of Hyperlinks
Hyperlinks are provided to improve the readability of the terms as a convenience to the recipient. The hyperlinked citation is applicable and in full effect on the effective date of Assistance Agreement, (or amended terms and conditions as may be applicable). If a hyperlink is broken, dead, or orphaned, the referenced regulation remains applicable.

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 2
Table of Contents
Applicability of Special Terms and Conditions ................................................................................................... 1 Notice Regarding Use of Hyperlinks.................................................................................................................... 1 Table of Contents ................................................................................................................................................. 2 I. Administrative Terms ........................................................................................................................... 3 A. Prior Approvals......................................................................................................................................... 3 II. National Policy Terms........................................................................................................................... 6 A. NEPA Determination ................................................................................................................................ 6 B. Build America, Buy America Act (“BABA”) Waiver................................................................................... 7 III. DOE Terms............................................................................................................................................ 7 A. Federal Stewardship................................................................................................................................. 7 B. One Time No-Cost Extension.................................................................................................................... 9 IV. Research, Technology, and Economic Security Terms........................................................................... 9 A. Definitions................................................................................................................................................ 9 B. Current and Pending Support ................................................................................................................12 V. Financial Terms................................................................................................................................... 15 A. Cost Sharing ...........................................................................................................................................15 B. Unallowable Project Costs .....................................................................................................................15 C. Unallowable Cost Share Sources............................................................................................................16 D. Payment Procedures - Automated Standard Application for Payments (ASAP)....................................16 E. Indirect Costs..........................................................................................................................................16 VI. Equipment & Real Property Terms...................................................................................................... 17 A. Continued Use of Real Property and Equipment ...................................................................................17 VII. Award Specific Terms ......................................................................................................................... 18 A. Use of Program Income..........................................................................................................................18 B. Foreign Entity Participation as a Recipient, Subrecipient, or Contractor...............................................18 C. Foreign Travel.........................................................................................................................................18

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 3
I. Administrative Terms
A. Prior Approvals
The following programmatic decisions or costs require prior approval from the Grants Officer as described below and, when applicable, in the corresponding term. Prior approvals must be submitted in writing to the Grants Officer, Specialist, and Federal Project Manager for your award. You are not authorized to proceed until you receive written notification from the Grants Officer.

Prior Approval Description Location Applicability/Disposition Change in scope to include site
changes or the objective of the project
or program (even if there is no
associated budget revision requiring
prior approval).
2 CFR 200.308(f)(1) Applicable to all awards
Change in key personnel or new
covered individuals if applicable.
2 CFR 200.308(f)(2) and
Special Terms, “Current
and Pending Support”
Applicable to all awards
Disengagement within regulatory
limits from the project by the project
director or principal investigator.
2 CFR 200.308(f)(3) Applicable to all awards
Inclusion of costs that require prior
approval in accordance with 2 CFR
200 Subpart E.
2 CFR 200.308(f)(4) Applicable to all awards
Transfer of participant support costs
to other budget categories.
2 CFR 200.308(f)(5) Applicable to all awards
Change in subrecipients (including
national laboratories) from those in
the original Federal award.
2 CFR 200.308(f)(6) and
Standard Terms,
“Subrecipient Change
Notification”
Applicable to all awards
Changes in total approved cost
sharing amount.
2 CFR 200.308(f)(7) Applicable to all awards
Need for additional federal funds to
complete the project.
2 CFR 200.308(f)(8) Applicable to all awards
Transfer of funds between
construction and non-construction
activities.
2 CFR 200.308(f)(9) Applicable to awards with
construction activities
A no-cost extension (meaning, an
extension of time that does not
require the obligation of additional
Federal funds) of the period of
performance, other than any one-time
extension that is already authorized.
2 CFR 200.308(f)(10)
and Special Terms, “One
Time No-Cost Extension”
Applicable to all awards

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 4
Prior Approval Description Location Applicability/Disposition Potential or actual change of control
of a recipient requires Grants Officer
notification. Grants Officer approval
is required for any actual change of
control.
2 CFR 910.368 Applicable to all awards
All costs incurred prior to the award
effective date.
2 CFR 200.308(f)(1) / 2
CFR 200.458
N/A - Pre-awards costs are not
authorized under this award.

Any increase in the total project cost
or transfer of funds between direct
categories that exceed 10 percent of
the total budget.

Standard Terms, “Budget
Changes” and 2 CFR
200.308
Applicable to all awards
Any changes to the use of indirect
costs.
2 CFR 200.306(c) Applicable to awards with
indirect costs
Any changes to the information,
disclosures, representations, and/or
certifications provided in the preaward information sheet.

Standard Terms, “PreAward Information”Applicable to all awards Expenditures more than the federal
share authorized to a particular
budget period.

Special Terms, “Funding
of Budget Periods”
Applicable to all awards with
multiple budget periods
Requests for reassignment of the
award to any entity as described in
the award term.

Standard Terms,
“Prohibition Against ReAssignment”
Applicable to all awards
Potential covered transaction
identified in accordance with 2 CFR
180.335 prior to entering into such a
transaction.

Standard Terms,
“Nonprocurement
Debarment and
Suspension”
Applicable to all awards
Any changes or additions to Wage
Determinations.

Special Terms, “Davis
Bacon Act
Requirements”
Davis Bacon Act is not
applicable.

Awards made after July 21, 2025: If
DOE directly funds the FFRDC, the
recipient must notify the Grants
Officer when the required agreement
(e.g., CRADA, Technical Assistance
Agreement, Technical Service
Agreement, etc.) between the
recipient and the FFRDC is finalized
and provide the agreement number
prior to initiation of work by the
FFRDC.

Special Terms, “Funding
of Federally Funded
Research and
Development Centers
(FFRDC)”
Not Applicable
New potential collaborations with
foreign entities, organizations, or
governments in connection with the
DOE-funded award scope.

Standard Terms, “Foreign
Collaboration
Considerations”
Applicable to all awards

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 5
Prior Approval Description Location Applicability/Disposition Any project activity or cost that has
not already received prior approval on
historic properties listed in or eligible
for listing in the National Register of
Historic places.

Standard Terms,
“Historic Preservation”
Applicable to all awards
Any project activity that has not
already received prior approval
involving research on human
subjects, biospecimens, or identifiable
private information.

Standard Terms, “Human
Subjects Research”
Applicable to all awards
Any project activity that has not
already received prior approval
involving research on vertebrate
animals.

Standard Terms, “Animal
Welfare”
Applicable to all awards
Any project task, activity, or
associated cost that has not already
received a National Environmental
Policy Act (NEPA) determination or
an associated prior approval.

Standard Terms,
“National Environmental
Policy Act”
Special Terms,
“NEPA Determination”
Applicable to all awards. See
Environmental Review in the
award attachments for specifics.

Any project activity or cost associated
with an unmanaged or unmanageable
financial conflict of interest.

Standard Terms, “Interim
Conflict of Interest Policy
for Financial Assistance”
Applicable to all awards
Any project activity or cost associated
with an organizational conflict of
interest.

Standard Terms,
“Organizational Conflict
of Interest”
Applicable to all awards
Any project activity or cost that has
not yet received prior approval
associated with or impacting the
resources or reserved rights of Indian
Tribe(s).

Standard Terms,
“Impacted Indian Tribes”
Applicable to all awards
Any project activity or cost
performed outside the United States
(including foreign travel) that has not
received prior approval, except the
purchase of supplies or equipment.

Special Terms,
“Performance of Work in
the United States Waiver”
No activities outside of the US.

Any project activity or cost associated
with subrecipients or contractors that
are foreign entities as defined in the
NOFO that have not received prior
approval.

Special Terms, “Foreign
Entity Participation as a
Recipient, Subrecipient,
or Contractor”
Applicable to all awards.

When applicable, approved
activities or costs associated
with subrecipients or
contractors that are foreign
entities are found in the Foreign
Entity Participation as a
Recipient, Subrecipient, or
Contractor Term.

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 6
Prior Approval Description Location Applicability/Disposition Any property or equipment cost that
has not yet received prior approval
must receive prior written approval
from the Grants Officer; disposition
of all property and equipment must
follow the requirements of 2 CFR
200.313 and 2 CFR 910.360.
2 CFR 200.313 and 2
CFR 910.360
Applicable to all awards
Any project activity or cost associated
with the use of any federally owned
equipment required to achieve project
objectives that has not yet received
prior approval.

Standard Terms,
“Federally Owned
Property (GovernmentFurnished)”
No federally owned equipment.

Any project activity or cost associated
with project travel outside the United
States that has not yet received prior
approval.

Special Terms, “Foreign
Travel”
Applicable to all awards.

When applicable, approved
travel outside the United States
is found in the Foreign Travel
Term.

Prior approvals may include specific conditions in accordance with 2 CFR 200.208 that must be achieved for the activities and associated project costs to be allowable under the award.

If the recipient elects not to fully achieve all the specific conditions, the costs may be deemed unallowable and all previously reimbursed costs associated with the unallowable activities will be required to be reimbursed, see 2 CFR 200.410.

Prior approvals are limited to the scope and conditions included within the request. If the scope or conditions associated with the prior approval change, authorization for the change will also require prior approval. Additionally, if a project cost is subject to multiple prior approvals, the project cost will remain unallowable until such time as all associated prior approvals are dispositioned.

If the Recipient elects to undertake activities prior to authorization from the Grants Officer, the Recipient does so at the risk of not receiving Federal funding for those activities and such costs may not be recognized as allowable cost share.

Recipients must coordinate the use of waived prior approvals included within 2 CFR 200.308(g) (1-3) with the Grants Officer.

II. National Policy Terms
A. NEPA Determination
In accordance with the National Environmental Policy Act Term (see Standard Terms and Conditions), the NEPA Compliance Officer has completed review of the Statement of Project Objectives (SOPO) approved by the Grants Officer and information within NEPA documents submitted by the Recipient and provided a determination. The NEPA determination and associated conditions to reduce the risk of environmental impacts are at the sole discretion of

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
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DOE and are specific to the project activities and locations as described in the SOPO approved by the Grants Officer and the DOE NEPA Determination. See Prior Approvals term for additional information.

NEPA
Compliance
Officer (NCO)
Determination
Approval Conditions
NEPA is not
applicable (1)
Consistent with DOE
NEPA Implementing
Procedures (June 2025),
the NCO has determined
that NEPA is not
applicable to the SOPO
tasks.

No additional conditions apply. All
project costs for approved activities
are authorized as described in the
NEPA Determination (see
Environmental Review in the award
attachments for specifics).
(1): Authorization is limited to the project scope identified within the SOPO approved by the Grants Officer and the information provided by the recipient.
(2): Authorized, except where other award conditions apply, see prior approval term.

B. Build America, Buy America Act (“BABA”) Waiver
This award does not have an approved BABA waiver, so the requirements of BABA outlined in the BABA Term in the Standard Terms and Conditions fully apply. The remainder of this term in the Standard Terms and Conditions provides additional information on BABA’s compliance requirements and recipient obligations. The recipient is put on notice that failure to comply with these requirements will result in a disallowance of costs for any nonconforming item that is purchased under the award. The recipient is very strongly encouraged to read the information provided in this term and to consult with their cognizant legal counsel to ensure that these requirements are fully understood.

III. DOE Terms
A. Federal Stewardship
DOE will exercise federal stewardship in monitoring project activities performed under this award. DOE will review financial, performance, and audit reports to ensure that the objectives, terms, and conditions of the award are accomplished and in compliance with the award. DOE will ensure that the recipient’s financial management and accounting systems are adequate to administer this Award and provide oversight of general administrative requirements.

DOE will conduct ongoing project risk reviews and assessments and review performance after completion. Activities may include, but are not limited to:

1. Review Meetings
The recipient, including but not limited to the principal investigator (or, if applicable, co-principal investigators), is required to participate in periodic review meetings with DOE.

Review meetings enable DOE to assess the work performed under this award and determine

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 8
whether the recipient has timely achieved the technical objectives and deliverables stated in Attachment 1 to this award.

DOE shall determine the frequency of review meetings and select the day, time, and location of each review meeting and shall do so in a reasonable and good faith manner. DOE will provide the recipient with reasonable notice of the review meetings.

For each review meeting, the recipient is required to provide a comprehensive overview of the project, including:

1. 2. The recipient’s technical progress compared to the technical objectives stated in Attachment 1 to this award.

3. The recipient’s actual expenditures compared to the approved budget attached to this award.

4. Other subject matter specified by the DOE Technology Manager/Federal Project Manager.

2. Project Meetings
The recipient is required to notify DOE in advance of scheduled tests and internal project meetings that would entail discussion of topics that could result in major changes to the baseline project technical scope/approach, cost, or schedule. Upon request by DOE, the recipient is required to provide DOE with reasonable access (by telephone, webinar, or otherwise) to the tests and project meetings. The recipient is not expected to delay any work under this award for the purpose of government insight.

3. Site Visits
DOE's authorized representatives have the right to make site visits at reasonable times to review project accomplishments and management control systems and to provide technical assistance, if required. The recipient must provide, and must require subrecipients to provide, reasonable access to facilities, office space, resources, and assistance for the safety and convenience of the government representatives in the performance of their duties. All site visits and evaluations must be performed in a manner that does not unduly interfere with or delay the work.

If it is determined that it would not be advantageous for the Government to proceed beyond the technical milestone(s), the Grants Officer will notify the recipient in writing of such decision and the award is considered completed. The maximum liability to the Government is limited to the allowable, allocable, and reasonableness of the cost incurred by the recipient within the funds made available. The Government reserves the right to deobligate any remaining funds from the award. The recipient shall submit all final deliverables, including final project accomplishments, for the completed work in accordance with the reporting requirements of the award.

4. DOE Access

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
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The recipient must provide any information, documents, site access, or other assistance requested by DOE for the purpose of its federal stewardship or substantial involvement.

DOE authorized representatives must have access to records in accordance with 2 CFR 200.337 to conduct audits, execute site visits, conduct research, technology and economic security due diligence reviews and monitoring, or for any other official use.

The recipient and its subrecipients must report significant developments in accordance with 2 CFR 200.329(e) and provide access to information and documents in addition to reasonable access to facilities, office space, resources, and assistance for the safety and convenience of the government representatives in the performance of their duties. DOE will make reasonable efforts to ensure these site visits or audits do not interfere with or unduly delay project work to the maximum extent practicable.

B. One Time No-Cost Extension
As provided in 2 CFR 200.308(g)(2), the recipient must provide the Grants Officer with written notice in advance if it intends to utilize a one-time, no-cost extension of this award. The notification must include the supporting justification and a revised period of performance. The recipient must submit this notification in writing to the Grants Officer and Federal Project Manager. This paragraph does not preclude the Federal Agency from approving further no-cost extensions to the federal award.

Any no-cost extension will not alter the project scope, deliverables, budget, or milestones (if applicable) of this award.

IV. Research, Technology, and Economic
Security Terms
A. Definitions
For purposes of Research, Technology, and Economic Security terms, the following definitions are applicable:

1. Covered Individual:

Covered Individual means an individual who (i) contributes in a substantive, meaningful way to the development or execution of the scope of work of a project funded by DOE, and (ii) is designated as a covered individual by DOE. Often, these individuals have doctoral or other professional degrees, although individuals at the master’s or PhD level may be considered covered individuals if their involvement meets this definition. Consultants, graduate students, and those with a postdoctoral role also may be considered covered individuals if they meet this definition.

DOE designates as covered individuals any principal investigator (PI); project director (PD); co-principal investigator (Co-PI); co-project director (Co-PD); project manager; and any individual regardless of title that is functionally performing as a PI, PD, Co-PI, Co-PD, or project

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 10
manager. Status as a consultant, graduate (master’s or PhD) student, or postdoctoral associate does not automatically disqualify a person from being designated as a “covered individual” if they meet the definition in (i) above.

The recipient is responsible for assessing the applicability of (i) above against each person listed on the project (i.e., listed by the recipient in the application for federal financial assistance, approved budget, progress report, or any other report submitted to DOE by the recipient regarding the subject project). Further, the recipient is responsible for identifying any such individual to DOE for designation as a covered individual, if not already designated by DOE as described above.

The recipient’s submission of a current and pending support disclosure and/or biosketch/resume for a particular person serves as an acknowledgement that DOE designates that person as a covered individual.

DOE may further designate covered individuals during the award period of performance.

2. Current and Pending Support
i. All resources made available, or expected to be made available, to an individual in support of the individual’s RD&D efforts, regardless of:
a. Whether the funding source is foreign or domestic;
b. Whether the resource is made available through the entity applying for an award or directly to the individual; or
c. Whether the resource has monetary value; and
ii. Includes in-kind contributions requiring a commitment of time and directly supporting the individual’s RD&D efforts, such as the provision of office or laboratory space, equipment, supplies, employees, or students. This term has the same meaning as the term Other Support as applied to researchers in National Security Presidential Memorandum – 33 (NSPM-33): For researchers, Other Support includes all resources made available to a researcher in support of and/or related to all of their professional RD&D efforts, including resources provided directly to the individual or through the organization, and regardless of whether or not they have monetary value (e.g., even if the support received is only in-kind, such as office/laboratory space, equipment, supplies, or employees). This includes resource and/or financial support from all foreign and domestic entities, including but not limited to, gifts provided with terms or conditions, financial support for laboratory personnel, and participation of student and visiting researchers supported by other sources of funding.

3. Malign Foreign Talent Recruitment Program as defined in P.L. 117-167, Section 10638 (4)

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i. Any program, position, or activity that includes compensation in the form of cash, in-kind compensation, including research funding, promised future compensation, complimentary foreign travel, things of non de minimis value, honorific titles, career advancement opportunities, or other types of remuneration or consideration directly provided by a foreign country at any level (national, provincial, or local) or their designee, or an entity based in, funded by, or affiliated with a foreign country, whether or not directly sponsored by the foreign country, to the targeted individual, whether directly or indirectly stated in the arrangement, contract, or other documentation at issue, in exchange for the individual—
a. Engaging in the unauthorized transfer of intellectual property, materials, data products, or other nonpublic information owned by a United States entity or developed with a federal research and development award to the government of a foreign country, or an entity based in, funded by, or affiliated with a foreign country regardless of whether that government or entity provided support for the development of the intellectual property, materials, or data products;
b. Being required to recruit trainees or researchers to enroll in such program, position, or activity;
c. Establishing a laboratory or company, accepting a faculty position, or undertaking any other employment or appointment in a foreign country or with an entity based in, funded by, or affiliated with a foreign country if such activities are in violation of the standard terms and conditions of a federal research and development award; d. Being unable to terminate the foreign talent recruitment program contract or agreement except in extraordinary circumstances;
e. Through funding or effort related to the foreign talent recruitment program, being limited in the capacity to carry out a research and development award or required to engage in work that would result in substantial overlap or duplication with a federal research and development award;
f. Being required to apply for and successfully receive funding from the sponsoring foreign government's funding agencies with the sponsoring foreign organization as the recipient;
g. Being required to omit acknowledgment of the recipient institution with which the individual is affiliated, or the federal research agency sponsoring the research and development award, contrary to the institutional policies or standard terms and conditions of the federal research and development award; h. Being required to not disclose to the federal research agency or employing institution the participation of such individual in such program, position, or activity; or i. Having a conflict of interest or conflict of commitment contrary to the standard terms and conditions of the federal research and development award; and ii. A program that is sponsored by—
a. A foreign country of concern or an entity based in a foreign country of concern, whether or not directly sponsored by the foreign country of concern.

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b. An academic institution on the list developed under section 1286(c)(8) of the John S.

McCain National Defense Authorization Act for Fiscal Year 2019 (10 U.S.C. 2358 note; Public Law 115–232); or
c. A foreign talent recruitment program on the list developed under section 1286(c)(9) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (10 U.S.C. 2358 note; Public Law 115–232).
iii. Consistent with applicable law, this term does not prohibit, unless such activities are funded, organized, or managed by an academic institution or a foreign talent recruitment program on the lists developed under paragraphs (8) and (9) of section 1286(c) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (10 U.S.C. 4001 note; Public Law 115–232)—
a. Making scholarly presentations and publishing written materials regarding scientific information not otherwise controlled under current law; b. Participation in international conferences or other international exchanges, research projects or programs that involve open and reciprocal exchange of scientific information, and which are aimed at advancing international scientific understanding and not otherwise controlled under current law;
c. Advising a foreign student enrolled at an institution of higher education or writing a recommendation for such a student, at such student's request; and d. Other international activities determined appropriate by the federal research agency head or designee.

B. Current and Pending Support

1. Disclosure Requirements
Prior to award, the recipient was required to provide current and pending support disclosure statements (“CPS Common Form”) and a Biographical Sketch (“Biosketch”) for each covered individual, as defined by the Award Terms and Conditions, at the recipient and subrecipient level, regardless of funding source.

New Covered Individuals:

Before new covered individuals may start work on the project, the recipient must submit CPS Common Forms and Biosketch(es) for new covered individuals and must receive prior approval from DOE/NNSA. R&D covered individuals must comply with the Digital Persistent Identifier (PID) and Research Security Training Requirements Terms and Conditions.

Changes to previously submitted current and pending support disclosures during the period of performance of the award:

The recipient must ensure that the covered individuals are aware that, should circumstances change which impact the responses previously provided on either the CPS Common Form or the Biosketch, the individual must submit an updated CPS Common Form and/or updated Biosketch. The recipient must submit the updated CPS Common Form(s) and updated Biosketch(es) to DOE within thirty (30) calendar days after the end of the quarterly reporting period in which the change occurred. Reporting Timeframe Exception: Adjustments to

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level of effort on previously reported support that is not foreign country of concern (FCOC)- related may be reported with the next scheduled annual progress report.

Where to Submit New or Updated Forms
See the Federal Assistance Reporting Checklist for this award for instructions on where to submit the CPS Common Form and Biosketch.

How to Submit New or Updated Forms
Generate the CPS Common Form and Biosketch via SciENcv (Science Experts Network Curriculum Vitae). SciENcv will produce a DOE compliant PDF version of the Common Forms.

2. Required Information
The recipient must ensure DOE has an up-to-date CPS Common Form and Biosketch for each covered individual on the project. Consistent with the instructions in NSPM-33 Implementation Guidance Pre- and Post-award Disclosures Relating to the Biographical Sketch and Current and Pending (Other) Support1 and the DOE Award-Specific Common Form Instructions below, the CPS Common Form and Biosketch Common Form must together include a list of all sponsored activities, awards, and appointments, whether paid or unpaid; provided as a gift with terms or conditions; full-time, part-time, or voluntary; faculty, visiting, adjunct, or honorary; cash or in-kind; foreign or domestic; governmental or private-sector; directly supporting the individual’s research or indirectly supporting the individual by supporting students, research staff, space, equipment, or other research expenses. All connections with malign foreign talent recruitment programs must be identified in current and pending support.

Please note the following:
• With the exception of “covered individual”, which is defined in IV.A. Research, Technology, and Economic Security Terms, Definitions, all other definitions of terms used in the CPS Common Form and Biosketch are available at: NSPM-33 Definitions. • If there is any conflict between NSPM-33 Implementation Guidance Pre- and Post-award Disclosures Relating to the Biographical Sketch and Current and Pending (Other) Support and the DOE Award-Specific Common Form Instructions below, follow the DOE Award-Specific Common Form Instructions.

DOE Award-Specific Common Form Instructions
Part 1: CPS Common Form
Persistent
Identifier
(PID) of the
Covered
Individual
The PID field is required for all Awards that encompass R&D activities, or technical assistance to support R&D activities.

For NOFOs and Awards that do not meet the criteria above, the PID field is optional.
1 This table supersedes in its entirety, Table 2a and Paragraph 7 of the Disclosure Requirements and Standardization Section of the NSPM-33 Implementation Guidance.

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Reporting
Timeframe for
Proposals,
Projects, and
In-Kind
Contributions
Disclose only current and pending support, as defined in the “Status of Support” field of the SciENcv CPS Common Form.

Types of
Proposals and
Active
Projects to
Disclose
“Current and pending support” is a term most relevant to research and development (R&D) activities in the academic setting. For individuals employed by for-profit entities and/or individuals who do not conduct R&D, examples of activities to report on the Current and Pending Support form include:
• Consulting activities that are outside your full-time employment • Any “moonlighting”
• Honoraria & Appointments
Disclosure
Instructions
for In-Kind
Travel
DOE in-kind disclosure requirements for the “Travel supported/paid by an external entity to attend a conference or workshop” line of the table entitled, NSPM-33 Implementation Guidance Pre- and Post-award Disclosures Relating to the Biographical Sketch and Current and Pending (Other) Support differs as follows:

Disclosure is required for:
• “Travel supported/paid by an external entity to attend a conference or workshop” located in a foreign country of concern (FCOC), and/or • “Travel supported/paid by an external entity to attend a conference or workshop” when the supporting/paying external entity is located in an FCOC.

Disclosure is not required for:
• “Travel supported/paid by an external entity to attend a conference or workshop” that is not located in an FCOC; and/or
• “Travel supported/paid by an external entity to attend a conference or workshop” when the supporting/paying external entity is not located in an FCOC.

Current and
Pending
(Other)
Support
Addendum
The Current and Pending (Other) Support Addendum is not required for covered individuals on this Award.

Part 2: Biosketch

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 15
Appointments
and Positions
Reporting
Timeframe
Identify all domestic and foreign professional appointments and positions, both inside and outside the primary organization. There should be no lapses in time over the past 10 years or since age 18, whichever period is shorter.

Products:

Limitation on
number
provided
List up to 10 products or activities most closely related to the proposed project.

V. Financial Terms
A. Cost Sharing
Cost Sharing Obligations
DOE and the recipient’s cost share for the total estimated project costs are listed below.

Table 1
$ % $ %
$250,000 43.3% $327,180 56.7% $577,180
DOE Cost Share Recipient Cost Share Total Estimated
Costs
The recipient must provide its required “Cost Share” amount as a percentage of the total project costs. DOE authorized the recipient to provide cost share on a budget period basis for the duration of the period of performance. If the Award is terminated or is otherwise not funded to completion, the Recipient is not required to provide the entire “Cost Share” amount stated in Block 12 of the Assistance Agreement to this Award; however, the Recipient must provide its share (i.e., total project percentage) of the total project cost(s) incurred as of the date of the termination or discontinuation.”
B. Unallowable Project Costs
Project costs must comply with 2 CFR 200 Subpart E-Cost Principles and 2 CFR 910 Subpart E-Cost Principles.

The following costs are unallowable:
• Costs that do not meet the criteria set forth in 2 CFR 200.403; • For non-profit entities, institutions of higher education, and state and local governments and Indian tribes: unallowable costs identified in 2 CFR 200 Subpart E-Cost Principles; • For for-profit entities: unallowable costs identified in 2 CFR 910.352 and 48 CFR 31;

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 16
• Facility Decontamination and/or Decommissioning (D&D) costs; • Costs deemed unallowable under specific conditions, see 2 CFR 200.208; • Costs for project activities that have not yet been authorized by prior written approval from the Grants Officer (prior approval); and,
• Other unallowable items specified in the NOFO under which the project was selected, if any.

C. Unallowable Cost Share Sources
The recipient and subrecipient(s) may not use the following sources to meet cost share obligations:
• Unallowable cost share sources identified within 2 CFR 910.130(d)(3); • Funds that do not meet the criteria set forth in 2 CFR 200.306(b); • Funds from an entity designated as a contractor per 2 CFR 200.331; • De minimis indirect rate charges authorized under 2 CFR 200.414(f) per 2 CFR 200.306(b)(1);
• Fee or profit, including foregone fee or profit per 2 CFR 200.400(g); • Existing data as an in-kind contribution (e.g., data owned by an entity, that is not routinely sold commercially but is instead donated to the project and assigned a value); • Proceeds from prospective rebates, credits, or discounts in addition to deferred or avoided costs; and
• Other items specified in the NOFO under which the project was selected, if any.

D. Payment Procedures - Automated Standard Application for Payments (ASAP)
Method of Payment Requesting Reimbursement
Reimbursement through the
Department of Treasury’s
ASAP system
Requests for reimbursements must be made
through the ASAP system.

E. Indirect Costs

1. Indirect Cost Allocation:

The budget for this award does not include an allocation of segregated indirect billing rates. Therefore, indirect charges shall not be charged under allocated billing rates, nor shall reimbursement be requested for this project for segregated indirect cost billing rates, nor shall any indirect charges for this project be allocated to any other federally sponsored project. The recipient cannot claim indirect costs separately as cost share.

2. Fringe Cost Allocation:

The budget for this award does not include an allocation of segregated fringe billing rates. Fringe benefit costs have been found reasonable as incorporated in the recipient’s

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 17
burdened labor rate or under an allocated indirect cost billing rate. Therefore, fringe benefit costs shall not be charged as a separate rate allocation to this award. DOE will not reimburse fringe benefit costs as a separate budget item. Fringe benefit costs for this award cannot be allocated as a separate rate allocation to any other federally-sponsored project.

3. Indirect Cost Stipulations:
a. Modification to Indirect Cost Billing Rates
DOE will not modify this award solely to provide additional funds to cover increases in the recipient’s indirect cost billing rate(s). Adjustments to the indirect cost billing rates must be approved by the recipient’s Cognizant Agency or Cognizant Federal Agency Official.

The recipient must provide a copy of an updated NICRA or indirect rate proposal to the DOE Specialist to increase indirect cost billing rates. If the Grants Officer provides prior written approval, the recipient may incur an increase in the indirect cost billing rates under a modification already being implemented. Reimbursement will be limited by the budgeted dollar amount for indirect costs for each budget period as shown in the budget attached to this award. b. Award Closeout
The closeout of the DOE award does not affect (1) the right of the DOE to disallow costs and recover funds on the basis of a later audit or other review; (2) the requirement for the recipient to return any funds due as a result of later refunds, corrections or other transactions including final indirect cost billing rate adjustments; and (3) the ability of the DOE to make financial adjustments to a previously closed award resolving indirect cost payments and making final payments.

VI. Equipment & Real Property Terms
A. Continued Use of Real Property and Equipment
In accordance with 2 CFR 200.311(b), 2 CFR 200.313(c)(1), and 2 CFR 910.360(b)(1), the recipient may continue to use real property and equipment for authorized purposes beyond the award period with prior approval of the Grants Officer. The prior approval request must include:
• Authorized purpose for continued use of the property. • Proposed use period (e.g., perpetuity, until fully depreciated, or a calendar date where the recipient expects to submit disposition instructions).
• A list of the property to be used.
• Current fair market value of the property.
• Estimated Useful Life or depreciation schedule for equipment. • Acknowledgement that the recipient will continue to comply with 2 CFR 200.311, 2 CFR 200.313, and 2 CFR 200.316, and 2 CFR 910.360 and report on the status of the equipment at least annually.

Continued use of real property and equipment must not be requested until the end of the award period and is not authorized absent Grants Officer authorization.

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 18
When the property is no longer needed for authorized project purposes, the recipient must request disposition instructions from DOE. For-profit entity disposition requirements are set forth at 2 CFR 910.360. Property disposition requirements for other entities are set forth in 2 CFR 200.310 – 200.316.

VII. Award Specific Terms
A. Use of Program Income
The recipient is encouraged to earn income that may be applied toward costs incurred during the period of performance or allowable closeout costs in accordance with 2 CFR 200.307 and 2 CFR 200.472(b) respectively.

If the recipient earns program income during the period of performance as a result of this award, the program income must be added to the total allowable costs, increasing the overall total amount of the federal award (2 CFR 200.307(b)(2)).

B. Foreign Entity Participation as a Recipient, Subrecipient, or Contractor
The recipient and all subrecipients and contractors must be domestic entities (see domestic entity definition in the NOFO under which the project was selected).

Absent an approved waiver, participation by a non-domestic entity is unallowable until such time as the Grants Officer provides prior approval. See Prior Approval Term in the Special Terms and Conditions.

The prior approval request must include submission of a waiver to this requirement. The waiver must demonstrate to the satisfaction of DOE that the foreign entity’s participation would further the purposes of the NOFO, is in the economic and energy security interests of the United States, does not pose an undue RTES risk (see RTES Due Diligence Reviews and Monitoring term in the Standard Terms and Conditions), and is otherwise in the best interest of the DOE program goals and agency priorities. The requirements for submission of the waiver are included within the NOFO under which the project was selected. DOE may require additional information in considering a waiver request.

DOE’s decision regarding a waiver request is not appealable.

C. Foreign Travel
If foreign travel is permitted in the NOFO under which the project was selected, the recipient is required to obtain the prior written approval of the Grants Officer for any foreign travel costs.

In addition to requesting prior approval, the recipient is required to submit a foreign work

DOE Special Terms and Conditions
Award No. DE-OE0000951 With the City of Maywood
Version 2.0 19
waiver for the following subset of foreign travel types:
• For travel to any country, the recipient is required to submit a foreign work waiver for foreign travel conducted in connection with the scope of the award where the purpose of the travel is a not a conference, scholarly workshop, or symposium. • If the purpose of the travel is a conference, scholarly workshop, or symposium, the recipient is only required to submit a foreign work waiver if the travel is to a foreign country of concern. (See Standard Terms, Transparency of Foreign Connections for the definition of foreign country of concern.)
See Performance of Work in the United States (Foreign Work Waiver) in the Standard Terms and Conditions for details.

All international travel must comply with the International Air Transportation Fair Competitive Practices Act of 1974 (49 USC 40118), commonly referred to as the “Fly America Act,” and implementing regulations at 41 CFR 301-10.131 through 41 CFR 301-10.143. The law and regulations require air transport of people or property to, from, between, or within a country other than the United States, the cost of which is supported under this award, to be performed by or under a cost-sharing arrangement with a U.S. flag carrier, if service is available.

Current “Open Skies Agreements” that are in effect can be found here: Fly America Act | GSA.

It is the recipient’s responsibility for making determinations and documenting the decision as to whether an exemption to this requirement applies.

Exceptions vary depending on the direction of travel and are outlined in 41 CFR 301-

10.136 and 41 CFR 301-10.137.

1. Award No. 2. Modification No. 3. Effective Date 4. CFDA No.

DE-OE0000951 05/04/2026 81.122

ASSISTANCE AGREEMENT
4319 E. SLAUSON AVENUE

7. Period of Performance
05/04/2026
through
05/03/2027

6. Sponsoring Office
Office of Electricity
OE-1
U.S. Department of Energy
1000 Independence Avenue, S.W.

Washington DC 20585
MAYWOOD CA 902702837
Attn: Daisy Guerrero

CITY OF MAYWOOD

5. Awarded To
Other
Cooperative Agreement
Grant See Page 2. 26OE000084

8. Type of Agreement 9. Authority 10. Purchase Request or Funding Document No.

X

11. Remittance Address 12. Total Amount 13. Funds Obligated

CITY OF MAYWOOD
Attn: Daisy Guerrero
MAYWOOD CA 90270
Govt. Share: $250,000.00
Cost Share : $327,180.00
Total : $577,180.00
This action: $250,000.00
Total : $250,000.00 4319 E. SLAUSON AVENUE
JOHN R. TERNEUS
Morgantown WV 26505-2353
3610 Collins Ferry Road

NATIONAL ENERGY TECH LAB
U.S. DOE/NETL
Phone: 304-285-4254

14. Principal Investigator 15. Program Manager 16. Administrator Payment - Direct Payment See Attachment 2
from U.S. Dept of Treasury from U.S. Dept of Treasury
Payment - Direct Payment

17. Submit Payment Requests To 18. Paying Office 19. Submit Reports To

20. Accounting and Appropriation Data
07950-2023-31-232452-41999-3123912-0000000-0000000-0000000

21. Research Title and/or Description of Project
Maywood Community Resilience Center Energy Storage Project.

For the Recipient For the United States of America

22. Signature of Person Authorized to Sign 25. Signature of Grants/Agreements Officer

23. Name and Title 24. Date Signed 26. Name of Officer 27. Date Signed Dorothy J. Pitre 05/04/2026
Electronic Signature on File Signature on File

CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

PAGE OF
(A) (B) (C) (E) (F)
DE-OE0000951 2 3

CITY OF MAYWOOD
(D)
UEI: KXFCWDEC53C5
Project Period: 05/04/2026 - 05/03/2027
Budget Period 1: 05/04/2026 - 05/03/2027
Block 9 Authority:

Public Law (PL) 95-91 DOE Organization Act, as
amended;
PL 109-58 Energy Policy Act 2005, as amended;
PL 118-42 Consolidated Appropriations Act 2024,
Division D-Energy and Water Development and
Related Agencies Appropriations Act, 2024,
Title III-Department of Energy, Energy Projects
Block 14. Recipient Principal Investigator
Daisy Guerrero
323- 562-5712
[email protected]
Recipient Business Point of Contact:

Jennifer Vasquez
323-562-5712
[email protected]
DOE Award Administrator:

Nataly Dimopoulos
412-286-3971
[email protected]
Department Of Energy Project Manager
John Terneus
304-285-4254
[email protected]
ASAP: YES Extent Competed: NOT AVAIL FOR COMP
Davis-Bacon Act: NO PI: Daisy Guerrero
Fund: 07950 Appr Year: 2023 Allottee: 31 Report
Entity: 232452 Object Class: 41999 Program:
3123912 Project: 0000000 WFO: 0000000 Local Use:
0000000

JULY 2004

AGENDA REPORT

CITY OF MAYWOOD
AGENDA ITEM NO. 15.

DATE: May 27, 2026
TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: JENNIFER VASQUEZ, CITY MANAGER
BY: DAISY GUERRERO, DEPUTY DIRECTOR OF BUILDING AND PLANNING SUBJECT: CONSIDERATION OF APPROVING THE SECOND AMENDMENT TO THE

PROFESSIONAL SERVICES AGREEMENT WITH HDL COMPANIES FOR CANNABIS

MANAGEMENT SERVICES
RECOMMENDATION:

Staff recommends that the City Council approve the Second Amendment to the Professional Services Agreement with HdL Companies for Cannabis Management Services to continue providing cannabis compliance inspections, annual revenue audits, supplemental inspections, background checks, and technical assistance services for the City’s permitted cannabis businesses.

BACKGROUND:

On June 22, 2022, the City entered into a Professional Services Agreement with HdL Companies (“HdL”) for Cannabis Management Services. On January 23, 2025, the City Council approved the First Amendment to the Agreement to increase compensation for continued cannabis compliance inspections, audits, and related services through the remainder of the agreement term.

HdL has continued to provide cannabis management services to the City, including quarterly compliance inspections, annual revenue audits, supplemental inspections, and technical assistance associated with the City’s commercial cannabis program. HdL has also assisted the City with regulatory compliance oversight and subject matter expertise related to cannabis operations and taxation.

The City now desires to extend and continue these services for an additional term to ensure ongoing regulatory compliance, revenue verification, operational oversight, and support for the City’s existing permitted cannabis businesses.

DISCUSSION:

HdL submitted an updated proposal dated April 17, 2026, for continued Cannabis Management Services for the City of Maywood. The proposed scope of services includes:
• Compliance inspections;
• Annual revenue audits;
• Supplemental follow-up inspections;
• Supplemental background checks; and

• Technical assistance and subject matter expertise services.

The updated proposal assumes four (4) compliance inspections per business annually and one annual revenue audit per business. HdL will also continue providing supplemental follow-up inspections and technical assistance services on an as-needed basis.

Pricing under the updated proposal remains substantially the same as Amendment No. 1 approved by the City Council on January 23, 2025, with the exception that two previously unused services have been removed from the proposed scope, which includes site plan evaluations and pre-site license visits. Additionally, the updated proposal assumes approximately forty (40) hours of technical assistance and subject matter expertise services to be utilized at the City’s request for staff inquiries, supplemental inspections, presentations, research, and other cannabis-related support services.

The proposed annual not-to-exceed compensation amount is $112,000, which assumes services for the City’s five currently permitted cannabis businesses and audits. In addition, the term of the agreement has been extended to June 30, 2027.

HdL continues to be recognized as a leader in cannabis management services for local governments throughout California and currently partners with over 175 California cities and counties on cannabis-related programs and compliance services.

LEGAL REVIEW:

The City Attorney has reviewed this report.

FISCAL IMPACT:

The proposed Second Amendment would establish an annual not-to-exceed compensation amount of $112,000 for cannabis management services including cannabis audits. Funding for these services are budgeted accordingly for FY 2026-2027.

ATTACHMENT(S)

1. Attachment 1 - Maywood_ Proposal for Cannabis Management Services_2026-04-17

2. Amendment No. 2 - HdL Companies - Cannabis Management Services