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Note: Prior to completing and submitting the Advanced Transportation Technology and Innovation (ATTAIN) Program FY 2023 and FY 2024 Grant Agreement Schedules, please review the Drafting Instructions and Additional Information sheet. Insert the required information as directed in the Red Font brackets. There should be no edits to the language in Black Font which is required language for this discretionary grant program.
FEDERAL HIGHWAY ADMINISTRATION
FY 2023 – FY 2024 ADVANCED TRANSPORTATION TECHNOLOGY AND INNOVATION (ATTAIN) PROGRAM
SCHEDULES A TO K TO THE GRANT AGREEMENT OR COOPERATIVE AGREEMENT
FOR THE
[ INSERT PROJECT NAME]
ATTACHMENT NO. 3
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NON-STATE DOT RECIPIENT SIGNATURE PAGE
1. Award No.
[insert award number]
2. Effective Date
See No. 17 Below
3. Assistance
Listings No.
20.200
4. Award To
City of Pomona
505 S. Garey Ave.
Pomona, CA 91766
Unique Entity Identifier (UEI):
QLK7V1HAF1J2
TIN No.: 95-6000764
5. Reserved
6. Reserved
7. Reserved
8. Reserved
9. Authority
23 U.S.C. 503(c)(4)
10. Procurement Request No.
[enter PR number]
11. Federal Funds Obligated
See Schedule D.
12. Reserved
13. Reserved
14. Reserved
15. Reserved
RECIPIENT
16. Signature of Person Authorized to Sign
___________________________________
Signature Date Name: Anita D. Scott
Title: City Manage
r
FEDERAL HIGHWAY ADMINISTRATION
17. Signature of Agreement Officer
______________________________________
Signature Date Name: [insert name]
Title: Agreement Officer
ATTACHMENT NO. 3
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SCHEDULE A
ADMINISTRATIVE INFORMATION
1. Application.
See Technical Application, Schedule E, and section 26.5 of the General Terms and Conditions.
2. Recipient’s Unique Entity Identifier.
See SF-424 for Application and section 25.3 of the General Terms and Conditions.
3. Recipient Contact(s).
Anita D. Scott
City Manager
City of Pomona
505 S. Garey Avenue, Pomona, CA 91766
(909) 620-3773
[email protected]
Arnold Dichosa
City Engineer
City of Pomona
505 S. Garey Avenue, Pomona, CA 91766
(909) 620-2266
[email protected]
Ron Chan
Principal Traffic Engineer
City of Pomona
505 S. Garey Avenue, Pomona, CA 91766
(909) 620-2286
[email protected]
4. Key Recipient Contacts.
Only language marked with an “X” is applicable.
____. The Recipient is a non-State DOT and the following are Key Recipient Contacts:
Name Title or Position
Arnold Dichosa City Engineer
Ron Chan Principal Traffic Engineer
Stephanie Carbajal Program Assistant
ATTACHMENT NO. 3
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____. The Recipient is a State DOT and this section 4 is not applicable to this Grant.
5. FHWA Project Contact(s).
Only language marked with an “X” is applicable.
_____ The Recipient is a State DOT:
Division Office POC Name
Title
Agency
Mailing Address
Phone Number
Email Address
______ The Recipient is a non-State DOT:
[enter name]
Agreement Officer (AO)
Federal Highway Administration
Office of Acquisition and Grants Management
HCFA-40, Mail Stop E62-310
1200 New Jersey Avenue, S.E.
Washington, DC 20590
[enter telephone]
[enter email address]
and
[enter name]
Agreement Specialist (AS)
Office of Acquisition and Grants Management
HCFA-[enter office code], Mail Stop [enter mail stop]
1200 New Jersey Avenue, S.E.
Washington, DC 20590
[enter telephone]
[enter email]
and
[enter name]
Agreement Officer Representative (AOR)
[enter job title]
[enter office]
[enter address]
[enter telephone]
[email address]
ATTACHMENT NO. 3
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6. Payment System.
Only language marked with an “X” is applicable.
USDOT Payment System:
____. FMIS Current Bill (State DOT Recipient) _X___ . DELPHI eInvoicing (non-State Recipient)
7. Office for Subaward and Contract Authorization.
Only language marked with an “X” is applicable.
For a State DOT Recipient:
_____ USDOT Office for Subaward and Contract Authorization: FHWA Division Office For a non-State DOT Recipient:
___X__ FHWA Office for Subaward and Contract Authorization: FHWA Office of Acquisition and Grants Management
8. Designated Subrecipient.
Designated Subrecipient: None
ATTACHMENT NO. 3
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SCHEDULE B
PROJECT ACTIVITIES
1. General Project Description.
All Project description changes must be documented in Schedule E. See the technical application.
2. Statement of Work.
All changes to the statement of work (scope) must be documented in Schedule E. This includes changes to the Project phases and components. See the technical application.
ATTACHMENT NO. 3
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SCHEDULE C
AWARD DATES AND PROJECT SCHEDULE
1. Award Dates.
Budget Period End Date: [insert date].
The budget period identifies the period of time when eligible costs can be incurred (work performed) on a project for reimbursement with grant funds under this grant agreement (2 CFR 200.1). See the Drafting Instructions and Additional Information sheet for more details.
Period of Performance End Date: [insert date]. Also see FMIS.
The period of performance means the interval between the start and end date of a Federal award. 2 CFR 200.1. See the Drafting Instructions and Additional Information sheet for more details.
2. Estimated Project Schedule.
All changes to the Project schedule in the application must be documented in Schedule E. See the Drafting Instructions and Additional Information sheet for more details and specific drafting instructions for “Multiple” phased obligations.
Only language marked with an “X” is applicable.
_____. This is a Capital/Construction project.
Milestone Schedule
Date
Planned Construction Substantial Completion and
Open to Traffic Date:
[insert date]
_____. This is a Planning project.
Milestone Schedule
Date
Planned Project Completion Date: [insert date]
__X___. This is a Non-Construction project
Milestone Schedule
Date
Planned Project Completion Date: [insert date]
ATTACHMENT NO. 3
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3. Special Milestone Deadlines.
Only language marked with an “X” is applicable.
_____. The only critical dates are completion dates in section 2 of this schedule. _____. There are additional critical dates to the completion dates in section 2 of this schedule identified in the table below.
If the additional critical dates include railroad coordination agreements that need to be executed for this Project, add a milestone for each agreement, prefixed with “Railroad Coordination Agreement:” See section 24.7 of the General Terms and Conditions.
Milestone Deadline
Date
[insert milestone] [insert date]
ATTACHMENT NO. 3
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SCHEDULE D
AWARD AND PROJECT FINANCIAL INFORMATION
1. Award Amount.
Grant Amount: $13,277,340.00
2. Federal Obligation Information.
Only language marked with an “X” is applicable.
__X___. Under this grant agreement, the Federal Obligation Type is Single and all of the Grant funds will be obligated in one obligation.
_____. Under this grant agreement the Federal Obligation Type is Multiple and the Grant funds will be obligated in project phases or by component as identified in the Obligation Condition Table in accordance with section 4.2 of the General Terms and Conditions.
If there are more than two phases or components, add as many rows as needed.
Obligation Condition Table
Portion of the Project Portion of the
Grant Amount
Obligation Condition
[insert name of first
phase (e.g., “Base
phase”) or
component (e.g.,
“Component 1”)]
[$XXX]
[insert name of second
phase (e.g., “Option
phase 1”) or
component (e.g.,
“Component 2”)]
[$XXX]
ATTACHMENT NO. 3
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3. Approved Project Budget.
Only language marked with an “X” is applicable.
_____. The Recipient is a State DOT and the Approved Project Budget is in FMIS. Also see schedule E for changes to the Project budget described in the application.
___X__. The Recipient is a non-State DOT and the Approved Project Budget is in the Eligible Project Costs table below.
If there is only a single component, use only the total column and remove other columns. If there are more than two components, add columns.
Eligible Project Costs
[Component 1] [Component 2] Total
Grant Funds: [ $XXX ] [ $XXX ] 10,621,872.00
Other Federal Funds: [ $XXX ] [ $XXX ] [ $XXX ]
State Funds: [ $XXX ] [ $XXX ] [ $XXX ]
Local Funds: [ $XXX ] [ $XXX ] 2,655,468.00
In-Kind Match: [ $XXX ] [ $XXX ] [ $XXX ]
Other Funds: [ $XXX ] [ $XXX ] [ $XXX ]
Total: [ $XXX ] [ $XXX ] 13,277,340.00
4. Approved Pre-award Costs
Only language marked with an “X” is applicable.
___X__ . None. The FHWA has not approved under this award any costs incurred under an advanced construction authorization (23 U.S.C. 115), any costs incurred prior to authorization (23 C.F.R. 1.9(b)), or any pre-award costs under 2 C.F.R. 200.458. _____ . Yes. The FHWA authorized advance construction. See FMIS. _____. Yes. On [insert date], [Recipient] sent a written request to the FHWA for pre-award approval under 2 C.F.R. 200.458 for costs to [insert activity]. The pre-award approval request would allow the recipient to [describe the reason for pre-award authority]. [Recipient] requested pre-award approval for $XXX in [Program Name] Grant funds or non-Federal funds for match.
The FHWA Office of Acquisition and Grants Management determined that the pre-award costs were incurred directly pursuant to the negotiation and in anticipation of the Federal award and were necessary for efficient and timely performance of the scope of work. That office issued a notice to proceed with pre-award costs on [insert date].
ATTACHMENT NO. 3
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5. General Terms and Conditions.
(a) In this agreement, “General Terms and Conditions” means the content of the document titled “General Terms and Conditions Under the Fiscal Years 2023 - 2024 Advanced Transportation Technology and Innovation (ATTAIN) Grant Program” dated [insert date approved by HCC], which is available at [insert weblink]. The General Terms and Conditions reference the information contained in the schedules A - K to this agreement. The General Terms and Conditions are part of this agreement.
(b) The Recipient states that it has knowledge of the General Terms and Conditions. (c) The Recipient acknowledges that the General Terms and Conditions impose obligations on the Recipient and that the Recipient’s non-compliance with the General Terms and Conditions may result in remedial action which may include but is not limited to terminating ATTAIN Grant disallowing costs incurred for the Project, requiring the Recipient to refund to the FHWA the ATTAIN Grant, and reporting the non-compliance in the Federal-government-wide integrity and performance system.
7. Special Terms and Conditions.
Only language marked with an “X” is applicable.
_____. There are no special terms and conditions.
__X___. There are special terms and conditions for this Grant. For each condition, identify the special term title and insert the special term text. Repeat and modify as needed.
(a) Only language marked with an “X” is applicable.
__X___. FHWA Participation. The Recipient acknowledges that under section B(3) of the FY 2023 – 2024 ATTAIN NOFO the FHWA stated it anticipates substantial Federal involvement between it and the Recipient during the course of this Project. The Parties agree, however, that FHWA substantial involvement is not required for this Project and project will be administered as a grant agreement.
_____. FHWA Participation. The Recipient acknowledges that under section B(3) of the FY 2023 – 2024 ATTAIN NOFO the FHWA stated it anticipates substantial Federal involvement between it and the Recipient during the course of this Project. The Parties agree that FHWA will be substantially involved in this Project and this grant agreement shall be administered as a cooperative agreement. Further, the Recipient acknowledges that the ATTAIN General Terms and Conditions and the Exhibits apply to this Project.
(b) Deliverables. Recipients shall provide a schedule for the Project deliverables that include, at a minimum, the items in the table below.
ATTACHMENT NO. 3
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Deliverable Approximate
Due Date
Section 508
Compliant?
Fully-Executed Grant Agreement
The grant agreement shall include a Project Management
Plan. The Project Management Plan shall include, at a
minimum:
a) Statement of Work, with a description of Tasks and
Sub-Tasks by which the project work activities will
be organized, executed, and monitored.
b) A Project Schedule (Gantt Chart or equivalent)
displaying start and end times for each Task and Sub-
Task, plus achievement of Project Milestones.
c) A description of major Project Milestones, including key reports, the start of operations of important
systems or subsystems, and other important
deliverables or events.
d) A Staffing Table, which identifies a single Project
Manager, plus project staff and/or consultants that
will lead and support each ask (or Sub-Task if
appropriate).
e) A Project Budget, displaying planned expenditures
for each Task, with a further breakdown by Cost
Element for each Task, and by the Federal share vs.
non-Federal share.
Within 6 weeks
after the
completion of the
draft agreement.
No
Kick-off Meeting
Conduct a kick-off meeting with DOT at a mutually agreed- upon location.
Within 4 weeks
after the
execution of this
A
greement.
No
Quarterly Progress Reports
Submit progress reports to document activities performed, anticipated activities, and any changes to schedule or
anticipated issues.
Quarterly No
Systems Engineering Documents
In accordance with 23 CFR 940.11, the Recipient shall
submit electronic copies of the milestone Systems
Engineering documents applicable to this project, for
approval by FHWA. This shall include, at a minimum:
a) Systems Engineering Review Form (SERF)
b) Concept of Operations (ConOps)
c) S
ystems Engineering Management Plan (SEMP).
As applicable No
Project Evaluation Plan
The Recipient shall submit to FHWA for approval an
Evaluation Plan, which shall include, at a minimum:
a) Statement of Project Objectives
Within 90 days
after execution of
this Agreement.
No
ATTACHMENT NO. 3
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Deliverable Approximate
Due Date
Section 508
Compliant?
b) List of Evaluation Criteria (e.g., quantitative
performance metrics and/or qualitative assessments)
tailored to the Project Objectives
c) Description of data-collection procedures tailored to these criteria, which could include, for example,
before/after data, surveys, interviews, system-
monitoring data, or other data needed to report on the
achievement of project objectives
d) Outline of Evaluation Report (1-page, draft list of topics to be addressed)
Data Management Plan (DMP)
The Recipient shall submit to FHWA for approval a DMP
that provides a preliminary overview of data that may be collected or created through the project, which shall include, at a minimum:
a) Data description
b) Data access policies
c) Data storage and retention approach
The Recipient shall then update the DMP throughout the
project with more details on the data that is collected or created, including information on data rights and standards.
Additional information on DMPs can be found at:
https://ntl.bts.gov/ntl/public-access/creating-data-
management-plans-extramural-research.
Within 90 days
after execution of
this Agreement,
to be updated
throughout the
project.
No
Report to the Secretary
Submit a report describing:
a) The deployment and operational costs of the project
compared to the benefits and savings the project
provides
b) How the project has met the original expectations
projected in the deployment plan submitted with the
application, such as:
ii) data on how the project has helped reduce traffic
crashes, congestion, costs, and other benefits of
the deployed systems;
iii) data on the effect of measuring and improving
transportation system performance through the
deployment of advanced technologies;
iv) the effectiveness of providing real-time integrated traffic, transit, and multimodal transportation
information to the public to make informed travel
decisions; and
v) lessons learned and recommendations for future
Annually
beginning 1 year
after the
execution of this
Agreement.
Yes
ATTACHMENT NO. 3
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Deliverable Approximate
Due Date
Section 508
Compliant?
deployment strategies to optimize transportation
mobility, efficiency, multimodal system
performance, and payment system performance.
Annual Budget Review and Program Plan Reporting
Submit the Annual Budget Review and Program Plan
Report. The report should describe:
a) Overview and schedule of tasks, activities, milestones, and deliverables for the upcoming year, to include:
the latest deliverables table or project management
schedule; and
a discussion of whether the current approved
Technical Application attached to the award needs to
be updated or not. If an update is warranted, propose
the updates.
b) Overview and forecast budget for the upcoming year,
including: a discussion of whether the current approved Budget Application attached to the award needs to be
updated or not. If an update is warranted, propose the updates.
60 days prior to
the anniversary
date of execution
of this
Agreement.
No
Final Report
The Recipient shall provide a final report within 90 days after the termination or expiration of this Agreement. The FHWA Authorized Organizational Representative (AOR), in
consultation with the Recipient, will determine the final design and scope of the evaluation and report. Submit an electronic copy of all reports to the ATTAIN mailbox at ATTAIN
@dot.gov
Six months prior
to expiration of
this Agreement
Yes
(additional deliverables to be identified in separate rows by the applicant)
Note: Section 508 requirements are available online in section 2 of Contractors & Recipients General Terms and Conditions for Assistance Awards | Federal Highway Administration.
(c) Intellectual Property. Intellectual property consists of copyrights, patents, and any other form of intellectual property rights covering any data bases, software, inventions, training manuals, systems design, and other proprietary information in any form or medium. Intellectual property shall be treated as follows: “Data rights under this agreement shall be governed by government- wide grant requirements in accordance with 2 CFR 200.315, relating to Intangible property, which is hereby incorporated by reference”.
(d) Acknowledgment of Support and Disclaimer
An acknowledgment of FHWA support and a disclaimer must appear in any publication of any material, whether copyrighted or not, based on or developed under the Agreement, in the following terms:
ATTACHMENT NO. 3
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"This material is based upon work supported by the Federal Highway Administration under Agreement No. – [fill in award number]." All materials must also contain the following:
"Any opinions, findings, and conclusions or recommendations expressed in this publication are those of the Author(s) and do not necessarily reflect the view of the Federal Highway Administration."
(e) Internal Confidentiality Agreement
The Recipient shall not require employees or subrecipients to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subrecipients from lawfully reporting waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information. (f) Conflict of Interest
If at any time during performance, the Recipient identifies an actual or potential personal or organizational conflict of interest relating to performance of this Agreement, the Recipient must immediately notify the AO in writing. Actual or potential conflicts of interest may include but are not limited to any past, present, or planned contractual, financial, or other relationships, obligations, commitments, or responsibilities, which may bias the Recipient or affect the Recipient's ability to perform the agreement in an impartial and objective manner.
The AO will review the statement and may require additional relevant information from the Recipient. All such information, and any other relevant information known to DOT, will be used to determine whether Agreement performance by the Recipient creates an actual or potential conflict of interest. If any such conflict of interest is found to exist, the AO may (a) terminate the Agreement pursuant to the termination term of the Agreement, or (b) determine that it is otherwise in the best interest of the United States to continue the Agreement and include appropriate provisions to mitigate or avoid such conflict in the Agreement pursuant to 2 CFR 200.112.
(g) Printing
The Joint Committee on Printing Regulations Number 26, Section 36 states that Recipients shall not become prime or substantial sources of printing for the use of departments and agencies.
In the performance of this Agreement, the Recipient may duplicate less than 5,000 units of only one page or less than 25,000 units in the aggregate of multiple pages. Duplication of quantities in excess of the amounts stated requires prior written approval of the AO. The Recipient must submit such requests in writing or by email to the AO, to include specifics on the submittals, requested printing quantity, and estimated costs for printing. (h) Requirements for Implementing Section 508 Standards In addition to the work requirements specified in the award, the Recipient must ensure that all Information and Communication Technology (ICT) submittals meet the requirements of Section 508 of the Rehabilitation Act and the ICT Final Standards and Guidelines (508 Refresh) at 36 CFR Part 1194.
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As defined in the 508 Refresh, at 36 CFR Part 1194, Appendix A, E103.4, ICT is “Information technology and other equipment, systems, technologies, or processes, for which the principal function is the creation, manipulation, storage, display, receipt, or transmission of electronic data and information, as well as any associated content. Examples of ICT include but are not limited to computers and peripheral equipment; information kiosks and transaction machines; telecommunications equipment; customer premises equipment; multifunction office machines; software; applications; web sites; videos; and electronic documents.” Section 508 requires that all electronic products prepared for the Federal Government be accessible to persons with disabilities, including those with vision, hearing, cognitive, and mobility impairments.
Applicable Standards:
Appendix A to Part 1194 – Section 508 of the Rehabilitation Act: Application and Scoping Requirements
Appendix B to Part 1194 – Section 255 of the Communications Act: Application and Scoping Requirements
Appendix C to Part 1194 – Functional Performance Criteria and Technical Requirements Section 508 Refresh standards are available at https://www.access-board.gov/guidelines-and- standards/communications-and-it/about-the-ict-refresh.
The Recipient must adhere to the terms and requirements in FHWA Form 4260 Section 508 Information and Communication Technology (ICT) Conformance Criteria for Section 508 conformance. The Conformance Criteria document does not need to be completed with submittals.
ATTACHMENT NO. 3
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SCHEDULE E
CHANGES FROM APPLICATION
The purposes of this schedule E are (1) to clearly and accurately document changes between the Project described in the application and the Project being funded, including, at minimum, the scope, schedule, and budget, and (2) to establish the parties’ knowledge and acceptance of the changes.
1. Federal Award Description: Refer to the [insert full application title as it appears on the SF 424] [insert month, date, and year] which is incorporated by reference to:
Only language marked with an “X” is applicable.
For a State DOT recipient:
_____ the FMIS Project Agreement.
For a non-State DOT recipient:
__X___ this grant agreement.
2. Changes From Application: The purpose of this section is to clearly and accurately document the changes in scope, schedule, and budget to establish the parties’ knowledge and acceptance of the changes.
Scope: (see Drafting Instructions and Additional Information sheet for how to document scope changes):
Schedule: (see Drafting Instructions and Additional Information sheet for how to document schedule changes):
The table below compares the Project milestone dates.
Only language marked with an “X” is applicable.
_____. This is a Capital/Construction project:
Milestone Application Agreement
Planned Construction Substantial Completion and
Open to Traffic Date: None [insert date]
_____. This is Planning project:
Milestone Application Agreement
Planned Project Completion Date: [insert date] [insert date] ATTACHMENT NO. 3
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__X___. This is a Non-Construction project
Milestone Application Agreement
Planned Project Completion Date: [insert date] [insert date]
Budget:
The table below provides a summary comparison of the Project budget. ONLY CHANGES
Fund Source
Application Schedule E
$ % $ %
Previously Incurred Costs
Federal Funds
Non-Federal Funds
Total Previously Incurred Costs
Future Eligible Project Costs
Grant Award Funds
Other Federal Funds
Non-Federal Funds
Total Future Eligible Project
Costs
Total Project Costs
ATTACHMENT NO. 3
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SCHEDULE F
GRANT PROGRAM DESIGNATIONS
1. Funding Source.
Funding Source: Trust Fund
2. Security Risk Designation.
Security Risk Designation: [Low] [Elevated] designated in accordance with section 20.1 of the General Terms and Conditions.
3. Grant Project Designation.
Designation: Non-Construction
4. Funding Act.
Infrastructure Investment and Jobs Act (Pub. L. 117–58, November 15, 2021):
Highway Trust Funds (IIJA § 11101(c)(1)(A), (B), and (D)).
5. Funds Obligation.
FY 2023 Funds Obligation Deadline: September 30, 2026
FY 2024 Funds Obligation Deadline: September 30, 2027
6. Cancellation Date.
Highway Trust Funds: Available until expended.
ATTACHMENT NO. 3
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SCHEDULE G
THIS SCHEDULE IS RESERVED
ATTACHMENT NO. 3
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SCHEDULE H
CLIMATE CHANGE AND ENVIRONMENTAL JUSTICE IMPACTS
1. Consideration of Climate Change and Environmental Justice Impacts.
The Recipient states that the row(s) marked with an “X” are accurate:
The Notice of Funding Opportunity (NOFO) did not include consideration of Climate Change and Environmental Justice Impacts under the Merit Criteria, FHWA Selection Priority Considerations, or as a condition of award.
The NOFO included the consideration of Climate Change and Environmental Justice Impacts under FHWA Selection Priority Selection Considerations, but the Recipient did not address Climate Change and Environmental Justice Impacts in the Application.
If the NOFO required applicants to address Climat e Change and Environmen tal Justice Impacts under the Merit Criteria, the FHWA Priority Considerations, or requires the Recipient to address these impacts as a condition of award, then use an “X” to select the applicable option(s) in the table below and provide a short narrative to support the selected option.
The Project directly supports a State Carbon Reduction Strategy, State Electric Vehicle Infrastructure Deployment Plan, or other State, local, or tribal emissions reduction plan. (Identify the plan in the supporting narrative below.)
X The Project significantly reduces greenhouse gas emissions reductions relative to a no- action baseline through one of the following methods: modal shift, land-use planning to reduce trip length or frequency, traffic demand management, or incorporation of freight logistics technology. (Identify the method in the supporting narrative below.) The Project incorporates electrification infrastructure, zero-emission vehicle infrastructure, or both. (Describe the incorporated infrastructure in the supporting narrative below.) The Project promotes energy efficiency by serving the renewable energy supply chain or incorporating carbon-reducing uses of the rights-of-way. (Describe how in the supporting narrative below.)
The Project improves disaster preparedness and resiliency. (Describe how in the supporting narrative below.)
X The Project avoids adverse environmental impacts to air or water quality, wetlands, and endangered species, such as with improved stormwater management or improved habitat connectivity. (Describe how in the supporting narrative below.) The Project repairs existing dilapidated or idle infrastructure that is currently causing environmental harm. (Describe that infrastructure in the supporting narrative below.) The Project includes recycling of materials, use of materials known to reduce or reverse carbon emissions, or both. (Describe the materials in the supporting narrative below.) ATTACHMENT NO. 3
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The Recipient has taken other actions to consider climate change and environmental justice impacts of the Project. (Describe those actions in the supporting narrative below.)
2. Supporting Narrative.
[Insert supporting text for each item selected in section 1.] From Application? ATTACHMENT NO. 3
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SCHEDULE I
EQUITY AND BARRIERS TO OPPORTUNITY
1. Efforts to Improve Racial Equity and Reduce Barriers to Opportunity.
The Recipient states that the row(s) marked with an “X” are accurate:
The Notice of Funding Opportunity (NOFO) did not include the consideration of Equity and Barriers to Opportunity under the Merit Criteria, FHWA Selection Priority Considerations, or as a condition of award.
The NOFO included the consideration of Equity and Barriers to Opportunity under FHWA Selection Priority Selection Considerations, but the Recipient did not address Equity and Barriers to Opportunity in the Application.
If the NOFO required applicants to include Equity and Barriers to Opportunity impacts under the Merit Criteria, under the FHWA Priority Considerations, or requires the Recipient to address these impacts as a condition of award, then use an “X” to select the applicable option(s) in the table below and provide a short narrative to support the selected option.
The Project increases affordable transportation choices or significantly reduces vehicle dependence. (Describe how in the supporting narrative below.) X The Project expands active transportation usage. (Describe how in the supporting narrative below.)
The Project reduces transportation and housing cost burdens by integrating mixed use development and a diversity of housing types (including affordable housing) with multimodal transportation infrastructure. (Describe how in the supporting narrative below.)
X The Project coordinates and integrates land use, affordable housing, and transportation planning to create more livable communities and expand travel choices. (Describe how in the supporting narrative below.)
The Project reduces vehicle dependence and improves access to daily destinations, such as jobs, healthcare, grocery stores, schools, places of worship, recreation, or parks, such as by adding new facilities that promote walking or biking. (Describe how in the supporting narrative below.)
The Project implements transit-oriented development that benefits residents and businesses. (Describe how in the supporting narrative below, including a specific description of the benefits to residents and businesses.) X The project sponsor has adopted an equity and inclusion program/plan or has otherwise instituted equity-focused policies related to project procurement, material sourcing, construction, inspection, hiring, or other activities designed to ensure equity in the overall project delivery and implementation. (Describe how in the supporting narrative below.) ATTACHMENT NO. 3
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The Recipient or a project partner has taken other actions related to the Project to improve racial equity and reduce barriers to opportunity. (Describe those actions in the supporting narrative below.)
2. Supporting Narrative.
[Insert supporting text for each item selected in section 1.] ATTACHMENT NO. 3
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SCHEDULE J
LABOR AND WORKFORCE
1. Efforts to Support Good-Paying Jobs and Strong Labor Standards The Recipient states that the row(s) marked with an “X” are accurate:
The Notice of Funding Opportunity (NOFO) did not include the consideration of Labor and Workforce under the Merit Criteria, FHWA Selection Priority Considerations, or as a condition of award.
The NOFO included the consideration of Labor and Workforce under FHWA Selection Priority Selection Considerations, but the Recipient did not address Labor and Workforce in the Application.
If the NOFO required applicants to include Labor and Work effort s under the Merit Criteria, under the FHWA Priority Considerations, or requires the Recipient to addre ss these impacts as a condition of award, then use an “X” to select the applicable option(s) in the table below and provide a short narrative to support the selected option.
The Recipient or a project partner promotes robust job creation by supporting good-paying jobs directly related to the project with free and fair choice to join a union. (Describe robust job creation and identify the good-paying jobs in the supporting narrative below.) The Recipient or a project partner will invest in high-quality workforce training programs such as registered apprenticeship programs to recruit, train, and retain skilled workers, and implement policies such as targeted hiring preferences. (Describe the training programs in the supporting narrative below.)
The Recipient or a project partner implements targeted hiring preferences that will promote the entry and retention of underrepresented populations into those jobs including women, people of color, and people with convictions. (Describe the use of targeted hiring preferences that will promote the entry and retention of underrepresented populations in jobs in the supporting narrative below.)
The Recipient or a project partner will partner with high-quality workforce development programs with supportive services to help train, place, and retain underrepresented communities in good-paying jobs or registered apprenticeships including through the use of local and economic hiring preferences, linkage agreements with workforce programs that serve underrepresented groups, and proactive plans to prevent harassment. (Describe the supportive services provided to trainees and employees, preferences, and policies in the supporting narrative below.)
The Recipient or a project partner will partner and engage with local unions or other worker-based organizations in the development and lifecycle of the project, including through evidence of project labor agreements and/or community benefit agreements. (Describe the partnership or engagement with unions and/or other worker-based organizations and agreements in the supporting narrative below.) ATTACHMENT NO. 3
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The Recipient or a project partner will partner with communities or community groups representative of historically underrepresented groups to develop workforce strategies. (Describe the partnership and workforce strategies in the supporting narrative below.) The Recipient or a project partner has taken other actions related to the Project to create good-paying jobs with the free and fair choice to join a union and incorporate strong labor standards. (Describe those actions in the supporting narrative below.)
2. Supporting Narrative.
[Insert supporting text for each item selected in section 1.] ATTACHMENT NO. 3
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SCHEDULE K
TITLE VI
As a condition of a grant award, grant recipients should demonstrate that the Recipient has a plan for compliance with Title VI of the Civil Rights Act of 1964 and implementing regulations (49 CFR part 21 and 23 CFR Part 200).
1. Recipient Type Designation.
Only language marked with an “X” is applicable.
_____. Recipient Type Designation: Existing. The Recipient is a State DOT recipient of apportioned (formula) Federal-aid highway funding or a non-State DOT who has received other Federal funds and has a current Title VI Plan on file with the FHWA.
___X__. Recipient Type Designation: New. The Recipient is a non-State DOT and does not have a current Title VI Plan on file with the FHWA.
2. Title VI Assessment Information.
Only language marked with an “X” is applicable.
__X___. The Recipient Type Designation is Existing. The Recipient has submitted to FHWA, prior to signing this grant agreement, documentation showing that it has a current, approved Title VI Implementation Plan on file with FHWA.
_____. The Recipient Type Designation is New. The Recipient is providing the required, signed DOT Title VI Standard Assurances at Exhibit B, Term B.1, of this grant agreement as of the date of execution of this grant agreement.
ATTACHMENT NO. 3