07-631Council File # � ] /
Green Sheet # 3041210
RESOLUTION
CITY O
Presented by
MINNESOTA
�a
1 WHEREAS, Chapter 73 of the Saint Paul Legisiative Code declazes as a matter of public policy that the
2 preservation, protection, perpetuation and use af areas, places, buildings, structures and other objects
3 having a special historical, community or aesthetic interest or value is a public necessity and is required in
4 the interest of the health, prosperity, safety and welfare of the people; and
6 WFIEREAS, Chapter 73 establishes the Heritage Preservation Commission (HPC) and states the
7 commission shall have authority to solicit gifts and contributions to be made to the city and to assist in the
8 preparation of applications for grant funds to be made to the city far the purposes of heritage preservation;
9 and
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WFIEREAS, The Minnesota Historical Society (MHS), through its Historic Preservation, Field Services,
and Grants Department, administers the U.S. Department of the Interior's Historic Preservation Fund
(HPF) Program in cooperation with the National Park Service (NPS); and
WHEREAS, The Department of the Interior specifies that at least ten (10) percent of Minnesota's annual
HPF Program award be designated as pass-through funding to Certified Local Governments (CLG) each
year; and
WHEREAS, The gxant request amount is $17,000 and the total cash, in-kind, donated match and grant
totals $41,640, allowing funding for a consultant to be hired to research and write the plan, for mapping,
formatting the report and for printing costs; and
WHEREAS, There are several reasons to complete a preservation plan now, including, but not limited to,
1. The revision of the city's comprehensive plan due to be completed in 2008, 2. The legal basis in the
MN Statutes Comprehensive Plan requirements (473.859 Subd. 2(b)) that states a land use plan shall
contain a protection element for historic sites, and 3. The plan would allow for infortned decision making
regarding the city's histaric resources, for the Heritage Preservation Commission, its staff, other city
departments and the community;
WHEREAS, the Mayor, pursuant to Section 10.07.01 of the City Charter, certifies that there are available
for appropriations $17,000 in funds in excess o£those estimated in the 2007 budget; now
THEREFORE, BE IT RESOLVED, that the City Council authorizes the City of Saint Paul to enter into
a grant agreement with the Minnesota Historical Society, accept this grant including its condition to
indemnify and hold harmless the MHS and the NPS from any and all claims or actions which may arise
from the City's performance of this project, and hereby approve the following changes to the 2007 budget:
0 7 6 3/
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FINANCING PLAN:
Department of Safety and Inspections
GL 320 33351 6905 Contribution —Grant
All Other Activity Financing
Total
SPENDING PLAN:
Department of Safety and Inspections
GL 320 33351 0219 Fees
Other Professional Services
All Other Activity Spending
Total
Current Chanee
Budeet
0 17,000
7,556,681 0
7,556,681 17 000
57,858 17,000
6.509,797 0
6,567,655 17,OQ0
Amended
Bud�et
17,000
7.556,681
7,573.681
74,858
6,509,797
6,584,655
Benanav
Bostrom
Harris
Adopted by Council: Date
Yeas
✓
Requested by Depariment of Safety and Inspecrions:
By:
Approved Po O � c of F �al Services:
By: �
�C
Forxn Ap b City Attorney:
By: /; W, {✓AVw— 7. � 07
Adoprion Certified by Council Secre�Iy
BY� i� � Form A rov y Ma or fo � t �ssi� cil:
Approve yc D 7 o By:
By:
� Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet �
� 7 I
- Oepartmentfofficelcouncil: '. Date lnitiated:
s , -��ofs�e Z�,�N-0, Green Sheet NO: 3041210
�' Contact Pereon & Phone: �
Amy Spong
266-9079 ��
i Assign �
Must-B on Council Agenda by (Date): �, Number �
; ������ ; For '
� Routing
�, SSoc.Type: RESOLUTM1ONWI$TRANSAC i Order ;
� E-Document Required: Y
� Document Contact: Robert Humphrey
' Contact Phone: 266-9123
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'D pt fSaf N&I o ti0n5 ' Dep rtme tD' eCtol ' G �
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!CiriAttomeY _ . T'?••7 / ,
i vor's Office Mavor/ASSis[ant � I
,Council City Council ' �
City Clerk I CitY Clerk j
Total # of Signature Pages _(Clip All locations for Signature)
Authorization for the City of Saint Paul, Department of Safety and Inspecfions, tn enter into a grant ageement with the Minnesota
Historical Society to accept a grant for $17,000 (total project cost $41,640) and amend the budget accordingly.
dations: Approve (A) or R
Planning Commission
CIB Committee
Civil Service Commission
1. Has thls persoNfirm ever worked under a contract for this department?
Yes No
2. Has this person/firm ever been a city employee?
Yes No
3. Does this person/firm possess a skill not normally passessed by any
current city employee�
Yes No
Explain ali yes answers on separate sheet and attach to gre¢n sheet
loitiating Problem, Issues, Opgortunity (Who, What, When, Where, Why): �
This project will result in the completion of a City-wide preservation plan that will become part of the City's Comprehensive Plan.
AdvanWges if Approved:
Disadvantages If ApproVed:
�
�—
'�, DisadvaMages If Not Approved:
I
i
�� Transaction: $17,000
Funding Source: DSI Special Fund 320
Financial Information:
(Exptain)
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. .,. � � ���7
CosURevenue Budgeted: Y
.x3�i. y(.._
��!L � �. 2Q�7
Activity Number: 33351-0219
June 27, 2007 934 AM Page 1 ��"�'� ��������
07-��1
App/icant Match
Budget Item Grant Cash In-Kind Donated Total
Preservation Consultant $17,000 $7,000 $24,000
National Trust Midwest Office
Consultant $3,000 $3,000
Graphic Designer In-house,
includes mapping ($60/hr x $3,550 $3,550
59.2 hrs.)
Printing of Plan In-house
(Riverprint) (200 copies/includes $1,450 $1,450
color)
Grant Administration (HPC Staff)
($30/hr. x 208hrs.) $6,24� $6,240
Comprehensive Pian Adoption
Administration (PED Staff) ($35 $2,800 $2,800
/hr. x 80hrs.)
�
Preservation Plan Task Force
embers (1 Planning $6�0 $600
ommissioner and 3 HPC
members) ($SO/hr x (4)15hrs.)
Total $17,000 $15,000 $9,040 $600 $41,640
A. B. C. D. E.
Column A must not exceed the total of
Columns B + C + D
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MINNESOTA HISTORICAL SOCIETY
CERTIFIED LOCAL GOVERNMENT GRANT AGREEMENT
ACCOUN'I' FISCAL OBJECT FEDERAL PROJECT DOLLAR AMOUNT
NUMBER YEAR CODE NTJMBER
0284 2007 5720 27-07-21627.003 $17,000 HPF grant funds
$24,640 applicant match
This Agreement is made by and between the Minnesota Historical Society hereinafter called the
Society), and the City of St. Paul (hereinafter called the City), pursuant to authority granted by
the National Histozic Preservation Act of 1966, as amended.
WHEREAS, pursuant to the Act, the Society has been allocated funds by the United States
Department of the Interior for use by Certified Local Governments for qualifying historic
preseroation activities; and
WHEREAS, the City has applied for and been granted Certified Local Government Status and
has made application for Certified Loca1 Govemment funds to be utilized in carrying out the
project described in Attachment A of this Agreement,
NOW, THEREFORE, in consideration of and in reliance upon the mutual covenants and
agreements contained herein, the parties hereto do covenant and agree, each for themselves and
their respective successors and assigns, to carry out the project under the following provisions.
I. PROJECT DESCIZIPTION
A. The Project Tixne Period, Work Smmnary, Photograph Guidelines (where
applicable), Consultations and Progress Reports, Fina1 Products, Pro}ect Dizector's
Report, Project Budget, and Reimbursement Schedule aze described in the Project
Description, Attachment A, which is attached hereto and made a part hereof.
B. The City agrees the project will be carried out as described in the Project
Description, unless modified pursuant to the provisions of Section V of this
contract.
C. The Sociery will reimburse the City for the budget costs identified as Historic
Preservation Fund (HI'F) federal dollars in the Project Description, following
submittal of materials as described in Section III of this Agreement. Final
products which do not conform to the terms and conditions of this Agreement or
which do not meet the applicable Secretary of the Interior s Standards wilt not be
reimbursed.
II. ASSURANCES
A. The.City assures that ail work carried out on this project will conform to the
Secretary of the Interior's Standards for Archaeology and Historic Preservation (as
CLG Grant Agreement
I�-��i
published in the Federal Register of September 29, 1983) and that the project
personnel meet the Secretary of the Interior's Professional Qualifications
Standards (as published in the Federal Register of September 29, 1983) as
stipulated in the Project Description.
B. The City assures tUat this project will be administered and conducted in
accordance with the following:
1. OMB Circular A-87 "Cost Principles Applicable to Crrants and Contracts with
State and Local Government" and OMB Circulaz A-102 (revised) "Uniform
Requirements for Assistance to State and Local Govemments."
2. Department of the Interior regulations 43 CFR Part 12, Subpart C-"Uniform
Adulinistrative Requirements for Crrants and Cooperative Agreements to State
and Local Govemments."
a. In addition to the requirements of these regulations the City will allow a
minimum of two weeks between the date bid solicitations aze published
and the date bidders must respond; and allow eighteen calendar days be-
tween the date invitations aze mailed to potenrial bidders and the date
bidders must respond.
Public Law 101-517, Title V, Section 511, states: When issuing statements,
press releases, requests for proposals, bid solicitations and other documents
describing projects or programs funded in whole or in part with Federal
money, all grantees receiving Federal funds, including but not limited to State
and local governments, shall clearly state (1) the percentage of the total costs
of the program or project which will be financed with Federal money, (2) the
dollar amount of Federal funds for the project or program, and (3) percentage
and dollaz amount of the total costs of the project or program that will be
furnished by nongovemmental sources.
4. The "Single Audit Act of 1984."
5. Historic Preservation Fund (HPF) Grants Manual (previously known as
National Register Programs Guideline NPS-49).
C. The City acknowledges that this project is being supported, in part, with funds
from the United States Departxnent of the Interior. As a condition of receiving
such funds, the City assures compliance with Title VI of the Civil Rights Act of
1964, Section 504 of the Rehabilitation Act of 1973, and the Age Biscrimination
Act of 1975.
The City also agrees as follows:
In the hiring of common or skilled labor for the performance of any work
hereunder, no contractor, material supplier or vendor shall, by reason of race,
Page 2
CLG Grant Agreement
D`i -(��I
creed or color, discrinunate against any person or persons who aze citizens of the
United States, or resident aliens, who aze qualified and available to perform the
work to which the employment relates.
No contractor, material supplier or vendor shall, in any manner, discrim;nate
agai.nst, or intimidate, or prevent the employment of any person or persons
identified in the preceding pazagaph, or on being hired, prevent, or conspire to
prevent, the person or persons from the performance of work under any contract
on account of race, creed or color.
The violation of this section is a misdemeanor pursuant to Minnesota Statutes.
This Agreement may be canceled or terminated by the Society, and all money due,
or to become due hereunder may be forfeited for a second or any subsequent
violation of the terms of this section.
D. The City will indexnnify and save and hold the Society and the Department of the
Interiar hazmless from any and a11 claims or causes of action arising from the
performance of this project by the City.
E. The City agrees to make repayment of grant funds to the Society if terms and
conditions of this Agreement are not followed or costs claimed aze subsequently
disallowed.
F. The City, in accordance with provisions of 18 USC 1913 regarding lobbying,
assures that no part of grant budget will be used directly or indirectly or to pay for
any personal service, advertisement, telegram, telephone, letter, printed or written
matter, or other device intended or designed to influence in any manner a member
of Congress, to favor or oppose, by vote or otherwise, any legislation or
appropriation by Congress, whether before or after the introduction of any bill or
resolution proposing such legislation or appropriation. This sha11 not prevent
communicating to members of Congress on the request of any member or to
Congress, through the proper official channels, requests for legislation or
appropriations which they deem necessary for the efficient conduct of the public
business.
G. The City agrees any publications, studies, reports, presentations, films, audio
visual materials, e�ibits, or other material prepared with grant assistance will
contain an aclrnowledgment of HPF grant funds and nondiscrimination policy as
follows:
"The activity that is the subject of tlus (type of publication) has been financed (in
part/entirely) with Federal funds from the National Pazk Service, U. S.
Department of the Interior. However, the contents and opinions do not necessarily
reflect the views or policies of the Departrnent of the Interior, nor does the
mention of trade names or commercial products constitute endorsement or
recommendation by the Department of the Interior.
Page 3
CLGGrantAe eement
G�'� -1��1
"Tbis program receives Federal fmancial assistance for identification and
protection of historic properties. Under Title VI of the Civil Rights Act of 1964
and Section �04 of the Rehabilitarion Act of 1973, the U. S. Department of the
Interior prohibits discrinunation on the basis of race, color, nationai origin, or
disability in its federally assisted pro�ams. If you believe you have been
discriminated against in any pro�am, activity, or facility as described above, or if
you desire fiuther information, please write to: Office for Equal Opportunity, U.
S. Department of the Interior, Nafional Park Service, 1849 C St., NW,
Washington, D.C. 20240."
H. The City assures that transferred federal monies will not be applied as part of the
matching (applicant) shaze, and that monies used as match on other federal grants
will not be used as matching (applicant) shaze on this project.
L The City agrees not to contract with any pariy which is debarred or suspended or
is otherwise excluded from or ineligible for participation in Federal assistance
programs under Executive Order 12549, Debarment and Suspension. Current list:
of such parties are on file in the Society's Grants Office and are available for
review by the City. As a condition of this Agreement, the Ciry shall complete and
execute the attached Certification Regarding Debarment, Suspension, and other
Responsibility Matters, Drug-Free Workplace Requirements and Lobbying (see
page 7-9).
III. REIMBURSEMENT PROCEDURES
A. Payments under this Agreement will be made on a reimbnrsable basis according
to the schedule included in the Project Description (see Attachment A). All
supporting fiscal documentation must be submitted prior to reimbursement.
B. A Request for Reimbursement must include the following:
1 Request for Reimbursement Form (see Attachment B).
2. Supporting fiscal documentation for all project costs during the period covered
by the request, including both federally funded items and applicant match
items. (See Attachment C for Information on Allowable Costs.)
3. If project work begins prior to September 30, and the City wishes to claim
these costs, a Request for Reimbursement must be submitted at the end of the
federal fiscal yeaz. Applicant match must be equal to, or may exceed, the
�'ederal funds requested as of September 30 (also see Reimbursement Schedule
of Attaclunent A).
4. Final Product(s) and the Project Director's Report are to be submitted with the
Final Request for Reimbursement Form (see Attachment A).
Page 4
CLG Grant flo eement
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C. The Request for Reimbursement Forms should be submitted to Mandy Skypala,
Minnesota Historical Society, Grants Office, 345 Kellogg Boulevard West, Saint
Paul, Minnesota 55102-1906.
D. When both the financial documentation and the product documentation has been
found to be acceptable by the Society, funds will be requested from the
Deparnnent of the Interior and will be forwazded to the City when the funds have
been received by the Society.
IV. AUDIT
The City must submit a copy of all audited financial statements completed pursuant to OMB
Circulaz A-128 for ail fiscal years which include the project period. These must be submitted to
Monica Zazembski, Minnesota Historica) Society, Finance Office, 345 Kellogg Boulevard West,
Saint Paul, Minnesota 55102-1906, within 120 days of their completion.
V. AMENDMENTS AND CANCELLATION
A. Amendments
1. Any significant variations from the approved work summary, products, budget,
and performatice/reporting milestones described in Attachment A which aze
experienced or anticipated during the course of the pro}ect and any significant
problems, delays, or adverse conditions which materially affect planned
performance should be submitted in writing to Mandy Skypala, Minnesota
Historical Society, Grants Office, 345 Kellogg Boulevard West, Saint Paul,
Minnesota, 5 5 1 02-1 906. The Society will respond in cvriting, either
approving or not approving the changes, and may amend the contract if
deemed necessary. The City is awaze that some changes may require approval
by the National Pazk Service and agrees to submit any necessary changes as
eazly as possible during the project period. Variations which aze not known
until the conclusion of the project may be submitted with the final Request for
Reimbursement; however, the City understands that costs may be disallowed
if changes aze not approved.
2. If any part of the budgeted federal grant funds will not be used, the City must
notify the Society at least sixty (60) days before the project's ending date.
Failure of the City to notify the Society may result in the loss of federal funds
to the state, and may have an adverse effect on fuhue applications for CLG
funds by the City.
B. Canceliation. The Society reserves the right of termination fox cause on a thirry
(30) day notice should it be determined that the City has failed to materially
comply with the terms and conditions of this Agreement. This Agreement may
also be terminated when both parties agree that the proyect will not produce
beneficial results commensurate with further expenditure of funds or because of
circumstances beyond the control of the Society and/or the City. In the event of
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CLG Grant Agreement r
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termination, the City may be reunbursed for eligibie expenses incurred prior to
termination or by a negotiated settlement.
Once this Agreement is signed, it controls all activities during the project time period.
IN WITNESS VJHEREOF, The parties have caused this Agreement to be duly executed on the
date(s) indicated below intending to be bound thereby.
Minnesota Historical Society City of St. Paul
345 Kellogg Boulevazd West c/o LTEP
Saint Paul, Minnesota 55102 8 Fourth St. E, Suite 200
St. Paul, MN 55101
Nina M. Archabal, Director and
State Historic Preservation Officer
� �G7��/
(date) signature (authorized official) (date)
'P�ob ICeSSIs.r, �SI �ir;Cfor
(print name)
� ` P1��a�-� `1-I1-o7
(signature-City erk or City Manager) (date)
Britta L. Bloomberg (date)
Deputy State Historic Preservation Officez
S h� r; 6�Ylcore
(print name)
�
� �_ v�—�
(date) (signature- HP irperson) (date
Katluyii Ludwig
Contracting Officer
Pa�1t 1,�o�t�on �.ha�r
(print name)
Page 6
�C3RM AAPROVEDa
city �ttoen�y,'s Of{ice y
G�l � 1,�� 1
U.S. Depar[ment of the Interior
Certificafions Regarding Debanment, Suspension, and
Other Responsibility Matters, Drug-Free Workplace
Requirements and Lobbying
Peisons si�in, this fotm sLould refer m rLe regulations referrnced
below for comptete uuU�uctions:
CertificaTion Regardin� Debazment, Suspensioq and Other
ReSponsibiliTy Matters - Primazy Covered Transactions -[Ihe
prospective primary parbcipant further a rees by submittin� tivs
proposal thaL it will include the clause titled, "Certtification Re�ardin�
Debarmen[, Suspension, Ine(i�ibiliry and Voluntazy Exdusion - Lower
Tier Covered TransactloR" pro�ided by The departme�t or agency
entering into this covered Raasaction, without modifica2ion, in all bwer
ver covered Ransactions and in all solicitations for lower lier covered
Vansactions. See below for lane age to be used; use thls form for
certification and sien; or use IJepartment of ihe Interior Form 1954 (DI-
1954). See Appendix A of Subpazt D of 43 CFR 12.
Ce�catiou Regardin� Debarmen[, Suspensioq IneliejbiliN and
Voluntary Exclusion - L.ower Tier Covered Trm�sactions -(See
AppendiY B of Subpart D of 43 CFR Part 12)
Certification Regazdin� Dru� Fiee P1or}.�place Requiremenis - filtemate
I. (Gizntees Other Than Individuals) and Altemaze IL (Grantees Who
aze Individuals) -(See Appendix C of Subpart D of 43 CFR Part 12)
Si�amre on this fom� provides for compliance wi[h certificffiion
requirements under 43 CFR Parts 12 and 18. The certificazions shail be
treated as a material representation of fact upon which reliance will be
placed when the Department of the Snterior determines to awazd ffie
wvered Vansactioq grant, cooperazive as}eement or loan.
PART A Certification Regardin� Debarment, SusDension and Other Responsibility Matters - Primary Covered Transacfions
CHECK IF THIS CERTIFICATION IS FOR A PRIMARY COVERED TAANSACTSON AND IS APPLICP.BLE.
Q) The pro5pec[rve primary recipient certifies to the best of its knowledge and belie� that it and �ts principals:
(a) Are not presently debarsed, suspended, proposed for debazment, declazed meligible, or voluntarily excluded from covered Vansactions by any Federal
departrnent or agency;
(b) Have not within a three-yeaz period preceding tfis proposal been convicted of or had a civil judgment rendered against them for commission of fraud
or a criminal offense in connectron with obtaining attempti�g to obiaiq or peBormm� a public (Federal, State or ]ocai) GanSac[ion or contract under
a pu6lic transaction; violation of Federal or State antihvst statutes of comm�ssion of embealement, theft, for�erv, bribery, falsification or deshvction
of records, makmg false stffiements, or receiving stolen property;
(c) Are m[ presently indicted for or otherwise criminally or civillY chazged by a govemmentai rnUTy (Federal, State or local) with commi5sion of any of
the offenses enumerated in paragraph (1)(b) of this certificat�on; and
(d) Have not within a three-year period preceding this appiicaYion/proposal had one or more public Vansactio�s (Federat, State or local) terminated for
cause or default.
(2) Where the prospective primary panicipant is unable to certify to any of the statementr in this certificffiion, such prospective parGCipant shalt attach an
explaua6on to th�s pcoposal.
PART B• CertiSCafion Regarding Debarment, Suspension Ineli�ibilitv and Voluntary Exclasion - Lower Tier Transactions
CHECK _� IF THIS CERTffICATION IS POR A LOWER TIPA W VERED TRANSACTION AND IS APPLICABLE.
(1) The prospectrve lower tier participant certifies, by submission of this proposal, thffi neither it nor iGS principals is presently debarted, suspended, proposed
foc debatmeni, declazed ineligibie, or vo{untanly excluded from participation �n this Vansaction by any Fedeal depaztment or agency.
(2) Where the prospective lower tier participant is unable to ceRify to any of the staiemenis m this certification, such prospective participant shall attach an
eaplanation to thr, propos2l.
Page 7
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P.�RT C• Certi6cafion Reo„arding DruR-Free Workpl2ce Requirements
CrIECK X IF THLS CERTffICATfOIv IS FOR AN AP°LICANT WHO IS NOT?N INUNIDUAL
Altemate 1 CGtantees Other Than IndivSduals)
A The grmtee cerRSes that it will provide or continue to provide a d�ug-free workplace bv
(a) Publishin� a statemrnt nolifyin� employees t3�at the unlawful manufacture, diriributioq dispensin�, possession, or itse of a wntrolted substance is
prohibited in the ¢�tee's worF.ylace and specifying the actions thaz will be taken against employees for violation of such prohib�tion;
(b) Estzblishin� an ongoin� dnw-free awazeness progam to infoxm empioyees about—
(I) 1Le dangers of drug abuse in the workplace;
(2) ILe �rantee's poliry of maintaining a diu� free worlcplzce;
(3) Any available dru� counseline, rehabilitatioq and employee assistance progams; and
(4) Tne penatties that may be impoud upon employees for diug abuse violazions occurtin� in the workplace;
(c) Making it a requ¢ement that each employee to be en�aged in the perfo�mance of the gant be given a copy of the statement required by pazagrnph
(a):
(d) Nolifying the employ� iu the statement required by paragrxph (a) [hai, as a condi[ion of employment under Yhe grant, the employee will—
(1) Abide by $�e tertns of the stuement; and
(2) Novfy tf�e employer in writing of his or her comiction for a v�olation of a criminal d[ug statute occucring in the wotkplace no later than five
calendaz days afrer such �onviction;
(e) Norify3ng ihe agency in writing, within ten calendaz days after receiving no[ice under subparagraph (d)(2) Gom an employee or otherwise receiving
actuai nofice of such comiction Employels of convicted employees must provide notice, including pos�tion title, to every �a�t officer on whose
gant activiTy the convic[ed employee was working, unless ffie Federal agency has duignated a central point for the receipt of such notices. Notice
shall inc(ude the idenlification rmmber(s) of each affected �canT,
(� Taking one of tf�e following ac[ions, within 30 ca7endar days of receiving notice under subpaza,gaph (d)(2), with respec[ to any employee who is so
wnvicted—
(1) Taking appropriate peisonnel act�on against such employee, up to end inclnding teimma[ioq consistent with Ihe requ�rements of the
RehabilitaUOn Act of 1973, as aznended; or
(2) Requiring such employee to participafe sazisfactonly in a diug abuse assistance or rehabilitation prograrn approved for such puiposes by a
Fedeml, State, or local health, law enforcement, or othec appropnaze agency;
(g) Making a good faith effort to conhnue to maintain a drug-free workplace through implementa[ion of para�aphs (a), (b), (c), (d), (e), and (�.
B. The grantee may insert in tfie space prov�ded below the site(s) for the pedortnance of work done in connection with the specific grant:
Place of Pedolmance (Street address, ciTy, counry, S�te, zip code)
Check _ if 6here are workplaces on file thaz are not �denfified here.
PART D: CerREca[ion ReZarding Dru�-Free Workplace Requirements
CHECK _ IF THIS CERT1FiCA110N IS FOR AN APPLICANC WHO IS AN Il�'DNIDUAL
Altemate II. (Grantees Who Are Individuals)
(a) The grantee certifies thaf, ac a condrtion of the grani, he or she wil] not engage in ihe unlawful manufacture, distr�butioq dispensing, possessi0n, or
use of a controiled subsiance in conducting any activ�Ty with the gant;
(b) if convicted of a criminal drug offense resufting from a violation occumng dunng the conduct of any �ant activity, he or she will report ihe
convict�oq in wntin,�.,, within 10 calendar days of the convictioq to ihe gtant officer or other designee, unless the Federal agency designaies a centra(
� point for the receipt of such no6ces. When notice is made to such a central point, i[ shall ineWde the iden[ification number(s) of each affected grant
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part E: CertiScatlon Regarding I.obbying
Certificatiou for Coufracts, Grants, Loaus. and Cooperative A¢reemenis
CHECK IF CERTIFICAIION IS FOR THE AWARD OF Aiv^I OF THE FOLLOWIlvG AND
Tf� AMOUNT EXCEEDS S10Q,000: A FEDERAL GR?�NT OR COOPERATIVE AGREEivIENI;
SUBCONTRACI, OR SUBGRAN"L UNDER'I'HE GRANT OR COOPERA"ITVE AGREEMENT.
CHECK _ IF CERTffICATION IS FOR THE AWARD OF A FEDERAL
LOAN EXCEEDAG Tf� AMOUNT OF $I50,000, OR A SUBGRA23L OR
SLBCONTRACT EXCEEDING 5100,000 UNDER THE LOAN.
The undezsi�tted �es, to the best of his or tier knowiedge and belie£, thaz:
(I) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersi�ed, to any person for influencing or attempting to influence
an officer or employee of an agency, a Member of Con�ess, an officer or employee of Congess, or an employee of a Member of Con�ess in wnnection
wi[h YLe awazding of any Fedeial conRact, the makin� of any Federal gani, t1�e making of any Federal )oan, the rnte�in� into of any cooperative
a�reemen� and the extension, continuation, renewal, arnendmen; or modi5ca[ion of any Federnl wntrnct, �ant, loan, or cooperalive a�eement
(2) If any funds other thari Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or
employee of any a�ency, a Member of Congess, an officer or employee of Congrus, or an employee of a Member of Congress in conneGiion with this
Federal contrac[, �an[, loan, or cooperafive ageemen� Ihe unders�g�ed shall complete and submi[ Standard Foim-LLL, "Disdosure Foim to Report
Lobbyin„" in accordance with its iushuctions.
(3) The undersigned shall require thffi the language of this czrtificazion be included in the award documents for all subawazds ffi all tiers (including
subwntracts, subgralits, and conVacts under gtants, loans, and cooperative an°�eements) and Iha[ all subrocipienis shall certify accordingly.
This certificalion is a ma[erial represenialion of fac[ upon which reliance was placed when th�s Vansaction wu made or en[ered into, Subm�ssion of this
certification is a prerequisRe for makin� or entering into this trznsaction imposed by Section 1352, title 31, US Code. My person who fails to file the
reqwred ceRificazion shali be subject [o a civii penalry of not les5 [han $1 Q000 and not more than $100,000 for each such failure
As the authonzed certifying official, I hereby certify Ihat the above-specified certificaUOns aze We.
SIGNATURE OF AUCHOR7ZED CERTIFYWG OE�'FICIAL
Bob Kessler, DSI Director
T'YPED NAME AND TITLE
JllIY 5, 2���
DATE SIGNED
(This consolidated form may be used in place of the DI-1953, DI-1954, DI-1955, D1-1956, and DI-1963 foims.)
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Attachment A: City of SL Paul
PROJECT DESCRIPTION
City (CLG}:
Federal Grant No:
Grant Time Period:
City of St. Paul
27-07-21627.003
July 1, 2007 to July 31, 2008
Federal Grant No: 27-07-21627.003
Wnrk Snmm�: The purpose of this project is to develop a citywide historic preservation plan. The study
will conform to the Secretary of the Interior's Standards for PZanning (pages 44716 to 44720) in the Federal
Regic� 9-29-83 and the Minnesota State Historic Preservation 'Office's �T»>�P.I17lPC fnr
Architecti�re(Hietnrv Prn of Jt$y 2005 The project will be accomplished under the supervision of
personnel meeting the Secretary of the Interior's Professional Qualifications Standards.
1 I . 1 1 1 .. 1 1 � 1 J' � 1 1 Y
L The CITY will inform the SOCIETY'S Grants OfFice of the name and qualifications of the historian,
azchitectural historian, or historical architect with whom it has contracted within fifteen ly4� d_ a of
the contracPs execution. The CITY will at the same time provide a copy of the contract and a
complete report on the procurement process demonsh'ating compliance with Federal competitive
procurement requirements. (See II. ASSURANCES, item B, CLG Agreement, and Part VI of 2007
CLG Grants Manual.)
2. The CITY will submit a brief Monthly Progress Report (See 2007 CLG Grants Manua1- Attachment
F.) to the SOCIETY'S Grants Office by the I S`� of each month for the duration of the project period.
Product submittals will accompany the monthly reports as specified below.
3. By November 2007, the CTT'Y will submit a reseazch design and timeline to the SOCIETY'S Grants
Office.
4. By Febniazy 2008, the CITY will submit a rough outline of the plan to the SOCIETY'S Grants Office.
5. By May 2008, the CITY will submit a draft of the plan SOCIETY'S Grants Office for SHPO staff
review.
The SOCIETY may request other written progress reports and on-site reviews of project progress, as
necessary.
Final Prodnets: The Final Products to be submitted with the Request for Reimbursement (see Part III of
the CLG Agreement) and the Project Director's Report will be three bound, one unbound, and one
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Attachment A: City of SL Paul
computer disk copy of the plan.
Federal Grant No: 2'7-07-21627.003
PrQjPrt Director'c Rr�nrt: The report will include a brief description of the administration of the project.
Two copies of this report will be submitted to the SOCIETY'S Granfs Office with the Final Products and
the Request for Reimbursement Form (see Part III of the Crrant Agreement).
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BUDGETITEMS
Preservation Consultant
NaYI Trust Consultant
In- House Crraphic Designer
$60/hr. X 59.2 hours
In-House Printing
200 copies including color
Grant Administration
30/hr. x 208 hours
Comprehensive Plan Adoption
Admin, $35/hr, x 80 hrs.
Preservation Task Force Members
(4) $10/hr. x 15hrs x 4
TOTALS
C:R ANT
$17000
$17000
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$7000
$3000
$3550
$1450
$15000
$6240
$2800
$9040
$24000
$3000
$3550
$1450
$6240
$2800
$600 $600
$600 I $41640
ReimbLrsement Schednle: The CITY will be reimbursed, in total amount not to exceed $17,000, for the
actual amounts expended under the federal (HPF) portion of the budget. The CITY must submit a Request
for Reimbursement Form along with appropriate fiscal documentation, Finai Products, and Project
Director's Report to the SOCIETY'S Grants Office no later than August 15, 2048. All project work must
be completed no later than 7uly 31, 2008.
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Attachment B
Minnesota Historical Society
Grants Office
Request for Reimbursement for Federal HPF Grants
Project:
City:
Address:
Project Expenditure Classification:
(use budget items from Attackunent A of the
Cnant Agreement)
Federal Crrant Number:
MHS Contract Number:
Federal Grant Amount:
TOTAL
Total Expenditures
Federal
Applicant Match
Supporting documentation for all costs claimed in this request must be attached. Each supporting document
should be labeled with the appropriate Project Expenditure Classification.
I certify that this request for Reimbursement represents actual project expenditures carried out within the
period of the project.
Date:
Print name
and title:
Telephone:
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Attachment C
SIIPPLEMENTAL INFORMATION ON ALLOWABLE COSTS
A11 costs for this project must be in conformance with OMB Circular A-87 and A-102 (revised)
and the National Register Programs Guidelines NPS-49. The following points provide
supplementary guidance and emphasis for azeas where questions or problems may arise.
1. The project budget is divided into those costs to be reimbursed by Historic Preservation
Funds (HPF federal dollazs) and those costs which are covered by the City (applicant
match). All costs--both HPF federal dollazs and the applicant match--must be adequately
documented on a Request for Reimbursement Form. The applicant match portion must
total, at a minunum, an amount equal to the federal portion.
All costs must be in payment of an obligation incurred during the grant time period.
All costs must represent expenditures which are necessary for the accomplishment of
approved grant objectives.
Transferred federal monies cannot be applied as matching applicant shaze; monies used
as match on other federal grants may not be used as matching share on this project.
5. Speci&c cost categories:
A. Personnel
(1) Pro�ct Specific Personnel aze hired as regulaz employees specifically for
the grant project. Eligible costs may include salary expenses as well as
other project related expenses incurred for the benefit of the project
specific personnel. These costs may be charged to the federal portion
and/or to the applicant portion of the project budget. Costs included on a
Request for Reimhursement Form must be supported with copies of time
sheets showing the employee's name, dates and hours worked, dollaz
amount, description of work performed, empioyee's signature, and the
signature of the employee's supervisor. Either the City's time sheets with
the above information or MHS time sheets (see Attactunent D) aze
acceptable.
(2) Tn-Kind Services (force account personnel) are regular employees of the
City who spend a11 or part of their time on the grant project. Eligibie costs
include the actual salary of the employee including fringe benefats. (The
employee must be warking in the same skill for which he/she is normaily
paid, otherwise, only minimum wage can be used.) These costs may be
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charged to the federal portion and/or to the applicant portion of the project
budget. Costs included on a Request for Reimbursement Form must be
supported with copies of time sheets contauung informauon described
under S.A.(1) above as well as documentation supporting the claimed
wage rate(s).
(3) Donated Services (volunteer personnel) contribute time to the grant
project. If a volunteer is performing tasks within his/her normai trade or
profession, the value of the contribution is based on the volunteer s normal
rate of pay or the rates listed below. (The Society will fumish rates for
other azeas upon request.) Benefits aze not eliaible. If the volunteer is
perfomung tasks outside of his/her profession, only a$10/hour rate
can be used. These conkibutions may be utilized only for the applicant
portion of the budget. Costs included on a Request for Reimbursement
Form must be supported by time sheets with information described
under S.A.(1) above.
Rates for Volunteer Personnel
Appraiser $20.75 per hour
Archaeologist $17.43 per hour
Architect $25.57 per hour
Attorney $28.19 per hour
Bookkeeper/accountant $14.79 per hour
Graphic Arts Specialist $1730 per hour
Historian $1930 per hour
Librarian $21.40 per hour
Planner $19.94 per hour
Photographer $13.77 per hour
Reseazcher $18.20 per hour
Secretary $1637 per hour
Word Processing Operator $14.84 per hour
Writer/editor $1930 per hour
Non-Specialized HPC Member rate $10.00 per hour
B. Contractual Services are services necessary for the completion of the project
which aze contracted by the City. The City must follow the requirements of OMB
Circular A-102 (revised) regazding procurement standazds in arrauging for such
services. Eligible costs may include the rates actually paid to the contractor.
These costs may be chazged to the state portion and/or to the applicant portion of
the project budget. Costs included on a Raquest for Reimbursement Form must
be supported by copies of invoices and copies of canceled checks.
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C. Supplies and Materials
(1) Donated supplies and materials aze those taken out of Ciiy stock or
donated by third parties. The cost of these supplies and/or materials may
be chazged onlv to the applicant portion of the budget. Costs inciuded on a
Request for Reimbursement Form must be supported by a Value of
Donated Supplies and Materials Form (see Attachment E) which must
include a description of the materials and/or supplies, date of donation, fair
mazket value, basis for the valuation (i.e., invoice price, price in retail
outlet, etc.), and sigiature of verifying official.
(2) Purchased supplies and materials are those items bought specifically for
the pro}ect. The City must follow the requirements of OMB Cucular A-
102 revised) in the purchase of supplies and materials. The cost of these
supplies and/or materials may be chazged to the federal portion and/or to
the applicant portion of the budget. Costs included on a Request for
Reimbursement Form must be supported by copies of invoices and copies
of cancelled checks.
D. Indirect Costs may be cY�arged to the project only if the City has a current rate that
has been approved by the City's cognizant federal agency and is currently in
effect. These costs may be charged only to the applicant portion of the budget.
Those costs must be included on page four of the City's CLG grant application.
E. Milea�e Costs may be charged to the project for necessary costs incuned
excluding costs of mileage from place of residence of project personnel to the
project site. Mileage paid for by the City may be charged to the federal portion
andlor to the applicant portion of the budget; donated mileage may be chazged
only to the applicant portion. Costs included on a Request for Reimbursement
Form must be supported with the following information: project personnel
name, date of travel, purpose of travel, beginning and ending mileage, and rate
claimed. Maximum rate allowable is $.445 per mile.
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Attachment E
Minnesota Historical Society
Value of Donated Supplies and Materials
City and Project Name
Name and Address of Donor
Federal Cnant Numbez
Description of Supplies and Donation
Material Bonated Date Fair Value Basis of Value
Total Value of Donation
Supervisor Verifying Accuracy Date
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Attachment F
MINNESOTA HISTORICAL SOCIETY
STATE HISTORIC PRESERVATION OFFICE
Monfhly Progress Reporf Form -- CLG Granfs
Grantee:
Report for the Month of:
Federal Projecf No.
Contact: Dayfime Telephone:
1. Describe month's progress toward accomplishing the goals of the project. Refer
to "consultations" and "final products" listed in Attachment A.
2. Is the project currently on schedule? If not, please explain why.
3. Describe any significant problems encountered this month which may impede the
successful completion of the project.
4. Is the project on budget? Approximate costs incurred since the previous progress
report (esfimate only, including both federal and matching share).
Prepared by: Signature:
Date: