Arkansas - Las Animas Water System Improvements_App 2

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Water Supply Reserve Account - Grant Application Form Fonn Revised May 2007 BudQet I Activities I Total Cost I Administration 1. Advertising 500 2. Audit 3,500 3. Bond Counsel 8,000 4. Legal Counsel 1,000 5. Environmental Assessment Report 8,000 6. Technical, Managerial, Financial Capacity Assessment 8,000 Design/Contract Administration 176,314 Construction 1. Water supply system 208,150 2. WTP upgrades 775,400 3. Distribution pumping building and 2.0 MG tank upgrades 127,000 4. Well building improvements and meter installations 64,200 5. Distribution system replacements, upgrades 745,237 Other Engineering 53,000 Construction Observation 105,000 Contingencies 188,699 TOTAL $2,472,000 Proiect Schedule PLAN OF ACTION AND IMPLEMENTATION SCHEDULE Scheduled Event Date Submit Roundtable fundinq application November, 2007 Authorize desiqn preparation/permittinq October 2007 Desiqn approval packaqe Februarv 2007 Advertise proiect for bid March 2008 Obtain Roundtable fundinq commitment April 2008 Award Contracts April 2008 Start Construction Mav 2008 Complete Construction November 2008 Suaaested Format for Scope of Work The scope of work will form the basis for the contract between the Applicant and the State of Colorado. In short, the Applicant is agreeing to undertake the work for the compensation outlined in the scope of work and budget, and in return, the State of Colorado is receiving the deliverables/products specified. Summarized below is a suggested format for the Scope of Work. I. Task 1 . Description of task: . Method or procedure that will be used or followed to accomplish the task and identify who will undertake the task: F:\WPDATA\Las Animas\Water\05 WSlmp\Financial\Roundtable\06-07 Application (may 07).doc 15