Ben Delatour Scout Ranch - Front Range Fuels Treatment Partnership

(1)

Form 828 - Rev. 3/19/14

-Co~

University

Colorado State Forest Service

Program Payment Request

GRANT PROGRAM (CHECK APPROPRIATE PROGRAM TYPE}:

Bureau of Land Management Task Order Program Volunteer or Rural Fire Assistance (VFA/ RFA) Colorado Forest Restoration Grant

Insect and Disease Prevention and Suppression Program State Fire Assistance (SFA)

Front Range Fuels Treatment Partnership (FRFTP)

./

Stevens Fuels Treatment Funds (CAFA) Emergency Supplemental Funds (ESF)

D

Checked for Federal suspension and debarment (State Office) httos://www.sam.gov/portal/public/SAM/

Name:

Address:

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The above named has submitted a project application that has been reviewed and approved by the Colorado State Forest Service.

.

Grant Number: 5"3

22'890 ,

5

J(p{u"f"?-0

Approved Funding:

$

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2,

Cz(.QO

'5322?Ab - (p{gq 3

CSFSAccountNumber: 53&i(;i'-k~O - l.a!Ft~

Circle one: 1st Payment 2nd Payment

Non-Federal Match: $

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Co L.

Total Project:

$ -

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Amount of Payment:

$ 31,

13'5 -

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3rd Payment

Program Manager Signature ____________ _ Date: _____ _ Program Manager Name _ _____________ _

Colorado State Forest Service

(2)

EXHIBIT B

CSFS GRANT AND COST-SHARE PROGRAM REIMBURSEMENT REQUEST

In order to receive reimbursement, you must provide documentation supporting your costs and corresponding match. Complete Form D and submit it with your request for reimbursement. Reimbursement requests must be accompanied by receipts for actual costs (out of pocket expenses) incurred by the recipient. Other costs and matching funds incurred by the applicant and/or donated by other resources includes expenses for goods, services and labor necessary for project implementation. You may request partial reimbursement as you incur expenses and have corresponding match.

I. Project/Account #.;.5Jb6950 I 2. Total Award Amount: $145,920 12, Cl laO

3. Project Name: Ben Delatour Scout Ranch 4. Reimbursement Amount to Date: $40,724.04 5. Make Payment To: 6. Period of Performance (Project Period):

Name: Ben Delatour Scout Ranch From: 1/1/2014

Attn: Billy Riley To: 12/31/2014

Address: 2215 23rd Ave Greeley, CO 80634

7. What has been accomplished? Please provide a description of accomplishments that meet the requirements listed in the project Scope of Work. Please be specific and report numbers such as acres treated, numbers of defensible spaces, tons of, cubic feet or yards of slash collected, number of presentations, number of plans written, etc., for which the award was granted. Attach additional sheets as necessary.

Targeted areas have been thinned to create defensible space around existing growth. Dead trees have been removed and used as lumber or firewood. The slash J/Dcd.f"t.J. 6~ ~f-.

8. Reimbursement request amount cannot exceed the total project award obligation as identified in the project award notification. The reimbursement request amount must comply with the appropriate cost-share requirement for the period being billed. The reimbursement amount cannot exceed the actual project costs to recipient.

A. Award Amount _ContributionB. Recipient

$40,204.48 C. Non-recipient Contribution $89,077.10 D. Total Contributions B+C SJ29,281.58 F. Total Match Ratio% E/D

• Use results from Exhibit 81 Financial AssiJtancc Cost-Share Program Reimbursement Calculation Worksheet lo complcle table abon. Include Exhibit 81 and Form D, CSFS Financial Assislance Cost-Share Program Cost Documentation, or other appro\•ed documentation with Exhibit B to request

321

235· q~ . (,,

reimbursement. ( } ; )

Reimbursement Request: I request reimbursement in the amount of$ ·-:39,235.96

~

for the work completed and documented above.

9. I certify that to the best of my knowledge this report is correct and complete, and that all outlays reported are for the purposes set forth in the project documents (i.e. award notification, scope of work, etc.). All expenses and al cost-share are true and accurate.

Grant Recipient Signature: _Date:

::z~/lr

I 0. Certification:

Work meets minimum standards and spe

District Forester Signature: Date:

11 . Funding is available and request is approved for reimbursement.

Program Manager Signature: Date:

(3)

Exhibit B 1

(Accompanies Exhibit B..CSFS Grant and Cost-Share Program Reimbursement Request)

CSFS Financial Assistance Cost-Share Program Reimbursement Calculation Worksheet*

A. Award amount B. Recipient Contribution: C. Non-recipient Contribution: D. Total Contributions E. Reimbursement F. Total Match obligated from funding (AKA: cash; hard match; In-kind/soft match; (AKA: donated; In-kind/soft match; volunteer) (AKA: Total Project Value; Amount Ratio

source actual costs) Total Project Costs) (will be equal to or less (Cost-share rate)

(To earn the obligated award INCLUDES: (B+C) than A and must meet the _(EID)

amount, the recipient must INCLUDES: (volunteers' labor to be valued at current volunteer labor matching requirement) complete 100°1. of the (contracted services with receipts) rate)

deliverables agreed to In the (reclplents's own labor to be valued at current (donated materials/supplies to be valued at market value) Statement of Work) volunteer labor rate) (donated use of equipment to be valued at rental rate)

(labor of recipient's employees-salaried (meeting room provided to be valued at market price) employees-to be valued at actual amount and

must be documented) While non-recipient contributions can be used as match (equipment rental with receipts) to an award, the recipient will not be reimbursed for (use of recipient-owned equipment to valued at these contributions.

market rental rate)

-(cost of supplies with receipts: this Includes items such as bar oil and two cycle fuel, but does not Include repairs or other parts, such as chains, sparkplugs, etc.)

(materials with receipts)

(materials, if provided to valued at market price) (meeting room rental with receipts)

(meeting room provided by recipient to be valued at market price)

(printing with receipts)

Current volunteer labor l'llte Is the current rate at the

I/me of reimbursement requesL Any recipient

contributions can be used as match to an award. Reimbursement for these contributions can not

exceed the obi/gated amount and must meet the cost

share rate.

$145,920.00 $40,204.48 $89,077.10 $129,281.58 $39,235.96 30%

'Use From 0-CSFS Financial Assistance Cost-Share Program Cost Documentation or other approved documentation to support calculations

e

(4)

Form D

CSFS Financial Assistance Cost-Share Program Cost Documentation Worksheet

Date By Whom 12/31/2014 Billv Rilev 12/31/2014 Billy Riley 12/31/2014 Billy Riley 12/31/2014 Billv Rilev 12/31/2014 Billy Riley 12/31/2014 Billy Riley Project/Account#: Award Amount (obligated from funding source):

A. Remaining Award Amount:

Reimbursement Request: Girst

B. Recipient Cost to be reimbursed

(not to exceed the remaining award

amount and

C. Recipient Cost (reimbursable costs

that exceed the award

I

D. Non-recipient

amount and items or Cost*b

costs not allowable for reimbursement)**a

,v• 7.10 Activity/Expense Paid services and materials

2014 paid labor foresters

Materials purchased but not reimbursable for matching

5366950-1

0;econd

E. Total Project Cost= B+C+D

129,281 .

Matchina donated labor CSU Bob Sturtevant 1206 hours at $25.00 Matching donated labor other sources1485 hours at $25.00 Room and Board 2@1000for10 months

TOTALS: G. Cumulative Recipient Cost= $40,204.48

$0.00 $89,077.10 I. Non-recipient Cost (Match)=

Grant Recipient Signature: District Forester Signature:

[)Third F. Recipient Match Rate= (C+D)/E

*

Hours 1507 1206 1485 Oourth Value($) $14,581 .40-$25,623.08 $1,802.10 $30,150.00 $37,125.00 $20,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $129,281.58

fit4wffe;

Page_of_ 011tt1 Q inal

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Cost Category

Actual Cost: reimbursable costs Salaried Staff: reimbursable costs Supplies: non-allowable costs Non-recipient donated Labor. non :ipient donated Labor. non-allowab Supplies: non-allowable costs

e

Date: ______ --1

(5)

3/25/2014 4/1/2014 4/5/2014 4/8/2014 4/8/2014 4/12/2014 5/3/2014 5/10/2014 5/10/2014 6/1/2014 12/31/2014 12/31/2014

Donated Labor for Forestry 2014 105 Hours Alternate Sentencing Labor 15@7 91 Alternate Sentencing Labor 13@7 112 Alternate Sentencing Labor 16@7

423 Order of the Arrow Service Weekend 47@9 84 Alternate Sentencing Labor 12@7

119 Alternate Sentencing Labor 17@7 105 Alternate Sentencing Labor 15@7 105 Alternate Sentencing Labor 15@7 42 Chainsaw team 7@6

96 Alternate Sentencing Labor 16@6

141 2014 Management hours committed Riley/DeFranco/Stakem 167 Karl Brown Chainsaw team cumulative service hours

(6)

BDSR Forestry Grant In-kind hours Jan - Nov 2014

January 8 - Burning - 1 person 6 hours 6

Feb 1 - Layout of management units for F-430 class - 6 hours X 18 108

Feb 14 - Haul wood off property 1 person X 4 hrs 4

Feb 15 - F-430 cutting 6 hours X 18 people 108 Feb 19 - Cleanup work at Demming 1 person 6 hours 6 Feb 22 - F-430 cutting 6 hours X 18 people 108 March 8 - F-430 cutting 6 hours X 18 people 108 March 20 - cleanup of Jeffrey area 2 people X 5 hours 10 March 22 - burning at Demming entrance 3 people X 8 hours 24 March 29 - F-430 cutting 6 hours X 18 people 108 April 1 - Cleanup of wood in Jeffrey 2 people X 6 hours, 10 people X 4 hrs 52 April 12 - F-430 and FRCC Interns 18 people X 4 hrs and 4X 6 hours 96 April 18 - F-430 cutting 16 people X 6 hours 96 April 26 - F-430

+

1 FRCC, 19 people X 6 hours 114

May 1 - wood cleanup 1 person 6 hours 6

May 3 - F-430 cutting and Alt sentencing cleanup 19 X 6, 12 X 4 162

July 9 -wood cleanup - 2 people X 4 hrs 8

Aug 22 - wood cleanup - 1 person 4 hours 4

Aug 30 - wood cleanup - 1 person 4 hours 4

Sept 9 - work with Treetop Forestry on cleanup 1 person 4 hours 4 Sept 11 - check on cleanup work 1 person 2 hours 2

Sept 15 - wood cleanup, 1 person 6 hours 6

(7)

Sept 27 - wood cleanup, 1 person 4 hours Oct 4 - wood cleanup, 1 person 3 hours

Oct 13 - wood cleanup and slash piling, 1 person - 3 hours Oct 15 - wood cleanup and slash piling, 2 persons- 5 hours Oct 20 - wood cleanup and slash piling, 2 persons -2 hours Oct 21 -wood cleanup and slash piling, 2 persons - 2 hours Oct 23 - wood cleanup and slash piling, 1 person - 3 hours Oct 31 - wood cleanup, 1 person - 3 hours

Nov 1 - wood cleanup and slash piling, 2 persons - 3 hours

Nov 17 - burning and slash piling in Soaring Eagle - 1person4 hours Nov 18 - cutting and slash piling, 1 person 6 hours

Nov 24 - slash piling, 1 person 6 hours Total hours 4 3 3 10 4 4 3 3 6 4 6 6 1,206

(8)

Report :BSALCGLD

BU : L062 - - Longs Peak Ledger: ACTUALS

Fiscal Year:20l4 Period l to 12 Account : All Accounts

Statue: P (including unposted journals) Project ID: 029 to 029

Requested Parameters-Fund : 1\.11 Claes: All

Peopl@Soft GL POSTED DETAIL REPORT

Journal Date Journal JD pe1cription ~ ~ Y!ru!2I

1-5001-029-90 Peea-Gove~nt Ageneieo-BDSR Fire Pla."'1.

12/31/2014 GJ- 9 BK REC TO BDSR FIRE PLAN GJ Total Activity r

1-5001-029-90 Feea-Govanmont Agancie.11-BDSR Fire Plan l-'7009-029-25 TU1porary Ca=.p Saleri11u1-BDSR Piro Plan

01/15/2014 0001415164 Payroll Trx Post 20140115 PR 01/ll/l014 0001447062 Payroll Trx Poat 20140131 PR 02/14/2014 0001478851 Payroll Trx Poat 20140214 PR 02/28/2014 0001506399 Payroll Trx Post 20140228 PR 03/14/2014 0001542290 Payroll Trx Post 20140314 PR 04/15/2014 0001613058 Payroll Trx Poat 20140415 PR 04/30/2014 0001641914 Payroll Trx Poat 20140430 PR 05/15/2014 000167'7165 Payroll Trx Poat 20140515 PR 05/30/2014 0001703159 Payroll Trx Post 20140530 PR 06/13/2014 0001733446 Payroll Trx Post. 20140613 PR 06/30/2014 0001759851 Payroll Trx Post 20140630 PR 07/31/2014 0001814201 Payroll Trx Post 20140131 PR 08/15/2014 0001842712 Payroll Trx Poat 20140815 PR 08/29/2014 0001865615 Payroll Trx Poat 20140829 PR 08/29/2014 0001810687 Payroll Trx Post 20140829 PR 08/l9/2014 R000187068 Payroll Trx Poat 20140829 PR 08/30/2014 R0001870'8 Payroll Trx Post 20140829 PR 08/30/2014 Rl00018706 Payroll Trx Post 20140829 PR 09/15/2014 0001889859 Payroll Trx Post 20140915 PR 10/15/2014 0001937909 Payroll Trx Post 20141015 PR 10/31/2014 0001964616 Payroll Trx Post 20141031 PR 11/14/2014 0001989lll Payroll Trx Poot 20141114 PR 11/28/2014 0002009122 Payroll Trx Post 20141128 PR 12/15/2014 0002034925 Payroll Trx Post 20141215 PR 12/31/2014 0002060942 Payroll Trx Post 20141231 PR Total Activitys

1-7009-029-25 Te::i.porary Camp Salariea-BDSR Fire Plan 1-7201-029-25 social Socurity Taxoo·Ecployor-BDSR Fire Plan

01/15/2014 0001-415164 Payroll Trx Post 20140115 PR 01/15/2014 0001415164 Payroll Trx Poat 20140115 PR !!mil Credit Beginning Balance: o.oo 39 , 000 . 00 o.oo 39 , 000 . 00 Ending Balance 1 Beginning Balance : 960. 00 0. 00 1,426 . 05 0. 00 862 . so 0 . 00 1,050.00 0. 00 742 . 50 0 . 00 1, 231. 20 0 .00 555 . 00 0.00 690. 00 0 . 00 555. 00 0 .00 667 . so 0 .00 795 . 00 0 . 00 1, 477.SO 0 . 00 712 . so 0.00 570 . 00 0 .00 570.00 0 . 00 0.00 570 . 00 570. 00 0 . co o. 00 570. 00 945 . 00 0 . 00 l , 601. 25 0 . 00 l, 2'75.00 o.oo 1, 080.00 0 . 00 2,883 . 75 0 . 00 l,329 . 90 0 .oo 2,392.50 a .oo 24,942 . 15 1,140 . 00 ll. 92 59 . 51 Ending Balance : Beginning Balance: 0 .00 0 . 00 Balance o.oo - 39, DOD .OD - 39 , 000 .00 o.oo 21,802.15 23. 802 . 15 0 . 00 Page No . 1 Run Date 01/23/2015 Run Time09:21 : 54 ease curr@ncy:USD

(9)

PeopleSoft GL

Report BSA.LCGLO POSTED DETAIL REFORT Page No. 2

BU: L062 -- Longs Peak Run Date 01/23/2015

Lt!dger: ACl'U!U.S Run Time09 :27:54

Fiscal Year: 2014 Period l to 12 Base CUrrency:USO

Account: All Accounts

Status: p (including unposted journals) Project ID : 029 to 029

Requested Pa.rameters -Fund: 1Ul Class : All

Journal Date Journal ID D••cri2ticn ~ ~ ~ ~ ~ ~

01/31/2014 0001447062 Payroll Trx Post 20140131 PR 20.68 0 . 00 01/31/2014 0001447062 Payroll Trx Post 20140131 PR 88.41 0 . 00 02/14/2014 0001478851 Payroll Trx Post 20140214 PR 12 . 51 00 02/14/2014 0001478851 Payroll Trx Poat 20140214 PR 53 . 48 00 02/28/2014 0001506399 Payroll Trx Poat 20140228 PR 15.23 00 02/28/2014 0001506399 Payroll Trx Post 20140228 PR 65.10 00 03/14/2014 0001542290 Payroll Trx Post 20140314 PR 10 . 76 o .oo 03/14/2014 0001542290 Payroll Trx Post 2 0140314 PR 46 . 04 0.00 04 /1 5/2014 0001613058 Payroll Trx Post 20140415 PR 11 .es 0 . 00 04/15/2014 0001613058 Payroll Trx Poat 20140415 p PR 76.33 0. 00 04/30/2014 0001641914 Payroll Trx Post. 2 0140430 p PR 8.05 0 . 00 04/30/2014 00016419 14 Payroll Trx Post 20140430 p PR 34 . 41 o. 00 05/15/2014 0001677165 Payroll Tnc Post 20140515 p PR 10.01 0 . 00 05/15/2014 0001677165 Payroll Trx Poat 20140515 p PR 42 . 78 0 . 00 05/30/2014 0001703159 Payroll Trx Post 20140530 PR 8. 05 o.oo 05/30/2014 0001703159 Payroll Trx Post 20140530 PR 34 .41 o.oo 06/13/2014 0001733446 Payroll Trx Post 20140613 PR 9.68 0 . 00 06/ll/2014 0001733446 Payroll Trx Poat 20140613 PR 41. 39 0 . 00 06/30/2014 0001759851 Payroll Trx Poat 20140630 PR 11 . 53 0 . 00 06/30/2014 0001759851 Payroll Trx Poat 20140630 PR 49 . 29 0 . 00 07/31/:2014 0001814201 Payroll Trx Post 20140731 PR 21.42 0 .00 07/31/2014 0001814201 Payroll Trx Post. 20140731 PR 91 . 61 0 . 00 08/15/2014 0001842712 Payroll Trx Post 20140915 PR 10 . 33 0 .oo 08/15/2014 0001842712 Payroll Trx Poat 20140815 PR 44 . 18 0.00 08/29/2014 0001865675 Payroll Trx Post 20140829 PR 8 . 27 0 . 00 08/29/2014 0001865675 Payroll Trx Post. 20140829 PR lS . 34 0 .oo 08/29/2014 0001870687 Payroll Trx Post 20140829 PR 8. 27 o . oo 08/29/2 014 0001870687 Payroll Trx Post 20140829 PR 35 . 34 0 .oo 08/29/2014 R000187068 Payroll Trx Post 20140829 PR 0 . 00 8 .27 08/29/2014 R000187068 Payroll· Trx Post 20140829 PR 0 . 00 )5.34 08/30/2014 R000187068 Payroll Trx Post 20140829 PR 8. 27 0 .00 08/30/2014 R000197068 Payroll Trx Post 20140829 PR 35 . 34 0 .00 08/30/2014 Rl00018706 Payroll Trx Post 20140829 PR 0. 00 8 . 27 08/30/2014 Rl00018706 Payroll Trx Post 20140829 PR 0 . 00 35 .34 09/15/2014 0001889859 Payroll Trx Post 20140915 PR 13 . 70 0 .oo 09/15/2014 0001889859 Payroll Trx Post 20140915 PR 58. 59 0 .oo 10/15/2014 0001937909 Payroll Tnc Post 20141015 PR 23. 22 0 . 00 10/15/2014 0001937909 Payroll Trx Post 20141015 PR 99.28 0 .oo 10/31/2014 0001964616 Payroll Trx Post. 20141031 PR 18 . 49 0 .00 10/31/2014 0001964616 Payroll Trx Post 20141031 PR 79.06 0 .00 11/14/2014 0001989131 Payroll Trx Post 20141114 PR 15 . 66 o .oo 11/14/::2014 0001989131 Payroll Trx Post 20141114 PR 66. 96 0 .00

(10)

Report :BSALCGLD

BU: LD62 - - Longs Peak

Ledger: ACTUALS

Fheal Year : 2014 Period 1 to 12 Account: All Accounts

Status: p (including unposted journals) Project ID : 02 9 to 029

Requested Parameters-Fund: All Class: All

Journal Date Journal ID Deacri2tio9 ~ 11/29/2014 0002009122 Payroll Trx Post 20141128 11/29/2014 0002009122 Payroll Trx Post 20141128 12/15/2014 0002034925 Payroll Trx Post 20141215 12/15/2014 0002034925 Payroll Trx Post 20141215 12/31/2014 000206094 2 Payroll Trx Post 20141231 12/31/2014 0002060942 Payroll. Trx Post 20141231 Total Activity :

1-7201-029-25 Social Security Taxe11-E:l::zployer-BDSR Firo Plan 1-8103-029-21 Supplies-ProgrAlll-BDSR Piro Plan

02/09/2014 AP01477211 BOSR FORESTRY 04/30/2014 AP01656515 FORESTRY PROGRAM 05/31/2014 APOl 725001 Workender/Hidweek Crewe 07/21/2014 0001801942 062

-09/19/2014 AP01901476 FORESTRY 09/19/2014 AP01901476 REIHB SUPPLIES 10/09/2014 l\P01932034 BOSR FORESTRY 10/30/2014 AP01965704 BOSR FIRE PLAN 11/10/2014 AP01985112 BOSR FIRE PLAN FORESTRY 11/19/2014 AP01999S06 REIMB FORESTRY EXPENSE 12/19/2014 AP02048198 REIHB FOR FORESTRY 12/31/2014 AP02070873 FORESTRY

Total Activity : 1-8103-029·21 - suppliea -Progra=·BDSR Fire Plan

~ PR PR PR PR PR PR AP AP AP TP AP AP AP AP AP AP AP l\P PeopleSoft GL POSTED DETAIL REPORT

~

JAX OUTOCX>R GE.AR• INC . JAX Ol1I'DOOR GEAR, INC . ALTERNTIVE SENTENCING 0 ALTERNTIVE SENTENCING D SEAN CARTWRIGHT

JAX OUTDOOR GEAR, INC. TREE TOP. INC JAX OUTI>OOR GEAR, INC . MIKE MILNA.R MIKE MILNAA

ROCKY MOUNTAIN LOO ' SA"

~ 41.82 178 .so 19 .28 82 . 46 34 . 69 148 . 33 1,908.15 104. 90 79 . 36 50 . 00 568 . 00 350. 00 102 . 47 20.00 9,920 . 00 142.47 40 . 59 36.51 4,400.00 15,814 . 30 Credit 0.00 0 . 00 0 . 00 0.00 0 .oo o. 00 87 . 22 Ending Balance 1 Beginning Balance: 0 . 00 0. 00 0. 00 0 .oo 0 . 00 0 . oo 0.00 0 .oo 0 . 00 0 . 00 0 . 00 o . oo o.oo Ending Balance: 1,820.U 1,820.93 o.oo 15,914 . 30 15. 814. 30 Page No. 3 Run Date 01/23/2015 Run Time 09 127:54 Base currency :USD

(11)

Time card Total Hours 48.5 Weeks 12/23, 12/30, 1/6

12/23/2013

Sean Cartwright Hours 10

12/23 Monday Continue cutting area in soaring 800-1300 no lunch eagle. Saw maintenance. 5 hours

12/28 Saturday Continue cutting area in soaring 800-1300 no lunch eagle. Saw maintenance. 5 hours

12/30/2013

1/2 Thursday Burn old piles in soaring eagle 800-1600 Half hour lunch near commissary. 7.5 hours

1/3 Friday Check on piles from Thursday. 800-1600 Half hour lunch Continue cutting area in soaring 7.5 hours

eagle.

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(12)

1/6/2014

Sean Cartwright Hours 23.5

1/8 Wednesday Meet with Bob and new worker 800-1600 Half hour lunch Mike, visit areas around property 7.5 hours

talk about what needs to be done. Burn piles between camp Jeffery and meadow.

1/9 Thursday Check on piles from Wednesday. 800-1630 Half hour lunch Cut out beetle pocket near 8 hours

trading post for Joe. Had Chris show us where all equipment is and show us Camp Nicol. Continue cutting area in soaring eagle.

1/10 Friday Continue cutting area in soaring 800-1630 Half hour lunch eagle, high wind. Work on piling 8 hours

old slash in various location in and around soaring eagle.

(13)

1/10/14

Mike Milnar Hours: 15.5

Monday

Tuesday

Wednesday

Thursday Pile Burn 800-400 half hour lunch

7.5 hours

Friday Cut in Jeffery, Cut and marked in 800-430 half hour lunch

(14)

Time card Total Hours 65 Weeks 1/27, 2/3, 2/10

1/27/2014

1/27 Monday Burn slash piles in soaring eagle. 800-1630 working lunch 8.5 hours

1/28 Tuesday Check burns from Monday. Burn 820-1650 working lunch piles along road near horse 8.5 hours

place.

1/29 Wednesday Check burns from Monday and 800-1530 Half hour lunch Tuesday. Work in soaring eagle 7 hours

' cut/pile slash. Help Bob load

wood.

1/31 Friday Burn slash piles, area near when 900-1700 working lunch F430 is parking(second gate past 8 hours

BDSR entrance)

2/3/2014

2/3 Monday Burn slash piles near family 800-1600 working lunch

camp 8 hours

2/4 Tuesday Check burns from Monday. Burn 830-1630 working lunch piles near cope course/saw mill. 8 hours

2/6 Thursday Cut in soaring eagle. Saw 800-1300 No lunch

(15)

2/10/2014

2/10 Monday Cut/pile soaring eagle. Saw 800-1530 half hour lunch

maintenance. 7 hours

2/11 Tuesday Cut/pile soaring eagle. Saw 800-1300 no lunch

(16)

Week of 1/27 /14 - 1/31/14

Monday Pile burn in Soaring Eagle 800-1630

Working lunch 8.5 hours Tuesday

Wednesday Cut and piled slash in Soaring 800-1630

Eagle Half hour lunch

8 hours Thursday

(17)

Time card Total Hours 24 Weeks 1/27 till 1/30

1/27/2014

1/27 Monday Burn slash piles in soaring eagle. 800-1630 working lunch 8.5 hours

1/28 Tuesday Check burns from Monday. Burn 820-1650 working lunch piles along road near horse 8.5 hours

place.

1/29 Wednesday Check burns from Monday and 800-1530 Half hour lunch Tuesday. Work in soaring eagle 7 hours

cut/pile slash. Help Bob load wood.

(18)

Time card Total Hours 62 Weeks 1/27, 2/3, 2/10, 2/17

1/27/2014

1/31 Friday Burn slash piles, area near when 900-1700 working lunch F430 is parking(second gate past 8 hours

BDSR entrance)

2/3/2014

2/3 Monday Burn slash piles near family 800-1600 working lunch

camp 8 hours

2/4 Tuesday Check burns from Monday. Burn 830-1630 working lunch piles near cope course/saw mill. 8 hours

2/6 Thursday Cut in soaring eagle. Saw 800-1300 No lunch

2/10/2014

(19)

Week of 2/3/14 - 2/7 /14 Mike Milnar Monday Tuesday Wednesday Thursday Friday

Pile burn in family camp 800-1630 Working lunch 8.5 hours

Pile burn and cut near COPE 800-1630

course Working lunch

8.5 hours

r• ~, r~~7

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(20)

2/11 Tuesday Cut/pile soaring eagle. Saw 800-1300 no lunch

2/14 Friday Cut/ pile soaring eagle. Help Bob 800-1530 half hour lunch cut and load wood. Saw 7 hours

maintenance.

2/17/2014

maintenance. 7.5 hours

2/18 Tuesday Cut/pile soaring eagle. Saw 900-1600 half hour lunch maintenance. 6.5 hours

(21)

Week of 2/10/14 - 2/14/14

Mike Milnar Hours: 8

Monday

Tuesday

Wednesday

Thursday

Friday Cut in soaring eagle 800-1630

Half hour lunch 8 hours

(22)

Time card Total Hours 66.08 Vl/eeks3/10,3/24,3/31,4/7

3/10/2014

3/12 Vl/ednesday Cut soaring eagle. saw 800-1545 Half Hour Lunch

maintenance. 7.25 Hours

3/13 Thursday Cut and clean old slash Soaring 800-1200 No lunch eagle. Saw maintenance. 4 Hours

3/24/2014

Sean Cartwright Hours 19.S

3/24 Monday Mark mistletoe trees that were 830-1630 Half Hour Lunch missed. Cut area below soaring 7.5 Hours

eagle near saw mill. Saw maintenance.

3/25 Tuesday VI/ark with the alternative 800-1630 Half Hour Lunch sentencing crew. VI/ark on 8 Hours

cutting mistletoe trees from Monday. Saw maintenance.

3/27 Thursday VI/ark on cleaning up aspen stand 800-1200 No lunch in soaring eagle. Saw 4 Hours

(23)

Weeks 3/10, 3/24 3/10/2014 Sean Cartwright

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Hours 11.25

.;tJ.7S-3/12 Wednesday Cut soaring eagle. saw 800-1545 Half Hour Lunch

maintenance. 7.25 Hours

3/13 Thursday Cut and clean old slash Soaring 800-1200 No lunch eagle. Saw maintenance. 4 Hours

e

3/24/2014

Sean Cartwright Hours 19.5 ""?

3/24 Monday Mark mistletoe trees that were 830-1630 Half Hour Lunch missed. Cut area below soaring 7.5 Hours

eagle near saw mill. Saw maintenance.

3/25 Tuesday Work with the alternative 800-1630 Half Hour Lunch

e

sentencing crew. Work on 8 Hours

cutting mistletoe trees from Monday. Saw maintenance.

3/27 Thursday Work on cleaning up aspen stand 800-1200 No lunch in soaring eagle. Saw 4 Hours

maintenance.

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(24)

3/31/2014

4/1 Tuesday Worked with Bob and the 800-1510 and 1615-1655. Half alternative sentencing crew. Hour Lunch

Bucked logs into fire wood 7.33 Hours loaded truck and stacked in saw

mill area. Saw maintenance. And helped unload firewood for Bob in town

4/2 Wednesday Worked on Cleaning up old slash 800-1300. Half hour lunch on hill side near soaring eagles 4.5 Hours

lower camp sites. Walk/mark trees around the lower part of soaring eagle.

4/4 Friday Started cutting and slashing 900-1300. No Lunch marked trees around lower 4 Hours

soaring eagle

4/7/2014

4/7 Monday Prepared for ASE crew. Bucked 800-1500 Half Hour Lunch up log pile near water treatment 6.5 Hours

area. Saw maintenance.

4/8 Tuesday Worked with the alternative 830-1600 Half Hour Lunch sentencing crew. Loading and 7 Hours

moving wood from Monday. Cleared old piles of cut firewood from hill side near lower soaring eagle, stacked in area accessible for truck.

4/11 Friday If wood unfrozen will buck up 900-1530 Half Hour Lunch the remaining wood in the 2013 6 Hours

f430 sites. And continue cutting in lower soaring eagle.

(25)

Week of 4/14/14 - 4/18/14

Monday Cut in soaring eagle 800-1530

Half hour lunch 7 hours Tuesday

Wednesday

Thursday

(26)

Time card Total Hours 46 Weeks 4/28,5/5

4/28/2014

4/30 Wednesday Start cleanup work area near 900-1200 No Lunch

water plant 3 Hours

5/1 Thursday Meet with Bob, continue 800-1630 Half Hour Lunch cleanup work, saw maintenance. 8 Hours

5/2 Friday Finish cutting log pile near water 1100-1530 Half Hour Lunch plant. Saw maintenance. 4 Hours

5/3 Saturday Clean/ sort and pile logs near 1000-1530 Half Hour Lunch water plant. Landing ready for 5 Hours

use.

5/5/2014

5/5 Monday Meet with Bob, rocky mountain 800-1630 Half Hour Lunch saw, and Glacier view. Finish 8Hours

cutting and stacking of material along road between parking lot and Jeffery.

5/7 Wednesday Remove hung up tree near horse 800-1430 Half Hour Lunch corral. Walk soaring eagle area 6 Hours

and made sure area is ready for skidding.

5/8 Thursday Prepared for alternative 800-1430 Half Hour Lunch sentencing crew on Saturday. 6 Hours

Cut material down to moveable size near home stead program area.

5-10 Saturday Work with alternative 800-1430 Half Hour Lunch sentencing crew. Cleaned up 6 Hours

home stead program area. Move downed material to accessible areas. Areas between trading post and water plant almost ready for glacier view.

(27)

e

~fu; sttr(~

Time card Total Hours 37

1 \I-~

i

Weeks 5/12,5/19 5/12/2014

5/14 Wednesday Burn Slash piles homestead? 700-1700 Working Lunch program /near water treatment 10 Hours

plant.

5/15 Thursday Check burn piles from 700-1100 No Lunch Wednesday. Start cutting trees · 4 Hours

near corral.

5/19/2014

5/19 Monday Finish cutting and piling trees in 700-1500 No Lunch and around corral. 8Hours

5/21 Wednesday Start cleaning up beetle kill area 800-1300 No Lunch along road near 2014 f430 class 5 Hours

work.

5/22 Thursday Continue cutting and cleaning 700-1430 Half Hour Lunch beetle kill area. 7 Hours

5/23 Friday Buck up logs in corral for later 800-1100 No Lunch

(28)

Time card Total Hours 51.5 Weeks 6/23,6/30, 7 /7

6/26/2014-6/27

6/26 Thursday Continue cleaning along road. 800-1630 Half hour lunch

Saw Maintenance 8 Hours

6/27 Friday Continue cleaning along road. 800-1200 No Lunch

Saw Maintenance 4 Hours

6/30/2014

7/1 Tuesday Continue cleaning along road. 800-1530 Half hour lunch

Saw Maintenance 7 hours

7 /2 Wednesday Clear trees and material on paths 800-1730 Half hour Lunch in pinecroft Campsites. Saw 9 Hours

Maintenance

7 /3 Thursday Continue cleaning area below 800-1400 No Lunch pinecroft. Saw Maintenance 6 Hours

(29)

7/7/2014

7/8 Tuesday Continue Cleaning along road. 700-1600 Half Hour lunch

Saw maintenance. 8.5 Hours

7 /9 Wednesday Meet with Bob and continued 730-1700 Half Hour Lunch Cleaning along road. Saw 9 Hours

(30)

Time card Total Hours 58 Weeks 9/8,9/15,9/22

9/8/2014

9/11 Thursday Continue work with Contractor 700-1730 half hour lunch in main camp to remove 10 hours

material

9/15/2014

9/15 Monday Continue work with Contractor 730-1800 half hour lunch in main camp to remove material 10 hours

9/17 Wednesday Start clean up in main camp post 800-1630 Half hour lunch contractor work. 8 hours

9/18 Thursday Continue clean up in main camp 800-1530 half hour lunch 7 hours

9/22/2014

9/23 Tuesday Continue clean up in main camp 800-1700 half hour lunch 8.5 Hours

9/24 Wednesday finish clean up in main camp 800-1430 Half Hour Lunch 6 Hours

9/25 Thursday Remove trees near admin 800-1700 half hour lunch building in Nicol. Meet with 8.5 hours

(31)

Week of 9/29/14-10/3/14

Monday

Tuesday Surveyed new project area, 800-1630 Cut in Nichol Half Hour Lunch

8 hours Wednesday

Thursday

(32)

Week of 10/6/14- 10/10/14

Mike Milnar Hours: 29.5 Hours

Monday

Tuesday Cut in northern project area 800-1630 Half Hour Lunch 8 hours

Wednesday Cut in northern project area 800-1600 Half Hour Lunch 7.5 hours Thursday Cut and chipped in Jeffery

800-1630 Half Hour Lunch 8 hours

Friday Cleaned up Jeffery 800-1430

Cut in Nichol Half Hour Lunch 6 hours

(33)

10/6/2014

10/9 Thursday Clean up and chip trees for Joe 800-1600 half hour lunch near staff camp. 7.5 hours

10/10 Friday Work in camp nicol 800-1430 Half hour lunch 6 hours

10/13/2014

10/13 Monday Continue work in project area 8000-1530 half hour lunch 7 hours

10/14 Tuesday Continue work in project area 800-1630 Half hour lunch and work on clearing road to 8 hours

project area

10/15 Wednesday Form a more certain plan for 800-1100 No lunch project and mark boundary area 3 hours

for project

10/20/2014

10/20 Monday Work on project area 800-1630 half hour lunch 8 hours

10/21 Tuesday Continue work in project area 800-1630 half hour lunch 8 Hours

(34)

Billy Riley

From: Sent: To:

Cc:

Subject: Attachments:

Debra,

Mike Milnar <milnarlO@gmail.com> Thursday, November 13, 2014 5:43 AM Debra Roth

Billy Riley

BDSR Time Sheets

Milnar Timesheet 11-7.docx; Milnar Timesheet 11-14.docx

Attached are my time sheets for the last two weeks.

Thank you!

Mike

(35)

(36)

Week of 10/27 /14- 11/7 /14

Monday Cut in northern project area 800-1600 Half Hour lunch 7.5 hours

Tuesday Removed trees around new 800-1600

building site and Camp Nichol Half Hour lunch Scouted pile burning areas 7.5 hours Wednesday Cut in northern project area 800-1630

Half Hour lunch 8 hours

Thursday Cut in northern project area 730-1500 Half Hour lunch 7.5 hours Friday Cut in northern project area 730-1530

Half Hour lunch 8 hours

(37)

(38)

Week of 11/10/14- 11/14/14

Monday Cut in northern project area 730-1200 4.5 hours

Tuesday Burnt slash piles in Soaring 730-1630

Eagle Working lunch

9 hours Wednesday Burnt slash piles in Soaring 730-1600

Eagle Working lunch

8.5 hours Thursday

(39)

(40)

Time card Total Hours 56 Weeks 11/3, 11/10

11/3/2014

Sean Cartwright Hours 38.S

11/3 Monday Continue work in project area 800-1600 half hour lunch 7.5 hours

11/4 Tuesday Removed trees for joe, removed 800-1600 half hour lunch hazard trees in nicol, and 7.5 hours

scouted piles for burning

11/5 Wednesday Continue work in project area 800-1630 half hour lunch 8 hours

11/6 Thursday Continue work in project area 730-1530 half hour lunch 7.5 hours

11/7 Friday Continue work in project area 730-1600 half hour lunch 8 hours

11/10/2014

11/11 Tuesday Burn soaring eagle 730-1630 working lunch 9hours

11/12 Wednesday Burn soaring eagle 730-1600 working lunch 8.5 hours

(41)

10/6/2014

10/9 Thursday Clean up and chip trees for Joe 800-1600 half hour lunch near staff camp. 7.5 hours

10/10 Friday Work in camp nicol 800-1430 Half hour lunch 6 hours

10/13/2014

10/13 Monday Continue work in project area 8000-1530 half hour lunch 7 hours

10/14 Tuesday Continue work in project area 800-1630 Half hour lunch and work on clearing road to 8 hours

project area

10/15 Wednesday Form a more certain plan for 800-1100 No lunch project and mark boundary area 3 hours

for project

10/20/2014

10/20 Monday Work on project area 800-1630 half hour lunch 8 hours

10/21 Tuesday Continue work in project area 800-1630 half hour lunch 8 Hours

(42)

Time card Total Hours 38.25 Weeks 12/8, 12/15,12/22

12/8/2014

12/11 Thursday Project area 730-1530 half hour lunch 7.5 hours

12/15/2014

12/15 Monday Project area 730-1600 half hour lunch 8 hours

12/17 Wednesday Project area 730-1615 half hour lunch 8.25 hours

12/18 Thursday Project area 730-1500 half hour lunch 7 hours

12/22/2014

12/22 Monday Project area 730-1530 half hour lunch 7.5 hours

(43)

2318 West County Road 54G

Fort Collins, CO 80524

Date 12/8/2014 Invoice# 429

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Ben Delatour Boy Scout Ranch LONGS PEAK COUNCIL, BSA PO BOX 1166

GREELEY, CO 80632-1166

Quantity Item Code

44 Service

Thank you for your business.

Deliver To:

Description Price Each Amount

Log skidding at the Ben Delatour Boy Scout Ranch in 100.00 4,400.00 Spring and Fall of 2014 (44 hrs on Log Skidder)

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(44)

: • •. 1 •• I \. I I . PO Box 117-1 Wcllinglon. CO 805-19

970 568-9695

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Longs Peak Council

Invoice

Attn: Billy Riley 2215 23rd Ave. Greeley CO 80634

Job Name Longs Peak Council 20140828

# Item 1 2 3 Note Thank you. James Knotts .~, . . . - - •• ! · - . ·-,, 7 I ··---· . ..._.,,,· u

u

Job Site PO Box 1166 PO Number Service Description (Item #1) Skidsteer

moving and stacking logs for dates 9/9/14: 9/10/14: 9/11/14: and 9/15/14

(Item #2) Cleanup

man hours moving logs for skid steer to load for dates 9/9/14: 9/10/14: 9/11/14: and 9/15/14

(Item #3) Haul Wood

grapple truck hourly rate for dates 9/9/14: 9/10/14: 9/11/14: and 9/15/14 DATE 9/29/2014 Due 10/29/2014 Salesperson James Knotts Completed Qty 9/15/2014 0.00 9/15/2014 0.00 9/15/2014 0.00 Total: Discount: Paid Amount: Balance Due:

Commercial Applicators are licensed

by

the Colorado Dept. of Agriculture Page 1 of 1 INVOICE# 1655 Terms 30 Days Total Due $9,920.00 Price $3,500.00 $2,920.00 $3,500.00 $9,920.00 $0.00 $0.00

(45)

Jax Ranch & Hane, 1000 N Hwy 287 · Ft Coll ins CO 80524 970-484-2221 • WIVliJ.Jaxmercantile .• Com• Invoice EI3389394 6/1/11 14:36:24 Sales Rep: 02JP Custoiner A121098 Longs Peak Council P.O. Box 1166 Greeley CO 80632

Qty: 1 Item: J02570@ 34.99 Bar Oil 1 Gal CASE 3PK

Qty: 1 Item: J16943@ 22.99 Oil 2 CYCLE ENGINE 12.80Z 6 PA

Qty: 2 Item: J02658@ 3.69 Wedge 5.Sin Unwrapped

Qty: 3 Item: OR085 @ 3.99 7 1/Z Wedge Qty: 2 CHAIN LC Paid AIR Subtotal: Total: Joe 0. 153. 77

--·---·---Signature • 0 • Customer Copy ... 76.44 153. 77 153.77

THANK YOU FOR SHOPPING AT JAX Returns Accepted Unused With Package

\'Ii thin 30 Days Sane Exceptions

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(46)

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Invoice EH3587569 6/7/11 17:0,3:47

Sales Rep: 21Hi\

Customer Al21098 Longs Peak Cound l P. O. Box 1166

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Qty: -2 Item: DIV358@ 38 . 22

CHAIN LOOP 33RSF 91E _-76.44

Qty: 168 Item: J03014 @ 0 . 42

SAW CHAIN 33RSF

Qty: 1 Item: TCC~i l J @ 739. 95

Chain Saiv 362 25 Full l'/rop 284513398 70. 56 - - ,.-. ·:· -- -· --.--~-... ~-!-· -.:, -:--r;··::~~~ .. ~ Qty: 1.~;tem: ,. TCC578@ 689 . 95 . ; CHAIN SAW

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(47)

JAX F:AliCH AND HOME

1000 NORTH U.S. HIGHWAY 287

FORT COLLINS CO B05:~4

970-48·1-2;?21

Receipt

10/01/14 04:55:48 PM

RECEIPT 4!j7933 STORE 2

REGrnTER :?O~: Clerk SAMANTHA H

Slsprsn: SAMANlHi\

H

Custeimer BILLY RILE"f LONGS PEAK COUNCIL P.O . BOX l1Ci6

GREELEY .CO 8063;~ 970-·58il-2WO I tern 795711145569 OIL 2 CYCLE 6.40Z STIHL G .40Z Price Qty 0781~:1!l8009-1 2.19 24 795 711!189!34 1

WOODCUTTEH BAR OIL STIHL

Total

10108110240 9.!m s..._ ___ -....::~

7162810011304

DGTL SPORT TIRE BALIGE

SLIME

20017 8.!39

10/01/14 04:5S:4fl PM ACCOUN 142.47

1111 Ulll 1111

Retum> must be rnade within 30 da!ofS in new con dition with original tags Herch<:tndise returned w

i thout receipt wil I be issued store credit So me e>ci?ptions apply

*** Customer Copy o*

(48)

= --·--=

LONGS PE. COUNCIL, BOY SCOUTS O" MERICA

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CHECK REQUEST ..

ADDRESS: CITY: STATE: PURPOSE: ·

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CHARGE TO:

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1.23 AMOUNT:

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DATE:

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LONGS PEAK COUNCIL, BOY SCOUTS OF AMERICA

CHECK REQUEST .

VENDOR#:

NAME:

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ADDRESS: ...,

AMOUNT:

CITY: STATE: ZIP:

PURPOSE: DATE NEEDED: _____ _

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JAX RAllCH AND HOHE _{1000 NllRTH U.S. HIGHWAY 287} FORT CULLINS CO 1105?.l 970-484-2221 Receipt 02/22/14 04:54:10 PH RECEIPT 343580 STORE 2 REGISTI:R 203 r.lerk HAN~AH H

Slsprsn: HANNAH H

Customer BILLY RILEY _{LONGS PEAK COUNt:IL}

P .0. BOX 1166

GREELEY .CO 80632 9705842200

Item Price Oty

150000400987

Total SINGLE LEATHER AXE COVER

HARR'' _A-3 .J EPSTEIN HO _10.39 _10.39

755625129031 AXE BOYS TRUPER 2.25LB 30518 .99 WN 02/t2/14 04:54:1'/ PM ACCOUN

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CARL BRO

Returns must be made within 30 daY.s in new con .

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me exceptions

apply .

(51)

.JAX RANCH AND r!O~;E

IOOO NOflTH U.S. HIGHWAY 287 FORT COi.LINS CO E0524 !l70-484··2221

lleceipt

07/19/ 14 11 : 54 : IE- AM HECEIPT 419477 STORE 2 llEG!STEll .202 Clerk SHEA A !>I sprsn : SHEA 11

Customer BILLY F:ILEY LONGS PEAK COUNCIL P

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8ox 1166 liREELEY • •:O 80ii~:2 !)70-584·-2200

1 tem Price Qty

llW552 CHAIN SHARPE1rnm STIHL !)HARP 10. 00 2

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Subtotal :?0.C:O Tax 0.00

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(52)

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-JAX OUTDOOR GEAR 1200 N. COLLEGE AVE FO COLLINS CO 80524 97 21-0544 Rece t 09/19 4 03:23:15 PM RECEIP 66980 STORE 1 REGISTE 114 Clerk BRIAN W Slsprsn: IAN W

Customer B 1-Y RILEY LONGS PEAK 'DUNCIL P.O. BOX 11 , GREELEY ,CO 970-584-2200 Item FAD123 B50 DACRON 16

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JAX 4 lIN 016 651118302403 DUAL FACE 1 PLUS 5 MAPLE LEAF PRESS

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.JAX RANCH AND HO~.E

1000 NOllTH U.S. HIGHWl\Y 287 FORT COLLINS CD E,0524 !170-484··2221

neceipt

07/19/14 11 :54 : 12 AM

l!ece i pt: 4194 T.1 S torn : ;:

Hegister: 202 Clerk : SHEA 1i

SC1!espers0Jn: SHU A

Customer BILLY RILEY LONGS PEAK COUNLIL P.O. BOX 1166 GREELEY ,CO !JOB::c B70-5B4 .. 2200

! tern Price l.ity fotdl

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(53)

Form 828 - Rev. 3/19/14

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lnivcrsity

Colorado State Forest Service

Program Payment Request

GRANT PROGRAM (CHECK APPROPRIATE PROGRAM TYPEl:

Bureau of Land Management Task Order Program Volunteer or Rural Fire Assistance (VFA/RFA) Colorado Forest Restoration Grant

Insect and Disease Prevention and Suppression Program State Fire Assistance (SFA)

Front Range Fuels Treatment Partnership (FRFTP) Stevens Fuels Treatment Funds (CAFA)

Emergency Supplemental Funds (ESF)

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Checked for Federal suspension and debarment (State Office) httos://www.sam.gov/portal/public/SAM/ 05-1~-l'I

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Name:

Address:

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(54)

(55)

• _/

EXHIBIT B

CSFS GRANT AND COST-SHARE PROGRAM REIMl3URSEMENT REQUEST

In order to receive reimbursement. you must provide documcntation supporting your costs 11nd corresponding match. Complete form D and submit it with your request for reimbursement. Reimbursement requests must be accompanied by Form D, receipts for actu~I costs (out of pocket expenses) incurred by the

recipient, and any additional supporting documentation. Other costs and matching funds incurred by the applicant and/or donated by other resources includes expenses for goods, services and labor necessary for project implementation. You may request partial reimbursement as you incur expenses and you must show correspomling mat<.:h .

..---··--·-··---_I._{ProjccUAccount}_ii:_5366950-1

..-

-~~-~-~-~-~--3. Project Name: Ben Delatour Scout Ranch

5. Make Payment To:

Name: Longs Peak Council, BS/\ Attn: Billy Riley

Address: POBox 1166 Greeley, CO 80632

4. Reimbursed Amount to Date: $0.00 6. Period of Performance (Project Period):

From: 11/12 To: 12/13

7. What has been accomplished? Please provide a description of'a<.:complishments that meet the requirements listed in the project Scope of Work. Please be specific and repor1 numbers such as acres treated. numbers of defensible spaces. tons of. cubic feet or yards of' slash collected, number of presentations, number of plans written, etc., for which the award was granted. J\ttnch additional sheets as necessary.

Targeted areas have been thinned to create defonsiblc space around live growth areas. Cut timber has been removed to sawmill onsite or prepared for firewood. The slash piles were burned over this winter.

\51

CL~S -\'~'"iu.A

.

8. Reimbursement request amount cannot exceed the total project award obligation as identified in the project award notification. The reimbursement request amount must comply with the appropriate cost-share requirement for the period being billed. The reimbursement amount cannot exceed the actual project costs lo recipient.

A. Remaining Award _{Requested Amount}8. Reimbursement C. Mutch (recipient D. Match (non- _E._{Total Project Cost} F. Recipient

Amount _{(recipient cost)} cost) recipient cost) Match Rate(%)

;;·;-

...

_B+C+D _(C+D)/E

5145,290 _{$ "-/{),-71,y·"~}

_~

_'-/'7,

1'5i

_l:i_i 0 $88,507.79 :Joi%

--. Use results from Form D CSFS Financial Assistance Cost Documentation \\'ork.shect to complete table above. Include Form D, and other npproved documentation

with Exhibit D to rcquc.st reimbursement.

Reimbursement Request: l request reimbursement in the amount of $~or thew

i.. /Q, JV-/· 0~1 letcd and documented above or attached.

9. I certify that to the best of my knowledge this report is correct ~nd complete, and that all outlays reported are for the purposes set forth in the project documents (i.e. award notification, scope of ork, etc.). All expenses and all cost-share are true and accurate.

Grant Recipient Signature: Date:

l 0. Certification:

Work meets minimum standards and cope of Work.

District Forester Signature: Date:

Program Manager Signature: Date:

(56)

•

(57)

Form 828 - Rev. 3/19/14

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lJniversity

Colorado State Forest Service

Program Payment Request

GRANT PROGRAM (CHECK APPROPRIATE PROGRAM TYPE):

Bureau of Land Management Task Order Program Volunteer or Rural Fire Assistance (VFA/RFA) Colorado Forest Restoration Grant

Insect and Disease Prevention and Suppression Program

State Fire Assistance (SFA)

v

Front Range Fuels Treatment Partnership (FRFTP) Stevens Fuels Treatment Funds (CAFA)

Emergency Supplemental Funds (ESF)

J

Checked for Federal suspension and debarment (State Office) https://www.sam.gov/portal/public/SAM/

Name:

l6Yl~

eeQJL

ColJoCJ \

Address:

\:>Q ,,

Bo~

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l.ol.o

co

Grant Number:

53 lRl29 5 0 -\

Non-Federal Match: cU

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7, 7

.

&3 ·

'75

Approved Funding:

Sf

1 :l

₁

9 l.eD

Total Project:

cti

~~

,50] ·

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CSFS Account Number:

53lalPC\SO -

ulaG3

Amount of Payment: '-If <tl.

L/O;·=t 2'-{"

c '-(

Circle one: 2nd Payment 3rd Payment Final Payment

Program Manager Signature---~-- Date: _____ _ Program Manager Name _____________ _

Colorado State Forest Service

(58)

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EXHIBITB

CSFS GRANT AND COST-SHARE PROGRAM REIMBURSEMENT REQUEST

In order to receive reimbursement, you must provide documentation supporting your costs and corresponding match. Complete Fonn D and submit it with your request for reimbursement. Reimbursement requests must be accompanied by Form D, receipts for actual costs (out of pocket expenses) incurred by the recipient, and any additional supporting documentation. Other costs and matching funds incurred by the applicant and/or donated by other resources includes expenses for goods, services and labor necessary for project implementation. You may request partial reimbursement as you incur expenses and you must show corresponding match.

I. Project/ Account#: 5366950-1 2. Total Award Amount:$~

12. '1l.Q.O

3. Project Name: Ben Delatour Scout Ranch 5. Make Payment To:

Name: Longs Peak Council, BSA Attn: Billy Riley

Address: POBox I 166 Greeley, CO 80632

4. Reimbursed Amount to Date: $0.00 6. Period of Performance (Project Period):

From: 11/12 To: 12/13

7. What has been accomplished? Please provide a description of accomplishments that meet the requirements listed in the project Scope of Work. Please be specific and report numbers such as acres treated, numbers of defensible spaces, tons of, cubic feet or yards of slash collected, number of presentations, number of plans written, etc., for which the award was granted. Attach additional sheets as necessary. _,

Targeted areas have been thinned to create defensible space around live growth areas. Cut timber has been removed to sawmill onsite or prepared for firewood. The slash piles were burned over this winter.

\51 a..crtS

~;"ru.e\.

8. Reimbursement request amount cannot exceed the total project award obligation as identified in the project award notification. The reimbursement request amount must comply with the appropriate cost-share requirement for the period being billed. The reimbursement amount cannot exceed the actual project costs to recipient.

A. Remaining Award _{Requested Amount}B. Reimbursement C. Match (recipient D. Match (non- _{E. Total Project Cost} F. Recipient Amount _{(recipient cost)} cost) recipient cost) Match Rate(%)

B+C+D C+D /E Sl45,290

:t

40,

11..'f"~

_$

'11;

1i3'

_{'O .} 0 $88,507.79 :Ji%

• Use results from Form D CSFS Financlnl Assistance Cost Documentation Work5heet to complete table above. Include Form D, and other approved documentation with Exhibit B to request reimbursemenL

Reimbursement Request: I request reimbursement in the amount of $42, 769.31 for the work completed and documented above or attached.

(j)

9. I certify that to the best of my knowledge this report is correct ~d complete, and that all outlays reported are for the purposes set forth in the project documents (i.e. award notification, scope of ork, etc.). All expenses and all cost-share are true and accurate.

Grant Recipient Signature: I 0. Certification:

Work meets minimum standards and District Forester Signature:

11. Funding is available and request is approved for reimbursement. Program Manager Signature:

Date:

Date: ,J

/J

1

I

'1

2/

1

Date:

(59)

. ~ .

~

st:HVlt:t: Date 1/1/2013 1/1/2013 2/17/2013 3/18/2013 6/7/2013 7/8/2013 7/16/2013 8/14/2013 1/25/2013 1 /1 /2014 1/1/2014 1/1/2014 1/1/2014 By Whom Billv Rilev Billy Riley Chris Serafin Chris Serafin Karl Brown Bob Sturtevant Kari Brown Bob Sturtevant Bob Sturtevant Billy Riley Billy Riley Billv Rilev Billy Riley Form D

CSFS Financial Assistance Cost-Share Program Cost Documentation Worksheet

Project/Account#: 5366950-1

Award Amount (obligated from funding source): A. Remaining Award Amount:

Reimbursement Request:

₀

_Arst _D_Second _0Thlrd _DFourth

a

B. Recipient Cost to be reimbursed (not to exceed the remaining award

amount and

C. Recipient Cost (reimbursable costs that exceed the award

amount and items or costs not allowable

for

D. Non-recipient

I

E. Total Project

I

F.

Recipien~

I

cost*O Cost = B+C+D Match Rate

-(C+D)/E I $46,798.48 reimbursement)**O

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11;

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15 $0.00 I $88,507.79

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£_; '{"/,,

Activity/Expense Hours Value($)

2012 Paid Labor Foresters 276.5 $4,464.79

2012 Room and Board 2@ $1000 $2,000.00

Supplies $70.56

Supplies $85.94

Suoolies _I _I $1,221 .!ia'll·'I

Logg Skidding Service $4,875.00

Supplies $810.1~ /'lq1

Larimer County Alternative Sentencing Crew fees $450.dO

Larimer County Alternative Sentencing Crew fees $300.00

Administration hours 11/12-12113 164(@$221 _I 164 $3,608.00

2013 Room and Board 2@ $1000 for 5 months $10,000.00

2013 Paid Labor Foresters 963 $15,632.85

2013 Volunteer/In Kind Labor@$22.14 2032 $44,988.48

$0.00 $0.00 $0.00 $0.00 $88,507.79 ·-

-

. p ~,. __.,..,..

__

I. Non-recipient Cost (Match)=

Grant Recipient Signature: District Forester Signature:

Page_of_ D Afth 0Anc Cost Category Reimbursable Reimbursable ~le (V\c._+r V,, ""-Reimbursable rJiteimbursable '-17 ·'17 _01< _I~ Reimbursable Reimbursable jl./'11 1),L./ ~ MatchinQ Matching Reimbursable Reimbursable Reimbursable Matching

Total Project Cost

I

-~I I~,..,... ... 10--'

,...0

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Date; ~ , 'I' , , I I Date: .. Revised November 2013

(60)

Exhibit 81

(Accompanies Exhibit B.CSFS Grant and Cost-Share Program Reimbursement Request)

CSFS Financial Assistance Cost-Share Program Reimbursement Calculation Worksheet*

A. Award amount B. Recipient Contribution: C. Non-recipient Contribution: D. Total Contributions E. Reimbursement F. Total Match obligated from funding (AKA: cash; hard match; In-kind/soft match; (AKA: donated; in-kind/soft match; volunteer) (AKA: Total Project Value; Amount Ratio

source actual costs) Total Project Costs) (will be equal to or less (Cost-share rate)

(To earn the obligated award INCLUDES: (B + C) than A and must meet the _{(E/ D)}

amount, the recipient must INCLUDES: (volunteers' labor to be valued at current volunteer labor matching requirement)

complete 100% of the (contracted services with receipts) rate)

deliverables agreed to In the (reclplents's own labor to be valued at current (donated materials/supplies to be valued at market value)

Statement of Work) volunteer labor rate) (donated use of equipment to be valued at rental rate)

(labor of reclpient·s employees-salaried (meeting room provided to be valued at market price) employees-to be valued at actual amount and

must be documented) While non-recipient contributions can be used as match

(equipment rental with receipts) to an award, the recipient will not be reimbursed for

(use of recipient-owned equipment to valued at these contributions.

Vi'-

market rental rate)

(cost of supplies with receipts: this Includes

-,;t°'

Items such as bar oil and two cycle fuel, but

csf

does not Include repairs or other parts, such as chains, sparkplugs, etc.) -">~·k l""

(materials with receipts)

(materials, If provided to valued at market price) (meeting room rental with receipts)

(meeting room provided by recipient to be valued at market price)

(printing with receipts)

Current volunteer labor rate Is the current rate at the

time of ralmbursement request. Any recipient

contributions can be used ss match to an award. Reimbursement for these contributions can not exceed the obligated smount and must meet the cost shsrerate.

$145,920.00 $42,769.31 $45,738.48 $88,507.79 $42,769.31 48%

•use From D-CSFS Financial Assistance Cost-Share Program Cost Documentation or other approved documentation to support calculations

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(61)

Colorado State Forest Service Emergeny Supplemental 2011 Grant

Ben Delatour Scout Ranch - Tree Farm - Longs Peak Council BSA, Inc.

N

W.E

c:::J

BDSR_bO<JrodOLY s

0 1---

0,35

0. 7

1.4 Miles

6 115 9 73 2 36 3 171 219 18 ---.. · · · · . ) - - . . . __ ,£'"2./----t-"!.·a ... _···\ \~h '~,·-.... -TreatDescr slashtreat

pile & burn '!; (o

Heavy MPB Mortality - removal of mpb killed trees

2 Campground - removal of mpb killed trees pile & burn ~. 58

3 Heavy MPB Mortality - removal of m pb killed trees 4 Campground - removal of mpb killed trees 6 Heavy MPB Mortality- removal of mpb k'illed trees 7 flresafefrestoration light thinning

pile & burn pile & burn -+

13

pile & burn pile & burn

8 Aresafefrestoratlon moderate thinning pile & burn

9 roadside etc - firesafe/Restoration moderate thinni pile & bum

10 Campground - removal of m pb killed trees · pile & burn

11 Campground - removal of mpb killed trees pile & burn

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