6100-054 Application Section E

EPA Application Materials for the Water Infrastructure Finance and Innovation Act (WIFIA) (Renewal)

2040-0292_Exhibit D - Application Section E..xlsm

SWIFIA Application

OMB: 2040-0292

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions - Section E
Responses - Section E


Sheet 1: Instructions - Section E


US Environmental Protection Agency


OMB Control No. 2040-0292
WIFIA Program


EPA Form No. 6100-054
Application


Approval expires XX/XX/XXXX
Section E






General Project Information (Columns A-F)

COLUMN A: Replace "Contract X" with the contract name and/or number.






COLUMN B: Describe each of the contract components including dimensions, quantities, capacities, square footage, etc. Indicate whether the contract involves the construction of new facilities or the renovation or replacement of existing ones.






COLUMN C: Provide design criteria and useful life information for all contract components.






COLUMN D: Describe the location of the project(s); specify if the location is within an existing facility.Include location address(es), and/or latitude and longitude details for all project components or sub-projects included in the contract. Attach a project map(s) for all project components or sub-projects included in the contract, if available.






COLUMN E: Pick your project delivery method. If your project delivery method is not on the drop-down list, type your response in the project cell for Column E.






Column F: List the file names of technical reports (such as Plannning Documents, Preliminary Design Reports or Conceptual Design Reports) and design documentation (such as executed or draft contract documents). For alternative project delivery method contracts (i.e., design-build, construction manager at-risk, design-bid-build), provide the file names of procurement documentation (including contractor selection materials such as Request for Qualifications and Request for Proposals) available for review. Attach all listed documents.












Schedule (Columns G-M)
COLUMNS G-N: Present the overall project schedule start and end dates for key milestones in Columns G-N. Attach the detailed project schedule for each contract (required).






COLUMN M: Provide additional notes about the schedule, if needed.






Cost Information (Columns O-U)
COLUMNS N-Q: Present the overall project costs in the Columns N-Q.






COLUMN R: Provide the file name for the Engineer's Cost Estimate or similar, which verify the costs listed in Columns N-Q. The estimate should include quantities, unit prices, and total costs. Attach the cost estimate for each contract (required).






COLUMN S: If previously incurred costs are included in the overall project cost, indicate the amount. Attach the executed contract documents.






COLUMN T: Describe the process the applicant implements for overseeing scope/schedule/costs of projects. Attach Project Management Plan or similar document, if available.






COLUMN U: Provide additional notes about the project costs, if needed.






Other Project Information (Columns V-Z)






COLUMN V: Describe how the applicant has developed a plan for operating, maintaining, and repairing the project over the useful life of the project. Attach either existing operations and maintenance plans or professional service contracts or similar evidence that a plan will be developed.






COLUMN W: For loans which include assets to be operated and/or maintained by a third party, provide the file names for any contractual arrangements that the applicant plans to execute for the operation and maintenance of the project(s), key performance indicators, insurance policies that may be used to cover the project(s), and reserves that will be set aside for the maintenance of the project(s). Attach listed files.






COLUMN X: Choose the risk mitigation strategies implemented for this project from the drop-down list. Sample risks might include construction schedule delays, cost escalation, delayed approvals, and litigation. If you chose "Risk Mitigation Plan and/or Project Mgmt Plan has been developed", attach the plans. If you chose "Risk Mitigation Plan and/or Project Mgmt Plan has not been developed," explain how the applicant intends to mitigate major risks for the project.






COLUMN Y: List any state or local agencies conducting reviews of the project design that must review final plans and specifications prior to construction. Describe any applicable statutory references and expected timelines.






COLUMN Z: Use Column Z to provide any additional notes in the Other Project Information section.






Bid Specifications (Columns AA-AB)
COLUMN AA: Select all federal requirements listed in Column AA are in final or draft bid specifications (or project procurement documents) and drawings developed for the project(s). To select multiple choices, enable spreadsheet macros. If bid specifications, draft or final, are not available, skip this question and proceed to Column AB. Attach the draft of Final Bid Specifications with required language
Links to more information about the federal requirements:




Davis-Bacon and Related Acts




American Iron and Steel (AIS) Requirements




Disadvantaged Business Enterprises (DBE) Requirements




Debarment and Suspension Requirements




Equal Employment Opportunity (EEO) Requirements




New Restrictions on Lobbying










COLUMN AB: If draft or final bid specifications (or procurement documents) have not yet been developed, indicate whether or not the applicant is aware of how to comply with the federal requirements identified in Column AA. Attach sample of final bid specifications with required language.

Sheet 2: Responses - Section E

General Project Information Schedule Cost Information Other Project Information Bid Specifications
Contract Name/Number Scope of Work Design Criteria/Useful Life Project Location Project Delivery Method Names of Technical Reports/Design Documentation Planning Start Planning End Design Start Design End Construction Start Construction End Date Schedule Notes Planning Cost Design Cost Construction Cost Other Cost Names of Attached Cost Documents Previously Incurred Costs Project Management Cost Notes Operations and Maintenance Plan Operations and Maintenance Contracts Risk Mitigation Plan Agency Reviews Notes Federal Requirements Federal Requirement Compliance Awareness
Contract 1


























Contract 2


























Contract 3


























Contract 4


























Contract 5


























Contract 6


























Contract 7


























Contract 8


























Contract 9


























Contract 10


























Note: Add more contracts as applicable


























File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy