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HomeMy WebLinkAboutResolutions - 2014.05.15 - 21339MISCELLANEOUS RESOLUTION #14.118 May 15, 2014 BY: PLANNING AND BUILDING, JIM RUNESTAD, CHAIRPERSON IN RE: FACILITIES MANAGEMENT/FACILITIES PLANNING & ENGINEERING — DTE ENERGY FOUNDATION TREE PLANTING GRANT ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: WHEREAS the County has been awarded a 2014 DTE Energy Foundation Tree Planting Grant, administered by the Michigan Department of Natural Resources, Urban Forestry Program; and WHEREAS the amount of the grant is $3,000 to reimburse the County for the purchase, planting, and care of trees for three years; and WHEREAS the grant period is May 1, 2014 through December 31, 2014; and WHEREAS the total project cost is $8,500 and the cost to purchase trees is $3,000 that will be provided by grant funding and the County match is $5,500 of in-kind match provided by Facilities Management and Operations Fund (#63100) for personnel, trees, equipment, and supplies; and WHEREAS the trees will be planted around the Fallen Heroes Memorial; and WHEREAS this grant award has been processed through the County Executive's Contract Review Process and the Board of Commissioners' Grant Acceptance Procedures, as illustrated in Exhibit A; and WHEREAS there are no financial implications for the County beyond the matching funds and normal, long-term care of the trees to be planted. WHEREAS acceptance of this grant does not obligate the County to any future commitment. NOW THEREFORE BE IT RESOLVED that the Board of Commissioners authorizes the acceptance of the 2014 DTE Energy Foundation Tree Planting Grant, administered by the Michigan Department of Natural Resources, Urban Forestry Program, in the amount of $3,000. BE IT FURTHER RESOLVED that the Chairperson of the Board is authorized to execute the grant agreement and to approve any grant extensions or changes, within fifteen percent (15%) of the original award, which are consistent with the original agreement as approved. Chairperson, on behalf of the Planning and Building Committee, I move the adoption of the foregoing resolution. PLANNING AND BUILDING COMMITTEE PLANNING AND BUILDING COMMITTEE Motion carried unanimously on a roll call vote with Bosnic and Gershenson absent. GRANT REVIEW SIGN OFF — Facilities Managemen t GRANT NAME: 2014 DTE Energy Foundation Tree Planting G r a n t FUNDING AGENCY: State of Michigan —Department of Nat u r a l R e s o u r c e s ( D N R ) DEPARTMENT CONTACT PERSON: Steve Stanford 248-3 4 3 - 6 1 8 8 STATUS: Grant Acceptance DATE: April 17,2014 Pursuant to Misc. Resolution #13180, please be advised the caption e d g r a n t m a t e r i a l s h a v e c o m p l e t e d internal gent review. Below are the returned comments. The captioned grant materials and grant acceptance package (whi c h s h o u l d i n c l u d e t h e B o a r d o f Commissioners Liaison Committee Resolution, the grant agee m e n t / c o n t r a c t , F i n a n c e C o m m i t t e e F i s c a l Note, and this Sign Off email containing grant review comments) m a y b e r e q u e s t e d t o b e p l a c e d o n . the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution. DEPARTMENT REVIEW Department of Management and Budget: Approved. — Laurie Van. Pelt (4/14/2014) Department of liuman Resources: KR Approved —No BR Committee. Lori Taylor (4/14/2014) Risk Management and Safety: Approved with Modification. Section 19 — Grantee's Liability Insurance, requires the Grantee to purchase and maintain such insurance. This wording should be changed to allow for self - i n s u r a n c e a s Oakland County is self-insured for this liability exposure. Risk M a n a g e m e n t w i l l d e f e r t o C o r p o r a t i o n Counsel regarding the Indemnification language contained in Se c t i o n 1 8 . — R o b e r t E r l e n b e c k ( 9 / 1 2 1 2 0 1 3 ) Corporation Counsel: Good news! I lust spoke with Kevin Sayers, the 'Urban Forestry Coordinator for the State. He told me that the State has had this issue (regarding the indemnification sectio n ) w i t h o t h e r g o v e m m e n t a l e n t i t i e s and universities. Thus, the State is willing to delete this section. The County can delete Section 18 of Attachment I of the Grant Agreement by crossing out that Section with an ink pen and having the signer of the Grant Agreement initia l a n d d a t e t h e c r o s s o u t . I confirmed my conversation with Kevin Sayers via e-mail and I w i l l f o r w a r d y o u h i s c o n f i r m i n g e - m a i l when I get it. All set! Let me know if you have any questions. — Jody Hall (4/17 / 2 0 1 4 ) COMPLIANCE Natural Resources and Environmental Protection Act (Part 5 of P u b l i c Act 451 of 1994) kittr)://www.legislaturean" ov/ S xoffiv55bdu02hfdbo 31223 / m i l e • .asox? aPe=GetOb'ectezob'ectnarne --..-mcl-Act-451-of- I. 994 Management and Budget Act (Public Act 533 of 2004) http://wwwAe ov/ S 2i5 n mci-l8-1.283a Elliott-Larsen Civil Rights Act (Public Act 453 of 1976) http://www.legisiaturesni.govAS (1chaw5frekicinyi2ictqudni))/mileg.ascx?page=RetObi eet&objeetname= rncl-act-453-of-1976 Persons with Disabilities Civil Rights Act (Public Act 220 of 1976) http://www.legi slature.mi. gov/(Sfl yetvr552exbeu55ezizloicOrni1ezaspx?page---getobject8zobieetname= mel-act-220-of-1976 The Rehabilitation Act of 1973 http://www.dol.govioasam/regs/statutes/see504.htm Executive Order 12549 (Disbarment and Suspension) http://www.arehives.ov/federal-register/codification/executive-order/12549.html Drug-Free Workplace Act of 1988 http://ftwebgate.access.gpo.govicgi-binigetdoc.egirldbname =browse use&doeid=Cite:+41USC701 Tree Maintenance Guidelines http://www.michian.gov/doeuments/TreeMaintenanceGuidelineIC4108-1 163798 7.pdf Tree Maintenance Checklist ht-tp://www.mi chi gan.govidocuments/IC-4108-1ATreeMainteneneeCheckli st 171296 _7.pdf RICK SNYDER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF NATURAL RESOURCES LANSING KEITH CREAGH DIRECTOR April 2, 2014 RECEIVED Mr, Steve StarifOrd Oakland CountyI Facilities Management One Public Works Dr. Waterford, MI 48328 Dear Mr. Stanford, APR 08 2.014 OAKLAND COUNTY FACILITIES ENGINEERING Thank you submitting an application for consideration to the 2014 DTE Energy Foundation Tree Planting Grant Program, administered by the Department of Natural Resources (DNR), Urban Forestry Program. This year, a total of 44 applications were received and considered for funding. I am pleased to notify you that your project was approved for aWard in the amount of $3,000. Congratulations! Enclosed is a Grant Agreement packet containing the following documents for signature and information: O TWO copies of the Grant Agreement (PR 4167-8E) ▪ One copy of Grant Agreement Attachment 1 (IC 4167-9) O Department of Agriculture form AD-1049, Certification Regarding Drug-Free Workplace O Form W-9; Request for Taxpayer Identification Number and Certification O Grant reporting forms: • DTE Tree Maintenance Agreement (PR 4167-4) • DTE Grant Tree Inventory (PR 4167-5) • DTE Grantee's Financial Report (PR 4167-2)• ▪ DIE Volunteer Time Record (PR 4167-3) Public Act 533 of 2004 requires that payments under this contract be processed by electronic funds transfer (EFT). Non-municipal contractors are required to register to receive payment by EFT at the Contract & Payment Express website www.cpexpress:statarni.US. Please contact the Department of Management and Budget, Vendor Registration at 517- 373-4111 for assistance. Payment will be ma.de upon completion of the entire grant. Payment may be requested a soon as the project is completed; it is not necessary to wait until th.e end of the grant period. Payment must be requested no later than 30 days after the grant expiration date. This grant expires December 31, 2014, and will not be extended beyond this date. Please review the documents carefully. Sign, date and return both copies of the Grant Agreement, W-9, and USDA Drug-Free Workplac.e forms as soon as possible. As the Grant Supervisor, I will then sign and return one original copy to you for your records. Your grant will not be considered effective until I have signed and dated the grant agreement Please contact me if you have any questions. Sincerply. Kevin Say Urban Forestry Coordinator (617) 284.6898 .saversk(arni.cov CONSTITUTION HALL • 526 WEST ALLEGAN STREET • P.O. BOX 30462 • LANSING, MICHIGAN 48909 www.michigpn.govidnr • (517) 373-2329 DTE Energy Foundation Michigan Department of Natural Resources, Forest Resources Division DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM GRANT AGREEMENT Issued under authorityof Part 5 of Act 451, PA 104, as amended, subject to the provisions of the law and the of:maws herein contained, DIE Energy Foundation Tree Reding Grant Program grants am awarded to the organizations named herein Legal Name of Grantee: Oakland County] Facilities Management Street Address: One Public Works Dr. City, State, ZIP: Grantee Contact Name: Waterford, MI 48328 Steve Stanford FINANCIAL BREAKDOWN OF ESTIMATED PROJECT COSTS PERSONNEL FRINGES VOLUNTEER TREES EQUIPMENT SUPPLIES OTHER CONTRACTUAL_ • TOTAL Grant Number; DIE 14-21 Federal ID. Number: 38-6004876 Grantee Contact Email: stanfords©oakgov. corn DIE FUNDS AWARDED (MAX 50% OF PROJEC Grant Amount: $3,000,00 Ending Date: 12/31/14 Grantee Telephone Number: 248.343.6188 LOCAL MATCH* MIN. 50% OF PROJECT) $800.00 $480.00 $2,920.00 $800.00 $500.00 $6,500.000 $3,000.00 $3,000.00 SPECIAL CONDITIONS OF GRANT (Subject to the conditions contained in Attachment 1.) * Ultimate match source(s) may differ from above. Allowable reimbursement rates: Bailed and burlap — up to 8125/tree, Bare-root — up to $50/tree, small containerized - up to $45/tree, Large containerized - up to $75/tree, seedlings — up to $40/100 seedlings. Tree planting costs are notreimbureable, but may be used as match, All cash match expenses must be documented with paid receipts or invoices. All in-kind match expenses must be documented and expl a i n e d o n signed/dated letterhead or equivalent. DEPARTMENT REPRESENTATIVE TO CONTACT RELATIVE TO THIS GRANT AGREEMENT: Name of Representative KEVIN SAYERS Mailing Address PO Box 30452 Department Location/Office LANSING DIMS iON OFFICE City, State, Zip code LANSING MI 48909-7952 Telephone Number 517-241-462 Fax Number 517-373-2443 THIS GRANT AGREEMENT IS SUBJECT TO THE FOLLOWING CONDITIONS AND REQUIREMENTS: 96. This grant is subject to the conditions contained in Attachment 1 (IC 4167-9). 97. Grant reimbursement may be made upon verification of actual expenditures and in accordance with conditions listed in Attachment 1. 98. Request for payments may be made when the project has been completed, but must be received no later than 30 days after the grant period ends and in accordance with the conditions listed in Attachment 1. • Public Act 533 of 2004 requires that payments under this contract be processed by electronic funds transfer (EFT). Contractor is required to register to receive payment by EFT at the Contract & Payment Express website (www.cpexpress.state.mlus).' I. the undersigned, certify that! have read, understand, and agree to comply with this agreement and the conditions listed in Attachment 1, and have authority to enter into this agreement on behalf of Grantee. 99. All statements, publications or presentations concerning the grant will contain an acknowledgment of the State's participation and support and UTE Energy Foundation's participation and support. Attachment 1 provides further Information. 100. The Grantee hereby assures and certifies to comply with all State and Federal laws, rules, regulations, policies, guidelines, and requirements. Also, the applicant assures and certifies with respect to the agreement that it posses the legal authority to enter into this grant agreement. 6. This contract is not valid until it has been signed by both the grantee, and the Department's Representative. The date of the Department Representative's signature will constitute the starting date of the grant. Grantee Representative's Signature Date GRANTEE: Return two (2) Original (signed) Agreements to: DNR Representative Signature Date DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM URBAN AND COMMUNITY FORESTRY PROGRAM MICHIGAN DEPARTMENT OF NATURAL RESOURCES PO BOX 30452 LANSING MI 48909 PR4167-8E (Rev,119/2012) DTE Energy Foundation Michigan Department of Natural Resources - Forest Resources Division DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM ATTACHMENT Issued under authority of Part 5 of Act 451, P.A. W4 as amended, to provide information regarding terms and conditions of DT E Energy Foundation Tree Planting grants. Subject to the provisions of the law and conditions herein contained. In this Attachment, the State of Michigan, Department of Natural Resources, Forest Resources Division is referred to as the Department. Acting for the State is the Grant Officer, Bill O'Neill, referred to as the State. The Grant Supervisor is Kevin Sayers. SECTION 1 - GRANT This grant consists of the Grantee's DTE Energy foundation Tree Planting Grant Application and Information, DTE Energy Foundation Tree Planting Grant Agreement, DTE Energy Foundation Tree Planting Grant Program Grant Agreement Attachment 1, and written and oral instructions from the Supervisor. SECTION 2- COMPENSATION AND METHOD OF PAYMENT The State agrees to reimburse the Grantee for authorized expenditures, as listed in the DTE Energy Foundation Tree Planting Grant Application and Information upon verification of actual, eligible expenditures and match obligation. This sum is not to exceed the actual costs or grant award amount, whichever is less. Request ,for payments may be made when the project has been completed, but must be received no later than 30 days after the arant period ends. Full payment will be made upon completion of the project and compliance with State reporting and auditing requirements. Failure to meet these deadlines may result in non-reimbursement to the Grantee. SECTION 3- REPORTING AND AUDITING,REQUIREIVIENTS As well as conferring with the DNR Supervisor, the Grantee will file a final financial and program report. The reports will be submitted upon completion of the project. The reports shall specify total expenditures, broken down as to the federal portion and the Grantee's share of costs. Total expenditures will be broken down by major budget categories. Reports will be accompanied by documentation showing that the charges are for allowable purposes and that the expenditure listings are accurate and suitable for audit. In addition to the summary documentation submitted to the Department, the Grantee will keep complete financial records such that all charges, whether paid from grant funds or from the Grantee's matching funds, can be readily traced to their origins. Basic documents required to be maintained for audit include 'purchase orders, vouchers authorizing payments, time records for individual employees and volunteers' hours charged to this program. The Grantee's progress report(s) will be submitted on forms supplied by the Department. Supplementary information summarizing accomplishments will be included in narrative form. The project and related reports are subject to audit by both the Department and DTE Energy Foundation. This may include both financial audits and site visits. SECTION 4 - ADMINISTRATION OF GRANT, CHANGES From time to time, changes may be needed in the scope of the project and the grant. All changes must be approved by the Grant Supervisor. Changes must be in writing and approved in advance. SECTION 6 - STANDARDS OF WORK In determining whether or not the Grantee has performed its obligations, It is agreed and understood that the Grant Officer shall rely on the evaluation of the Supervisor. The Grant Officer or the Supervisor may issue written or oral instructions, Any instructions that affect the scope of work, price, period of performance, or any other provision of the Grant must be in accordance with specific provisions of the Grant. The Grantee agrees that the performance of the services under this Grant shall be performed to high professional standards. SECTION 6- CANCELLATION Cancellation of the Grant by the State may be for: (a) default by the Grantee, or (b) lack of further need for the service, at the location named in the Grant. Default Is defined as the failure of the Grantee to comply with any term or condition of this Grant In case of default by the Grantee, the State may cancel the Grant immediately and procure the services from other sources. The State can make payment up to 20% of the grant award for any reimbursable, non-cancelable expenditures that have been completed to the satisfaction of the Grant Supervisor and complies with other grant requirements. In-the event the State no longer needs the service specified in the Grant due to program changes, changes in laws, rules or regulations, relocation of offices, or lack of funding, the State may cancel the Grant by giving the Grantee written notice of such cancellation thirty (30) days prior to the date of cancellation. The Grantee can request reimbursement for reasonable non-cancelable expenditures made prior to the date of the written notice of cancellation that have been completed to the satisfaction of the Grant Supervisor and complies with other grant requirements. SECTION 7- DISPUTES Except as otherwise provided for in this Grant, any dispute arising under this Grant which is not disposed of by agreement shall be decided by the Grant Officer, who shall reduce his/her decision to writing and mail or otherwise furnish a copy to the Grantee. The decision of the Grant Officer shall be final and conclusive unless, within thirty (30) days from the date of receipt of such copy, the Grantee mails or otherwise furnishes to the Grant Officer a written appeal. Pending final decision of disputes, the Grantee shall proceed diligently with the performance of this Grant and in accordance with the Grant Officer's decision. SECTION 8 - OFFICIALS NOT TO BENEFIT No member of the Legislature of the State of Michigan or any individual employed by the State shall be allowed any share or part of this Grant, or to any benefit that may arise. Pap 1 of 4 lc 4187-s (edv, oil 6/2018) DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM ATTACHMENT SECTION 9 COVENANT AGAINST CONTINGENT FEES The Grantee warrants that he/she has not employed or retained any company or person, other than a bona fide employee working solely for the Grantee, to solicit or secure this Grant, and that he/she has not paid or agreed to pay any company or person, other than a bone fide employee working solely for the Grantee, any fee, commission, percentage, brokerage fee, gift, or other consideration contingent upon or resulting from the award or making of this Grant. For breach or violation of this warranty, the State shall have the right to annul this Grant without liability or, in Its discretion, to deduct from the Grant price or consideration the full amount of such commission, percentage, brokerage or contingent fee. SECTION 10 - INDEPENDENT CAPACITY OF GRANTEE The parties agree that the Grantee, in the performance of this Grant, shall act in an independent capatity and not as officer, employee, or agent of the State and shall assure. any and all obligations from liability that may arise out of or in connection with this grant. SECTION 11 - ASSIGNABILITY This Grant Is not assignable by the Grantee, either in whole or in part. SECTION 12- INSPECTION AND ACCEPTANCE Final inspection and acceptance of all work required under this Grant shall be performed by the Supervisor, the Grant Officer, or such person as he/she may duly authorize in writing. SEcTION 13- GRATUITIES a. The State may, by written notice to the Grantee, terminate the right of the Grantee to proceed under this Grant if it is found, after notice and hearing, by the Grant Officer or his/her duly authorized representative, that gratuities in the form of entertainment, gifts, or otherwise were offered or given by the Grantee, or any agent or representative of the Grantee, to any officer or employee of the State with a view toward securing a grant or securing favorable treatment with respect to the awarding or amending or the making of any determinations with respect to the performing of such grant; provided that the existence of the facts upon which the Grant Officer or his/her duly authorized representative makes such findings shall be in issue and may be reviewed In any competent court. b. The rights and remedies of the State provided in this paragraph shall not be exclusive and are in addition to any other rights and remedies provided by law or under this Grant, SECTION 14 - ACKNOWLEDGMENT OF PARTICIPATION Acknowledgment of State Particloation/Su000rt and DIE Enemy Foundation. All publications or oral presentations concerning the project or this agreement will contain an acknowledgment of the State's, and DTE Energy Foundation's participation and support, unless either requests in writing that their participation and support not be acknowledged. All publications or oral presentations concerning the project or this agreement will contain an acknowledgment of DIE Energy Foundation's participation and support. Where appropriate, this credit line should be used for news releases, publications, reports, and other communications: 'This (tree planting project) was supported, in part, by a grant from the Michigan Department of Natural Resources, Urban and Community Forestry program and the DTE Energy Foundation." Where appropriate, project signs or other information placards should acknowledge Department and DTE Energy Foundation support. Specific wording will be determined by the Grantee and Grant Supervisor. SECTION 16 - NONDISCRIMINATION In connection with the performance of work under this Grant, the Grantee agrees as follows: a. In accordance with Act. No. 453, Public Acts of 1975, the Grantee agrees not to discriminate against any employee or applicant for employment with respect to hire, .tenure, terms, conditions, or privileges or employment, or a matter directly or indirectly related to employment, because of race, color, religion, national origin, age, sex, height, weight, or marital status. Breach of this covenant may be regarded as a material breach of this Grant. b. The Grantee agrees that any and all subcontracts to this Grant, where a portion of the work set forth in this Grant Is to be performed, shall contain a covenant the same as set forth in paragraph a_ c. The Grantee will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, national Origin, age, sex, height, weight, or marital status. Such action shall include, but not be limited to, the following: employment; upgrading; demotion or transfer; recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. d. The Grantee will, in' all solicitations or advertisements for employees placed by or on behalf of the Grantee, state that all qualified applicants will receive consideration for employment without regard to their race, color, religion', national origin, age, sex, height, weight, or marital status. e. The Grantee will comply with all relevant published rules, regulations, directives, and orders of the Michigan Civil Rights Commission, which may be in effect prior to the taking of bids for any individual State project, f. In the event that the Michigan Civil Rights Commission finds, after a hearing held pursuant to its rules, that a Grantee hasnot complied with the contractual obligations under this Grant, the Michigan Civil Rights Commission may, as part of its order based upon such findings, certify said findings to the Administrative Board of the State of Michigan, which Administrative Board may order the cancellation of the Grant found to have been violated, and/or declare the Grantee ineligible for future grants with the State of Michigan and its political and civil subdivisions, departments, and officers, including the governing boards of institutions in higher education, until Page 2 of 4 !C 4167-9 (Rev. 1011612013) DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM ATTAcHmENT the Grantee complies with said order of the Michigan Civil Rights Commission. Notice of said declaration of future ineligibility may be given to any or all of the persons with whom the Grantee is declared ineligible to grant as a granting party in future grants. In any case before the Michigan Civil Rights Commission in which cancellation of an ,existing grant is a possibility, the granting agency shall be notified of such possible remedy and shall be given the option by the Michigan Civil Rights Commission to participate in such proceedings. 9, The Grantee will comply with Act 220 of the Public Acts of 1976, the Michigan Handicapper's Civil Rights Act, and SECTION 504 of the Rehabilitation Act of 1973, P.L. 93- 112, both of which prohibit discrimination against handicapped persons. SECTION 16- PRICE Prices quoted by the Grantee shall be the maximum to be charged during the' Grant period; the State shall receive the benefit of any decrease in price that may occur. SECTION 17- TAXES The State is exempt from Federal Excise Tax, and State or Local Sales Tax. Bid prices shall not include such taxes. Exemption Certificates for Federal Excise Tax will be furnished upon request. SECTION 18 - INDEMNIFICATION The Grantee shall indemnify and hold harmless the State, and its agents and employees, from .and against all cl ms, damages, Id ses, and expenses, including but not lim)téd to, reasonable a omeys' fees arising out of, or resulting rom the contracting oIJt of and or performance of the rk, which includes all labô material and equipment requir to produce the commodity, nstruction, and/or service r quired by the Grant, provided th any such claim, damage oss, or expense a. is attributable to odily injury, sicknes disease, or death, or to injury to or d truction of tangib property (other than the work itself) flcluding the )áss of use resulting therefrom, and b. is caused in whole o in par, by any negligent act or omission of the Grantee an subgrantee, anyone directly or indirectly employed by ,r of them or anyone for whose acts any of them may b ble, regardless of whether or not it is caused in part b a p rty indemnified. in any way by any l)fnitation on the amou compensation or/benefits payable by or fo subgrantee un)ader worker's compensatio benefit acts, o 'other employee benefits acts. acts, obligati ns of the Grantee under this extend to e liability of the State, its agents o arising out of (1) the preparation or approval drawings, opinions, reports, surveys, change orders, or specifications, or (2) the giving of, or the failure directions or iNructions by the State, its agents or employees. SECTION 19 - GRANTEE'S LIABILITY INSURANCE The Grantee shall purchase and maintain such insurance as will protect him/her from claims set forth below which may arise out of, or result from, the Grantee's operations under the Grant, whether such operations be by himself/herself or by a subgrantee, or by anyone directly or indirectly employed by any of them, or by anyone for whose acts any of them may be liable: a. Claims under worker's compensation, disability benefit, and other similar employee benefit act. A non-resident Grantee shall have insurance for benefits payable under Michigan's Worker's Compensation Law for any employee, resident of and hired in, Michigan; and as respects to any other employee protected by worker's compensation laws of any other state the Grantee shall have insurance or participate in a mandatory state fund to cover the benefits payable to any such employee. b. Claims for damages because of bodily injury, occupational sickness or disease, or death of his employee. c. Claims for damages because of bodily injury, sickness or disease, or death of any person other than his employee, subject to limits of liability of not less than $300,000 each occurrence and, when applicable $300,000 annual aggregate, for non-automobile hazards and as required by law for automobile hazards. d. Claims for damages because of injury to or destruction of tangible property, including loss of use resulting therefrom, subject to a limit of liability of not less than $50,000 each occurrence for non-automobile hazards and as required by law for automobile hazards. e. Insurance for subparagraphs 3 and 4 non-automobile hazards on a combined single limit of liability basis shall not be less than $300,000 each occurrence and when applicable, $300,000 annual aggregate. The insurance shall be written for not less than any limits of liability specified or required by law, whichever is greater, and shall include contractual liability insurance as applicable to the Grantee's obligations under the indemnification clause of this Grant. SECTION 20 SOURCE OF FUNDS - TERMINATION The State's payment of funds for purposes of this Grant is subject to and conditional upon the availability of funds for such purposes, being Foundation and/or State funds. No commitment is made by the State to continue or expand such activities. The State may terminate this Grant immediately upon written notice to the Grantee at any time prior to the completion of this Grant if, in the opinion of the State, funding becomes unavailable for this service, such funds are restricted. In the event of termination, reimbursement of reasonable non- cancelable expenditures in accordance with SECTION 6 may be provided. SECTION 21 - FEES AND OTHER SOURCES OF FUNDING The Grantee shall not seek nor obtain funding through fees or charges to any client receiving services for which the State reimburses the Grantee under this Grant. The Grantee In any and all claims aga st the tate, or any of its agents or employees by any empl4yee of th Grantee, any subgrantee, anyone directly or in. rectly empio ed by any of them, or anyone for whose cts any of th may be liable, the indemnification obli tion under this G nt shall not be limited or type of damages, the Grantee or any acts, disability nt shall not employees f maps, esigns, give Page 3 of 4 IC 4167-9 (Rev. 10/16/2013) DIE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM ATTACHMENTI guarantees that any claims made to tne State under this Grant shall not be financed by any source other than the State under the terms of this Grant If funding is received through any other source, the Grantee shall delete from Grantee billings, or immediately refund to the State, the total amount representing such duplication of funding. SECTION 22- PUBLICATION - APPROVAL AND COPYRIGHT The State, DTE Energy Foundation and Grantee shall have co- copyright, property, and publication rights in all written or visual material or other work products developed in connection with this Grant. It Is mutually agreed that the Grantee shall have the right to publish and disseminate work products under this Grant, provided that such publication shall contain a reference to the State and Foundation as being the holder of the copyright to the work. SECTION 23- RECORDS AND ACCOUNTS The Grantee shall maintain such records and accounts, including property, personnel,' and financial records, as are deemed necessary by the Granting Officer to assure a proper accounting 'for all project funds. Such records shall be the property of the State and made available for audit. The Grantee shall install and maintain an accounting system to identify and support all expenditures billed to the State under this Grant. The accounting system must record all income and expenses for the Grantee's total program of which services provided under this Grant are a part. The accounting system, as a minimum, shall consist of a chart of accounts, cash receipts journal, cash disbursements journal, and general ledger. All expenditures and income must be supported by vouchers and receipts that detail the reason for the transaction. The Grantee shall maintain, within the accounting system, salary and fringe benefits accounts that break out positions, hospitalization, retirement, worker's compensation, and other fringe benefits. The Grantee shall establish and maintain payroll records for all employees. The Grantee, in establishing and allocating salary and wages for employees, shall support these charges by electing to establish either: a. An adequate appointment and workload distribution system, accompanied by monthly reviews showing the actual changes in the workload distribution of each employee (i.e., an exception reporting system); or b. A monthly after-the-fact certification system which requires persons in supervisory positions having first-hand knowledge of the services performed to report the distribution ofieffort (i.e., a positive reporting system). SECTION 24- REVIEWAND MONITORING REPORTS The Grantee shall comply with all prOgram and fiscal review reporting procedures, as are, or may be, established by the State in completion of monitoring and progress reports at time intervals and on forms specified by the State. Any additional reports as deemed necessary by the Supervisor shall be made and submitted by the Grantee upon request. SECTION 25- EXAmINATION AND IVIAINTENANCE OF RECORDS The Grantee shall permit the State or any of its identified agents access to the facilities being utilized at any reasonable time to observe the operation of the program. Further, the Grantee shall retain all books, records, or other documents relevant to the Grant for six year after final payment, at his/her cost, and federal auditors and any other duly authorized by the State shall have full access to, and the right to examine and audit, any of the material during the period. If an audit is initiated prior to the expiration of the six year period, and extends part that period, all documents shall be maintained until the audit is completed. The State shall provide findings and recommendations of audits to the Grantee. The State shall adjust future payments or final payment if the findings of an audit indicate over or under payment to the Grantee in the period prior to the audit. If no payments are due arid owing the Grantee, the Grantee shall immediately refund all amounts which may be due the State. The Grantee shall assure, as a condition of any sale or transfer of ownership of the Grantee agency, that the new purchasers or owners maintain the above described books, records, or other documents for any unexpired portion of the six year period after final payment under this Grant or the Grantee shall otherwise maintain the records as the State may direct. The Grantee. shall, if he/she ceases business operations, maintain the records as the State may direct SECTION 26- COMPLIANCE WITH STATE AND FEDERAL LAWS, RULES, REGULATIONS The Grantee will comply with all State and Federal laws, rules, regulations, policies, guidelines, and requirements. SECTION 27— SUSPENDED AND DEBARRED PARTIES: Subawards to debarred and suspended parties. Grantees and subgrantees must not make any award or permit any award (subgrant or contract) as any tier to any party which is debarred, suspended or is otherwise excluded from or ineligible for participation In Federal assistance programs under Executive Order 12549, "Debarment and Suspension." List of debarred parties: htf:ps://www.sam.govinortal/public/SAMZ Page 4 of 4 IC 4167-9 (Rev. 10/16/2012) Check here, UNITED STATES DEPARTMENT OF AGRICULTURE CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS This certification is required by the regulations implementing Sections 5151-5160 of the Drug-Free Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D; 41 U.S.C, 701 at seq.), 7 CFR Part 3017, Subpart F, Section 3017.600, Purpose. The January 31, 1989, regulations were amended and published as Part Ii of the May 25, 1990 Federal Register (pages 21881-21691). Copies of the regulations may be obtained by contacting the Department of Agriculture agency offering the grant. (Before completing Certification, read instructions on page 2) Alternative I A. The grantee certifies that it will or will continue to provide a drug- free workplace by (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an ongoing drug-free awareness program to inform employees about — • (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) • Notifying the employee In the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will — (1) Abide by the terms of the statement; and (2) Notify the emplOyer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; (e) Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; (f) Taking one of the following actions, wittith 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted — (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily In a drug abuse assistance or rehabilitation program approved for such purposes by a .Federal, State, or local health, law enforcement, or otber appropriate agency; (9) Making a good faith effort to continue to maintain a drug-free workplace through Implementation of paragraphs (a), (b), (c), (d), (e) and (t). B. The grantee may insert in the space provided beiow the site(s) for the performance of work done in connection with the specific grant: Place of Performance (Street address, city, county, State, zip code) if there are workplaces on file that are not identified Organization Name Award Number or Project Name Name and Title of Authorized Representative Signature . Date Form AD-1049 (REV 5/90) jelSTRUCTIONS FOR CERTIFICATION 1. By signing and submitting this form, the grantee is providing the certification set out on pages 1 and 2. 2. The certification set out on pages 1 and 2 is a material representation of fact upon which reliance is placed when the agency awards the grant. if it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. • 3. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there Is no application, the grantee must keep the identity of the workplace(s) on file in Its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug-free workplace requirements. 4. Workplace Identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles of a mass transit authority or State highway department while In operation, State employees in each local unemployment office, performers In concert hells or radio studios). 5. If the workplace Identified to the agency changes during the performance of the grant, the grantee shall inform the agency of the change(s), If it previously identified the workplaces in question (see paragraph three). 0. Definitions of terms In the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: "Controlled" substance means a controlled substance in Schedules I through V of the Controlled Substances Act (21 U.S.C. 812) and as further defined by regulation (21 CFR 1308.11 through 1308.15); "Conviction" means a finding of guilt (Including a plea of nobo oontendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; - "Criminal drug statute" means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance; "Employee" means the employee of a grantee directly engaged In the performance of work under a grant, including: (I) all "direct charge" employees; (ii) all "indirect charge" employees unless their impact or Involvement is insignificant to the performance of the grant; and, (iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. .This definition does not Include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecieients or subcontractors In covered workplaces). 2 Form AD-I 049 (REV 5/90) Form Ifir".9 (Rev. January 20021 Departrnent of the 'Treasury Internal Revenue Service Request for Taxpayer identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type See Specific instructions on page 2. Name Business name, If different from above . Check appropriate 1—i Exempt from backup P' L...I withholding • I Individual/ box: MI Sole proprietor Corporation 0 Partnership 0 Other Address (number, street, and apt. or suite no.) Requester's name and address (optional) . City, state, and ZIP code List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. For Individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 2. For other entitles, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 2. Note: If the.account is in more than one name, see the chart on page 2 for guidelines on whose number to enter. Certification - Social security number or. Employer identiCcation number 1 4 I 1 1 I I 1 Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. person (including a U.S. resident alien). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently Subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on page 2.) Sign Signature of Here OZ. person Purpose 1- Date Purpose of Form A person who is required to file an information return with the IRS must get your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S, person (including a resident alien), to give your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify tile TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If you are a foreign person, use the appropriate Form W-8. See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities, Note: If a requester gives You a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 30% of such payments after December 31, 2001 (29% after December 31, 2003), This is called "backup withholding," Payments that may be subject to backup withholding include interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding, You will not be subject to backup withholding on payments you receive If you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester, or 2. You do not certify your TIN when required (see the Part II instructions on page 2 for details), or 3. The IRS tells the requester that you furnished an incorrect TIN, or 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or 5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1083 only). Certain payees and payments are exempt from backup withholding. See the instrUctions on page 2 and the separate Instructions for the Requester of Form W-9. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty, Criminal penalty for falsifying information.. Willfully falsifying certifications or affirmations may subject you to criminal penalties including tines and/or imprisonment, Misuse of TIISIs. If the requester discloses or uses TINs in violation of Federal law, the requester may be subject to civil and criminal penalties. Cat, No. 10231X Form W-9 (Rev. 1-2002) Form W-0 (Rev. 1 -2002) Page 2 Specific instructions Name. If you are an individual, you Must generally enter the name shown on your social security card. However, If you have changed your last name, for instance, due to marriage without informing the Social Security Administration of the name change, enter your first name, the last name shown on your social security card, and your new last name. If the account is in joint names, list first and then circle the name of the person or entity whose number you enter in Part! of the form. Sole proprietor. Enter your individual name as shown on your social security card on the "Name" line. You may enter your business, trade, or "doing business as (DBA)" name on the "Business name" line. Limited liability company (i.LC). If you are a single-member LIC (including a foreign LLC with a domestic owner) that is disregarded as an entity separate from its owner under Treasury regulations section 301.7701-3, enter the owner's name on the "Name" line, Enter the LLC's name on the "Business name" line. Other entities. Enter your business name as shown on required Federal tax documents on the "Name" line. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on the "Business name" line. Exempt from backup withholding. If you are exempt, enter your name as described above, then check the "Exempt from backup withholding" box in the line following the business name, sign and date the form. Individuals (including sole proprietors) are not exempt from backup Withholding. Corporations are exempt from backup withholding for certain payments, such as Interest and dividends. For more information on exempt payees, see the Instructions for the Requester of Form W-9. • if you are a nonresident alien or a foreign entity not subject to backup withholding, give the requester the appropriate completed Form W-8. Note: if you are exempt from backup Withholding, you should still complete this form to avoid possible erfoneous backup withholding. Part I—Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get art SSN, your TIN Is your IRS individual taxpayer identification number (fM). Enter it In the social security number box. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EN. However, the IRS prefers that you use your SSN, If you are an LLC that is disregarded as an entity separate from its owner (see Limited liability company (LW) above), and are owned by an individual, enter your SSN (or "pre-LLC" EIN, if desired). If the owner of a disregarded LLC is a corporation, partnership, etc., enter the owner's EN. Note: See the chart on this page for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local Social Security Administration office. Get Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply loran EIN. You can get Forms W-7 and SS-4 from the IRS by calling 1-800-TAX-FORM (1.800-829.3676) or from the IRS Web Site at www.irs.gov. • If you are asked to complete Form W-9 but do not have a TIN, write "Applied For" in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments, You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Writing "Applied For' means that you have already applied for a TIN or that you intend to apply for one soon. Caution: A disregarded domestic entity that has a foreign owner must use the appropriate Form W-8. Part II—Certification To-establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if items 1, 3, and 5 below indicate otherwise. For a joint account, only the person vvhoSe TIN is shown in Part I should sign (when required). Exempt recipients, see Exempt from backup withholding above, Signature requirements. Complete the certification as indicated in 1 through 5 below. 1. Interests dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your 'correct TIN, , but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 In the certification before signing the form. S. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification, 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made In the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations), S. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section . 529), IRA or Archer MSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to give your correct TIN to persons who must file information returns with the IRS to report interest, dividends, and certain other income paid to you, mortgage interest you paid, the acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA or Archer MSA, The IRS uses the numbers for identification purposes and to help verify the accuracy of your tax return. The IRS may also provide this information to the Department of Justice for civil and criminal litigation, and to cities, states, and the District of Columbia to carry out their tax laws. You must provide your TIN whether or not you are required to file a tax return. Payers must generally withhold 30% of taxable Interest, dividend, and certain other payments to a payee who does not give a TIN to a payer. Certain penalties may also apply, What Name and Number To Give the Requester For this type of account: Give name and SSN of: 1. Individual 2. Two or MOTO individuals (ioInt account) S. Custodian account of a minor (Uniform Gift to Mom Act) 4. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that Is not a legal or valid trust under state law S. Sole proprietorship The Individual The actuai owner of the account or, if combined funds, the first Individual on the account 1 The minor z The grantor-trustee' The actual owner 1 . . The owner 3, For this type of account: Give name .and FIN of: 6. Sole proprietorship 7. A valid trust, estate, or pension trust a. Corporate 9. Association, club, religious. charitable, educational, or other tax-exempt organizabon 10. Partnership II. A broker or registered nominee 12. Account with the Department of Agriculture In the name of a public entity (such as a state or local government school district, or prison) that receives agricultural program payments The owner' Legal entity 4 The corporation The organization The partnership The broker or nominee The public entity List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person's number must be furnished. 'Circle the minor's name and furnish the minor's SSN. You must show your individual name, but you may also enter your business or "MIA" name. You may use either your SS(4 or EIN (if you have one). 4 List first and circle the name of the legal trust, estate, or pension trust (Do not furnish the MI of the personal representative or trustee unless the legal entity itself Is not designated In the account title.) Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. DTE Energy Foundation Michigan Department of Natural Resources, Forest Resources Division DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM GRANTEE'S FINANCIAL REPORT This information required under authority of Part 5 of Act 451, P.A. 1994, as amended to verify information and report progress on the DTE Energy Foundation Tree Planting Grant Program. Grant No. CASE-I CONTRIBUTIONS1 IN-KIND SERVICES2 (IN DOLLARS) TOTAL Grant Funds DTE Enere Foundation \`' \ ''s IIIIIIIIIII §.0., its , \ Nimilimmiami limmumi. Grantee's Match Local 1111111111111. VIIIMIIIIIIIIM IIIIIIIIIIIIIIIIIIII Personnel Millilli& Volunteer \ \'llIlIllMIIIIIIIIII IIIIIIIIIIIIIIIIIIII Trees E•uisment MINIIII, Other 1111111111111111111111111111111111111111 N.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Contractual Services TOTAL 1 Cash contributions: Cash expended to complete the grant must be documented with copies of paid salary stubs, receipts or invoices. 2 In-kind support: Expense/value provided to complete the grant must be documented by minimum of signed/dated letterhead explaining how expense/value was calculated. I certify that the above information is correct. Grantee Representative Name — PLEASE PRINT Grantee Representative Signature Dale FOR GRANT REIMBURSEMENT, THE FOLLOWING DOCUMENTS MUST BE SUBMITTED: 01 Page Grant Narrative Summary. Summary should include project goals, methodology, actual accomplishments and outcomes, and impact on the community and natural resources (social, environmental, economic benefits). Also include key observations, successes and barriers or limitations to project completion. OSigned DTE Energy Foundation Tree Planting Grant Program Grantees Financial Report - (PR 4167-2). ElCopies of invoices, receipts, vouchers etc. that document reimbursable expenditures and match on this project [(Signed DTE Energy Foundation Tree Planting Grant Program Tree Maintenance Agreement - (PR 4167-4). EiSigned DTE Energy Foundation Tree Planting Grant Program Tree Inventory - (PR 4167-5). EIDTE Energy Foundation Tree Planting Grant Program Volunteer Time Record (if applicable) - (PR 4167-3), Return completed report(s) to: DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM MICHIGAN DEPARTMENT OF NATURAL RESOURCES URBAN AND COMMUNITY FORESTRY PO BOX 30452 LANSING MI 48909-7952 PR4167-2 (Rev.10/1612013) Michigan Department of Natural Resources — Forest Resources Division DTE Energy Foundation Tree Planting Grant Program Volunteer Time Record This information is required under authority of Part 5, 1994 PA 1994, as amended. DTE Energy Foundation NAME (print and Initial) ACTIVITY DESCRIPTION DATE PERFORMED HOURS HOURLY RATE* TOTAL VALUE , _ . . TOTALS 7 /I, * VOLUNTEER VALUE RATES: $20 (adults 16 & older); $10 (Youth under 16). For professional services/time, use current professional rates and provide documentation of value, I certify as the Grantee Representative that the information provided above is true and accurate to the best of my knowledge. DNR USE ONLY APPROVE ODISAPPROVE Grantee Representative Name - Please Print Title - Please Print Name Please Print Title Grantee Representative's Signature Date MICHIGAN DEPARTMENT OF NATURAL RESOURCES Return/mail completed record to: URBAN AND COMMUNITY FORESTRY PROGRAM PO BOX 30452 LANSING MI 43909-7952 Signature Date PR4C:10 (Rev. 10/16/2015) DTE Energy Foundation Michigan Department of Natural Resources, Forest Resources Division DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM TREE INVENTORY This information is required under authority of Part 501 of Act 451, P.A. 1994, as amended to verify information and report progress on the DTE Energy Foundation Tree Planting Grant Program, GRANT No. GRAND TOTAL # OF TREES A substitute format (1.e„ database spreadsheet, computerized inventory printout, etc...) may be used with approval of the Grant Supervisor. PLANTED (Month/Year), LOCATION SPECIES SIZE (Diameter/Height) CONDITION COST I certify that the above information is correct. Grantee Representative name — PLEASE PRINT Grantee Representative Signature Date Return completed report(s) to: DIE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM MICHIGAN DEPARTMENT OF NATURAL RESOURCES URBAN AND COMMUNITY FORESTRY PROGRAM PO BOX 30452 LANSING MI 48909-7952 PR 4167-5 (Rev. loiletaia) LITE Energy Foundation Michigan Department of Natural Resources, Forest Resources Division DTE ENERGY FOUNDATION TREE PLANTING GRANT PROGRAM TREE MAINTENANCE AGREEMENT This information is required under authority of Part 6 of Act 451, P.A. 1994, as amended to verify information and report progress on the DTE Energy Foundation Tree Planting Grant Progr a m . Grant No.: This Tree Maintenance Agreement between the Michigan Department of Natural Res o u r c e s ( D N R ) a n d t h e Grantee certifies that customary and reasonable tree care and maintenance will be pe r f o r m e d f o r t h r e e ( 3 ) years on trees planted under the terms of the DIE Energy Foundation Tree Planting P r o g r a m . M i n i m u m standards for care are those criteria, instructions, and examples contained in the Fo r e s t r y H a n d b o o k , Second Edition, Karl Wenger, Editor, for the Society of American Foresters, Sect i o n s 8 a n d 1 6 , 1 9 8 4 , J o h n Wiley and Sons, New York, New York; Michigan DNR Tree Maintenance Guide l i n e s ( I C - 4 1 0 8 - 1 ) a n d Michigan DNR Tree Maintenance Checklist (IC-4108-1A). Tree maintenance in c l u d e s , b u t i s n o t l i m i t e d t o , watering, fertilizing, pruning, trimming, mulching, staking, and removing and rep l a c i n g d e a d o r d y i n g t r e e s . Upon completion of the tree planting, a list of trees planted under this project must b e s u b m i t t e d . F o r e a c h , fist: month and year planted, species, diameter or height, planting location, and c o n d i t i o n ( p o o r , f a i r , g o o d , excellent). A substitute format (i.e., database spreadsheet, computerized inventory prin t o u t , e t c . . . ) m a y b e used with approval of the Grant Supervisor. Failure to comply with this requirement may result in cancellation of the current gran t a n d d i s q u a l i f i c a t i o n from future grants. I certify that my organization will comply with all of the above tree maintenance requirements. Grantee Representative Name - PLEASE PRINT Grantee Representative's Signature Date Page 11 FISCAL NOTE May 15, 2014 (MISC #14118) BY: FINANCE COMMi TEE, TOM MIDDLETON, CHAIRPERSON IN RE: FACILITIES MANAGEMENT/FACILITIES PLANNING & ENGINEERING — DTE ENERGY FOUNDATION TREE PLANTING GRANT ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above-referenced resolution and finds: 1. Oakland County has been awarded grant funding from the Michigan Department of Natural Resources, Urban Forestry for the 2014 DTE Energy Foundation Tree Planting Grant in the amount of $3,000 for the period of May 1, 2014 through December 31, 2014. 2. The total project costs of $8,500 includes grant funding of $3,000 for the purchase, planting, and care of trees and County in-kind match of $5,500 for services provided by Facilities Maintenance and Operations including personnel, trees, equipment, and supplies. 3. There are no financial implications for the County beyond the matching funds and normal, long-term care of the trees to be planted. 4. A budget amendment is recommended to the Fiscal Year 2014 Special Revenue Budget as follows: 2014 DTE Energy Tree Planting Grt Fund 29477 GR0000000701 Activity GLB Analysis Type GLB Budget Ref. 2014 Revenue 1040725-140582-610313 Total Revenue Federal Operating Grt FY2014 $3,000 $3,000 Expense 1040725-140582-750224 Total Expense Ground Supplies $3,000 $3.000 Total $ -0- FINANCE COMMITTEE QA.5,a2iageil/ FINANCE COMMITTEE VOTE: Motion carried unanimously on a roll call vote with Woodward absent. Resolution #14118 May 15, 2014 Moved by Crawford supported by McGillivray the resolutions (with fiscal notes attached) on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Dwyer, Gingell, Gosselin, Hatchett, Hoffman, Jackson, Long, Matis, McGillivray, Middleton, Quarles, Runestad, Scott, Spisz, Taub, Weipert, Woodward, Bosnic, Crawford. (19) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent Agenda were adopted (with accompanying reports being accepted). I HEREBY APPROVE THIS RESOLUTION' CHIEF DEPUTY COUNTY EXECUTIVE ACTING PURSUANT TO MCL 45.559A (7) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on May 15, 2014, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 15th day of May 2014, Lisa Brown, Oakland County