county of los angeles 383 kenneth hahn hall of...

These actions will accept a United States Environmental Protection Agency grant to perform environmental site investigation services, approve an appropriation adjustment, and approve an amendment to the Executive Campus Planner Consultant Services Agreement for the LAC+USC Medical Center Campus.

SUBJECT

April 16, 2013

The Honorable Board of SupervisorsCounty of Los Angeles383 Kenneth Hahn Hall of Administration500 West Temple Street Los Angeles, California 90012 Dear Supervisors:

LAC+USC MEDICAL CENTERACCEPT GRANT WITH UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

APPROVE APPROPRIATION ADJUSTMENT APPROVE AMENDMENT TO THE EXECUTIVE CAMPUS

PLANNER CONSULTANT SERVICES AGREEMENT(FIRST DISTRICT)

(4 VOTES)

IT IS RECOMMENDED THAT THE BOARD:

1. Find the Phase II site investigation activities exempt from the California Environmental Quality Act as they involve feasibility and planning studies and information collection for the reasons stated in this letter and in the record of the Project.

2. Authorize the Chief Executive Officer, or his designee, to accept a grant in the amount of $200,000 from the United States Environmental Protection Agency to perform environmental site investigation services at the LAC+USC Medical Center Campus.

3. Approve the appropriation adjustment in the amount of $200,000 to increase appropriation in the Project and Facility Development Fund to fund environmental site investigation services, which is

lsmitherman

Adopt stamp

lsmitherman

Typewritten Text

11 April 16, 2013

offset revenue through acceptance of a United States Environmental Protection Agency grant.

4. Authorize the Chief Executive Officer, or his designee, to amend the Executive Campus Planner Consultant Services Agreement with Lee, Burkhart, Liu, Inc. (Agreement No. CP-03), to provide environmental site investigation as part of the Executive Campus Planner services for the LAC+USC Medical Center Campus Plan for a maximum not-to-exceed cost of $200,000, via a contract amendment that is approved as to form by County Counsel.

PURPOSE/JUSTIFICATION OF RECOMMENDED ACTION

Approval of the recommended actions will accept the United States Environmental Protection Agency (USEPA) grant to fund environmental site investigation services at the LAC+USC Medical Center campus, and authorize an amendment to the current Executive Campus Planner Consultant Services Agreement to perform the site investigation services.

In June 2010, the Chief Executive Officer (CEO) submitted an application to the USEPA under the Brownfield Assessment Competitive Grant Programs to assist local governments with investigative assessment and/or remediation of sites in the East Los Angeles area. The Phases I and II environmental investigative assessment will review the past history of selected identified property areas to assist where there may be contaminants which must be remediated. Additionally, the final environmental investigation results will identify the best methods for making the site safe and clean for a new proposed future use. Beginning Phase II investigation services are dependent upon the results and completion of Phase I.

The review of County-owned properties in the East Los Angeles area, resulted in no eligible property to perform the grant authorized environmental site investigative services. In May 2012, the County requested the USEPA’s approval to allow the LAC+USC Medical Center Campus as an eligible property site due to its close proximity to the East Los Angeles area. In June, 2012, the USEPA approved the LAC+USC Medical Center Campus and awarded the County a grant to conduct Phases I and II site investigation assessments for hazardous substance.

In March 2012, the Board approved an Executive Campus Planner Consultant Services Agreement with Lee, Burkhart, Liu, Inc. (LBL) for the LAC+USC Medical Center campus to develop a Master Plan to guide the redevelopment of the campus to more efficiently provide essential health care services and meet the needs of the surrounding communities, including initial environmental site investigation services.

It is recommended that the Board accept the grant, authorize the CEO to execute a grant agreement with USEPA for the Phases I and II site investigation assessments, and amend the Executive Campus Plan Consultant Services Agreement to allow for additional environmental site investigations services offset by the USEPA grant.

Implementation of Strategic Plan GoalsThe recommended actions meet the Board approved County Strategic Plan Goal of Operational Effectiveness (Goal 1), by completing the proposed additional investigation services in the most efficient and cost-effective manner. It also directs us to provide Integrated Services Delivery (Goal 3) by maximizing opportunities to measurably improve client and community outcomes and leverage resources through the continuous integration of health, community, and public safety services.

The Honorable Board of Supervisors4/16/2013

FISCAL IMPACT/FINANCING

The proposed Amendment No. 1, which will encompass the changes reflected in Recommendation No. 4, increases the LBL consultant agreement by an aggregate amount of $200,000 in USEPA approved grant. This will revise the maximum contract total amount to $3,200,000. The attached appropriation adjustment will increase appropriation in the Project and Facility Development Fund by $200,000 with an increase in offsetting revenue approved with the acceptance of the USEPA grant. Upon the Board’s approval of the USEPA grant, sufficient funds will be available Fiscal Year 2012-13 Project and Facility Development Budget for approval of this amendment.

The LBL Executive Campus Planner Consultant Services Agreement is funded by net County cost $3,000,000, and $200,000 USEPA grant.

FACTS AND PROVISIONS/LEGAL REQUIREMENTS

The proposed grant agreement with USEPA will be reviewed and approved as to form by County Counsel prior to execution by the CEO.

A standard Consultant Services Agreement amendment, in the form previously approved by County Counsel, will be used. The standard Board-directed clauses that provide for contract termination, renegotiation, and hiring displaced County employees will be included.

LBL is in full compliance with Los Angeles County Code Chapter 2.200 (Child Support Compliance Program) and Chapter 2.203 (Contractor Employee Jury Service Program).

ENVIRONMENTAL DOCUMENTATION

The Phase I activities covered under the USEPA grant and amended Consultant Services Agreement are not considered a project under the California Environmental Quality Act (CEQA) because it is an activity that is excluded from the definition of a project by Section 15378(b) of the State CEQA Guidelines. Phase I includes document review activities, which will not result in direct or indirect physical changes to the environment.

The Phase II activities covered under the USEPA grant and amended the Executive Campus Planner Consultant Services Agreement are statutorily exempt from CEQA under Section 15262 of the State CEQA Guidelines. The proposed Phase II activities include feasibility and planning studies, including limited site investigation activities for possible future actions which the Board has not yet approved and, which do not include adoption of a plan that will have a legally binding effect on later activities. The Phase II activities are also categorically exempt from CEQA under Section 15306 of the State CEQA Guidelines and Class 6 of the County's Environmental Document Reporting Procedures and Guidelines, Appendix G, as the activity involves data collection, research and resource evaluation activities leading to potential action, which has not been approved, adopted or funded to date.

We will return to the Board for approval of any proposed remediation activities at the site along with


the appropriate environmental documentation.

IMPACT ON CURRENT SERVICES (OR PROJECTS)

There will be no impact on services to other County departments or to the public.

CONCLUSION

Please return one adopted copy of this Board letter to the Chief Executive Office, Capital Projects Division.

WILLIAM T FUJIOKA

Chief Executive Officer

Enclosures

c: Executive Office, Board of SupervisorsCounty CounselAuditor-ControllerHealth Services

Respectfully submitted,

WTF:RLR:DJTDKM:AT:zu


-/~. , ,

i.."" .. I/ .j-",..'-\!'. FINANCIAL ASSISTANCE APPLICATION

DATE TO PROJECT OFFICER: JUl 02201File

CopyREMINER ,.,.,. To avoid delays, please do the foUowing: ! 0./ ,31

IllitialAward: Please DO NOt start your FR or eN Uhtil you receìvean email notifcation fromGMO.

Amendment Award: There wìll be NO email notifcation; therefore, you can inìtiate the FR as ~oon as you. receive ths hard copy application from GMO.

FROM: ~~APPLICANT: ~.~ ~.GRANTI.D.#:ßF-óá53J.I-O PROGRAM I?F

, Grants Specialist, MTS- 7 .

The Grants Management Office (GMO) has received an original application for the above mentioned applicant.Your copy is attached for your review. Using IGMS, please prepare a Funding Recommendation (FR) andCommitment Notice (CN).

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Application Received Checklist

Budget (SF424A)

Complete I Incomplete App

Budget Detait / _ . .,.t?*Assurances ~LObbYing Certification (-c$l OOK - tribesex;~'~t;

*Procurement ($F- only) ~re-Award Compliance(*Celflcations not needed for Amendments)

(l¡ Federal and Recipient Match

ø Signatures

g' Workplan

NOTE: For IGMS questions, call the IGMS Hotline ~ 7-4589, Kathy Goetz ~ 2-3702, AlbaEspitia ~ 2-3667, or Renee Chan (E 2-3675.

**BASED ON NATIONAL POLICY, GRA PROJECT OFFICERS MUST BE CERTIFlED. OUR RECORDS SHOW THAT YOU AR

NOT ACERTIFIED PROJECT OFFICER THFUNDlNG RECOMMNDA nON AN COMMITMENT NOTICE MUST BE SUBMITTED FROM A CERTIFIED PROJECT OFFICER.g:luserlsharelopmlmts7IpotlAwardPrepChecklist.Draft

Revised 11104/09 ~

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County of Los AngelesCHIEF EXECUTIVE OFFICE

Kenneth Hahn Hall of Administration500 West Temple Street, Room 713, Los Angeles, California 90012

(213) 974-1101htt://ceo.lacounty.gov

WILUAMT FUJIOKAChief Executive Ofcer

June 25, 2010

Board of SupervisorsGLORIA MOLINAFirs District

MARK RIDLEY-THOMASSecond District

ZEV YAROSLAVSKYThird District

Ms. Carolyn TruongGrants Management Office, MTS-7Management & Technical Services DivisionU.S. EPA, Region 9

75 Hawthorne StreetSan Francisco, CA 94105

DON KNABEFourth District

MICHAEL D. ANTONOVICHFifh District

Dear Ms. Truong:

APPLICATION FOR BROWNFIELDS ASSESSSMENT GRANT(R9 Tracking #: 10-351)

The County of Los Angeles is submitting the attached application package asrequested. Please note that supplemental information wil be provided separately forthe Preaward Compliance Review Report (EPA Form 4700-4), Sections'" through V.

Please contact Hannah Chen at (213) 974-1953 if you have any questions.

Sincerely,

~WTF:SKDJT:HC:zu

Attachment

c: Sara Russell, EPA Project ManagerTrish Davey, Planning Dynamics Group

'70 Enrich Lives Through Effective And Caring Service"

RECEIVED

JUN 2 8 2010

GMO. MTS-7

Please Conserve PaDer - This Document and CODies are Two-Sided

"...

¡EPA R9 Tracking #: 10-351OMS Number: 4040-0004

Exoiration Date: 04/31/2012

Applicat:ion for Federal Assistance SF -424 Version 02

* 1. Type of Submission *2. Type of Application *IfRevision, select appropriate lettr(s):

D Preap'plication o New

o Application D Contiuation * Oter (Specify)

o Chariied/Correëted Application D Revision*3. Date Received: 4. Application Identifier:

6/25/10Sa. Federal Entity Identifier: *5b. Federal Award Identifier:

R9 Tracking #: 10-351

State Use Only:6. Date Received by State: 7. State Application Identifier:8. APPLICANT INORMTION:* a. Legal Name: County of Los Anr:eles* b. Employer/Taxpayer Identification Number (EIN/TIN: *c. Organzational DUNS:

95-6000927 02-114-7595d. Address:*Street1: 500 West Temple Street, Room 754Street 2:

*City: Los AnaelesCounty: Los Anaeles

* State: L;amornia

Provice:Countr: USA *Zip/ Postal Code: 90012

e. Oreanizational Unit:Deparent Name: Division Name:

Chief Executive Office Capital Projects/Debt Management

f. Name and contact information of person to be contacted on matters involvig this application:Prefix: Ms. First Name: HannahMidle N am:

*Last Name: ChenSuffix:Title: Senior Analyst, CEO

Organational Afliation:County of Los Angeles

.. .

*Telephone Number: (213) 9t4-1953 Fax Number: (213) 626-7827 .

*Emai1: hchenßvceo.lacountV.qov

RECEIVED

JUN 2 8 2010

GMO, MTS-7

Application for Federal Assistance SF -424

9. Type of Applicant 1: Select Applicant Type: B. County Government

OMS Number: 4040-0004Expiration Date: 04/31/2012

Version 02

. Type of Applicant 2: Select Applicant Type:

- Select One -

Type of Applicant 3: Select Applicant Type:

- Select One -

*Other (specify):

*10. Name of Federal Agency:U.S. Environmental Protection Agency (EPA)

11. Cataog of Federal Domestic.Assistace Number:

CDF 66.818CFDATitle:

Brownfields Assessment Grants

*12. Fundig Opportty Number: EPA-OSWER-OBLR-09-04

*Title: PIG 'd . Id Groposa ul elines for Brownfie s Assessment rants

13. Competition Identification Number: EPA-560-F08249

Title:

Request for Proposals for Brownfields Assessment Grants

14. Areas Affected by Project (Cities, Counties, States, etc.):

County of Los Angeles, unincorporated areas in East Los Angeles County

*15. Descriptive Title of Applicant's Project:

COUNTY OF LOS ANGELES -- COMMUNITY-WIDE HAZRDOUS SUBSTANCESAND PETROLEUM ASSESSMENT GRANT

Attach supporti2 documents as specifed in aeency instructions.

.'

XDlra ion ae:

Application for Federal Assistance SF..424 . Version 02

16. Congressional Distrcts Of:

*a. Applicant *b. Progrroject:. 22, 25 through 39, 42 and 46 32,34,35,37,38,39 and 42

Attch an additiona11ist of Programroject Congressional Distrcts if needëd.

17. Proposed Project:

*a. Star Date: October 1, 2010 *b. End Date: December 30,2013

18. Estiated Fundin2 ($):*a. Federal $400,000.00*b. Applicant*c. State

*d. Local*e. Other*f. Program Income

$400000.00*g. TOTAL*19. Is Application Subject to Review By State Under Executive Order 12372 Process?

(2la. Ths application was made available to the State under the Executive Order 12372 Process for review on June 25, 2010D b. Program is subject to E.O. 12372 but has not been selected by the State for review.D c. Program is not covered by E.O. 12372*20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) .DYes (2No

21.*By signg this application, I certfy (i) to the statements contained in the list of certfications* * and (2) that the statementsherein are tre, complete and accurate to the best of my knowledge. I also provide the requied assurances** and agree to complywith any resultig terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or clai may subjectme to crinal, civil, or admstrative penalties. (U.S. Code, Title 218, Section 1001)

rz **1 AGREE

** The list of certfications and assurances, o~ an internet site where you may obtain this list, is contained in the anouncement oragency specific instrctions.Authoried Representative:Prefix: Mr. *First Name: David

Midd Ie N ane: Jan

*Last Name: Takata

S-,lff: .. . . -- -. -- .. -

*Title: Senior Manager, CEO

*TelephoneNumber: (213) 974-2274 - FaxNumber: (213) 626-7827*EiIai: itakata~ceo.lacounty.ç¡ov ,. (J A A ,/ , ì*Signatue of Authorized Representative~.A1\ .x I JI A -.vil¿îl Date Siimed: (g L-i¿-I h7L/ .

LL- i i

OMB Number: 4040-0004Ex' t 0 t 04/31/2012

. Application for Federal Assistance SF-424* Applicant Federal Debt Deliquency Explanation

.

OMB Number: 4040-0004Expiration Date: 04/31/2012

Version 02

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Form Approved OMB No:2030-0020 Approval Expires 04/2012

&EPA KEY CONTACTS FORM

Authorized Representative: Original awards and amendments wil be sent to this individual for reviewand acceptance, unless otherwise indicated.

Name: David Jan TakataTitle: Senior Manager, CEO

Complete Address: County of Los Angeles, Chief Executive Offce500 W. Temple Street, Room 754, Los Angeles, CA 90012

Phone Number: (213) 974-2274

Payee: Individual authorized to accept payments.

Name: Dawn McDivittTitle: Manager, CEO

Mail Address: County of Los Angeles, Chief Executive Offce

500 W. Temple Street, Room 754, Ltls Angeles, CA 90012

Phone Number: (213) 974-2620

Administrative Contact: Individual from Sponsored Program Offce to contact concerning

administrative matters (i.e., indirect cost rate computation, rebudgeting requests etc.)",

Name: Hannah ChenTitle: Senior Analyst, CEO

Mailing Address: County of Los Angeles, Chief Executive Offce

500 W. Temple Street, Room 754, Los Angeles, CA 90012

(213) 974-1953

(213) 626-7827

Phone Number:FAX Number:E-Mail Address: hchen(Çceo.lacounty.gov

Principal Investigator: Individual responsible for the technical completion of the proposed work.

Name: Hannah ChenTitle: Senior Analyst, CEO

Mailing Address: County of Los Angeles, Chief Executive Offce

500 W. Temple Street, Room 754, Los Angeles, CA 90012

(213) 974-1953

(213) 626-7827

hchen(Çc.oJac.un .goy

Phone Number:FAX Number:E-Mail Addres:WebUR:

EPA Form 5700-54 (Rev 04/2012

County of Los AngelesBrownfields Assessment Grant Work Program

A. RECIPIENT TITLE

County of Los Angeles R9 Tracking #: 10-351

B. BACKGROUND

The County of. Los Angeles wil use ,eoinmunttYi:Widé1;"HäzãÌ'(:öüs"'Súbstäi'ï'ëeS0;($20(i~OØØ) and

Community-wide ,~~tl91,ey.r:¥:R;r9a~¥t,:~S2,Q()¡'QØ,O)tAssessment Grant by the U.S. EnvironmentalProtection Agencý (USEPA) to faciltate remediation of blighted and potentially contaminated

properties in the unincorporated territory of the County of Los Angeles. The goal of the program isto faciltate redevelopment to beneficial uses for County residents and visitors. '''Ai¡¡pl'iõ''ity~;Ofa,i$e$s:me;iit~;wlll¡iIf~Gøûñ"'8Wrftt~ap~~r8ê'''í''rilfS!~~~''nt~pêRtê§.irii.

~t.liJl~J1jdt:~o'tled~t~:i~Añ1ë1Ë!f~I!~r~ffMiÐ'ì1iire:diiate~~~JD!l_,qm"'l'~§l;nt.!~§Øêe1iJjtë~'l~iô'~I¡ñai1tì~'fa~he East LA area is also an area with a highconcentration of County-owned sites and is an area which is deficient in parks, recreation and openspace. Therefore, one of the -p.rø:r;tties for assessment program is to determine the sites which are

!il~,§~jlaQJg¡;sØr~':ä'i;k~arn'dwø;pef¡uspaee:1lS'e'¥trril1,tt1'ê¡;ti'§tl~í':'~a. Other County owned sites wil bereviewed for strategic re-use and redevelopment through a public-private partnership agreement.

T,lì~' .,i:,.,.o'~~"'~"'.'l%''''''''tw,;N.''''',)~~~''':¥~''''''''.'''"'c,,,,I'1,,11~~ ~....,... -~ . .. . i.' . . -.'. &.' ... dl;u:ei~Qrnmulll'"y;.wlue'R.SSeSsmeflt'\irant'wl JLle?iiseum;plIQ~lt1~l:g~Jjie'f:nvento~)øl:'$ltes);ali.",~c_Oll...!;C¡'"

l~!ie~;~i.l~ls$'ês~ê,,1lmfllp§l?ji~~grglmè"1l!, Priority sites wil include those with the greatestpossibilty for strategic re-use for parks and open space, housing or employment generating uses. Insome situations, adjacent privately owned parcels may be prioritized for assessment if such parcelsare considered critical for the strategic re-use of County-owned sites. The prioritization of sites wilfollow key policy direction included in the County of Los Angeles Strategic Asset Management Planfor 2020, the County General Plan, community specific plans and priorities from our public outreachprocess.

C. GOALS AND OBJECTIVES

1. EPA Strategic Plan.

This project supports EPA's Strategic Plan and GPRA Goal 4: Healthy Communities and Ecosystems,Objective 4.2 Communities - Sustain, Clean Up, and Restore Communities and the EcologicalSystems that Support Them, Sub-objective 4.2.3 Assess, Clean Up and Redevelop Brownfields.

2. Project Goals

The overarching goal of the program is to assess County-owed properties to determine theirsuitabilty for re-use to meet multiple public community development needs including the provisionof parks and open space in neighborhoods lacking open space or positive re-use of other community

Rev. 2008 Page 10f 11

development goals. Towards this larger goal, the County wil:

1. Identify, inventory, rank and assess County-owed sites to determine their feasibilty,suitabilty and priority for positive public re-use.

2. Conduct phase I assessments for priority sites and select the most feasible sites forPhase II assessments. .

3. Based on the Phase I and II assessment information develop a list of properties to seekclean-up funds for to ensure successful progress towards re-use.

Outputs:· Quarterly Progress and Financial Reports

· Property Profile Forms and updates submitted to the ACRES system

· Approximately 18 Phase 1 hazardous materials assessments;

· Approximately 18 Phase 1 petroleum product assessments;

· Approximately 4 Phase II assessments for hazardous materials sites;· Approximately 4 Phase II assessments for petroleum product sites;· 3 community meetings in the East los Angeles area on the grants

Outcomes:· Inventory and ranking of County owned sites in East LA:

· Sites 'prioritized for assessment and re-use potential· ; 3 còmmunity meetings in the East los Angeles area on the grants resulting in a more

informed and engaged citizenry.· Acres of properties assessed for open space and community use in East LA.

· Acres of County-owned land which is suitable for public park use in order to correct for theextreme deficiency of parks, open space and public facilties in the East LA area.

D. TASKS

~TiasM~~~1iäiiii:ftg.a. Task Description

Through-out this process, the County Chief Executive Office wil be responsible for grantmanagement, public information and involvement, and community updates, EPA reportingrequirements, and management of the selected assessment consultant(s). The County of losAngeles wil provide County staff time for this program on an in-kind basis at an estimated value of$30,000. A sum of $6,000 is allocated to the contractual budget to ensure that the contractorcoordinates effectively with the County U.S; EPA and regulatory agencies. This wil allow theCounty to maximize grant funds on the actual assessment process. Major tasks associated withthis effort include:

., e;~ö'~1b'fèWôllâ1i~~~tt~~§lífã'if:~¡;ltQ~Proposal to selecting ã contractor to assistwith the inventory and assessment work.

· D.~,;te'l_~ith the qualified environmental assessor or firm.

Rev. 2008 Page 2 of 11

. Ji:eê1.j.l~~.ii~_~~tll~gulatory authority, oversightagency, and pointof contact). This wil include identifying how the County and contractor

wil work with the State of California Department of Toxic Substances Control and/orRegional Water Quality Control to ensure sampling plans, Phase II assessments andother activities conform to and meet these ag-encies requirements.

.~'nf!,~øjnati'é"rfwltñ~mS~fEFfA\òRêgmñ~lln implementation issues of the grant.

.4~llf~l~g(i'ls_ultatiOjj:;elated to the assessment

tAtt~ñ(frñg"fr"'é¡;tih'g~and cionferencesr:elated to brownfields at the project..

b. Task Budget

Cost: Brownfields Grant $'rt'tÖOôlÒÒ ($5,500 petroleum grant and $5,500 hazardous

substances grant)

C. Schedule

Task Start Date: October 1, 201.0 Task Completion Date: December 31, 2013

d. Dellverables

The deliverables include:· Draft RFP / RFQ or other contractor selection documents

· Letter report describing project regulatory oversight approach, applicable oversight feesfor the project, and points of contact for the regulatory agency.

· Correspondence related to review of documents by DTSC or RWQCB.

~... -1"'.-..' '~_..' ,,,w~.""'."'''''ff'CO-~~"C';''.a'asl!':~~",".:ommum ., u..reacw-

a. Task Description

~b~~la~!jeJll~§¡'§L~~.J1~,llgt~l¡t",¿StiiategYEforNeøffmunifyl'ulrèäêh;,~ancbipubliey;itiv1)lvê-ljfimlr'Bë~â'~së fiíêiasiLÃfargetarèais8 very large and diverse area, the budget includes both staff andconsultant costs, and translation services. lllilR$.tatin-n~:s'e!lil""es for outreach materials andworkshops may be needed because of the relatively high percentage of Spanish speaking residentsand limited-English Asian residents in the East LA area. This task includes holding at least 3 public .meetings in East LA on the grant, regular website information updates, and news releases to themedia as the program progresses.

Important sub-tasks for community outreach include:

· Prior to initiation of the Phase i Assessments, the County and selected contractor wilorganize ~Kii'kl'fJ~W:!nK'ñêršl~..m Los Angeles area to describe the grant and


assessment process. At this workshop, participants wil receive information on the EPABrownfields Program, information on the site assessment process and why it is important toassess sites. At this meeting residents by sub-area wil be able to give input on the criteriafor selecting properties for assessment. The public wil also receive information on how theycan monitor tha progress of the program tlitóügh pèriodicüpdatèson thewebsitè.

~&§t4f.M.,.t1m¡'¡tâl4iiêš4f.the Los Angeles County web-site regardingthe program's progress.

Qf~~jt~~~all~~1Wima"'i~eSfor selected Phase II properties.b. Task Budget

.

.

Cost: BrownfielCls Grant Wíi"QQQg.(¡§.($8,000 for petroleum grant and $8,000 for hazardous

materials grant).

c. Schedule - Community Outreach

Task Start Date: October 1, 201.0 Task Completion Date: December 31, 2013

d. Deliverables

Deliverables include:· Meeting notices for Kick-off Workshops

· Press releases and any press coverage· Fact sheets and other outreach materials· Notes from outreach meetings

· Website for outreach (document with paper print)· Summary of public questions or commentstlí8s_~'Wl"

a. Task Description

~~r¡sW!iWf.t~'š~l~1ì~~i'.~lt~~'Wrflõrf¡~t;¡õ'f;~e'øi:~owned sites and to map these sites. The map of sites can be compared to other major planningdocuments to determine land use, planned park strategies, connections to trails, and other criteriathat wil be used to set the criteria for prioritizing sites for assessment.

T¡l§~SR'~n -'l5e ' l1e 'aevelo me... 'ofí~ 0l'eenlnge ,itlf~p"lpmližeWšl~i;i,gssmenllCriteria wil be developed and weighted and applied to

candidate sites to determinethe priority for assessment. The suitabilty and feasibilty of re-use for parks and open space wil beamong the criteria along with other factors such as market feasibilty for redevelopment, publicpriority, and potential impact on the environment. The County wil work with the community (seecommunity outreach) and our partners to develop the final criteria for prioritizing sites.

~s;it:e¡,tø~s:s~~i1l"i;èâmmi:",-"- ..' iia'''~''€bf'0riGnmtl¡)J¡'",it,\1~'''id~~'i.e~A~~elid~I,:i:f1if,,~~_~B-,___,_ .."_~,~~"w~. ruli -.. ',' _11fK£~..__ltgpÆSi.. ':a~:.~~~iWo!"¡~~~~~.~'t:W. ...,.ii,i¡tf6i:r~~lìs~îl.lmb~e'i:~r~~~A1tø&P-~


b. Task Budget

Cost: Brownfields Grant~~Ji ($6,000 for petroleum grant and $6,000 for hazardousmaterials grant).

c. Schedule

Task Start Date: October 1, 2010 Task Completion Date: July 30, 2011

d. Deliverables

Deliverables may include:· Publicly owned site inventory list· Criteria to rank sites· List of ranked sites· Site approval forms.

'::li~ ",,,~~Æ'-_~'Fa-S~l!fi~su,a;e

a. Task Description

The...c.QU;JjtM;e&timatoe"",\+,i,"'B~li~~~"Fè~i\~~t!Wl'~s,lñf~~~ p. rio.r to~~~b.5..~li. .. f't' l'tt:1Y-O'U~::n: .~.undertaking any sampling, the contractor(s) wil prepare a Quality Assurance Project Plan\1lii.'Bel~"that meets the approval of California Department of Toxic Substances Control (DTSC) and the U.S.

EPA. The County wil work in close coordination with EPA to determine the approach and adequacyof sampling plans, Human Health and Safety Plans and other components of the Phase II process.

b. Task Budget

Cost: Brownfields Grant (See Task 6 Phase lI-Quality Assurance activities included in thisbudget).

c. Schedule

Task Start Date: April 2012 Task Completion Date: December 2013

d. Deliverabres

Deliverables include:· Draft QAPP or SAP

· Final QAPP or SAP

· Relevant correspondence from DTSC or RWQCB


;ias~~a. Task Description

Based on the inventory and priority list, the County wil work with a Qualified EnvironmentalConsultant to prepare up to ~~\~~rl'mat~lìî~_P''f~5iWHJ~~:qr~ii'elr~1~liUjll¡ShieS~

&~Lf:~~f19~y1ó?';wIl"c'be"'f"OI"~hazardousc, materials" sites., ,,,Each of the Phase I assessments wil beconducted in accordance with ASTM 1527-05 Environmental Site Assessment (ESA) standards, andEPA's All Appropriate Inquiries Final Rule and shall include a site visit and, interviews. It is

estimated that each Phase I assessment may cost approximately $4,250. This is based on recentproposals received for Phase 1 assessments in the LA area. Sites wil be identified later based onthe inventory and prioritization process.

b. Task Budget

Cost: Brownflelds Grant "~($80,500 for petroleum grant and $80,500 forhazardous materials grant).

c. Schedule

Task Start Date: July 30, 201.1 Task Completion Date: June 30, 2012

d. Deliverables:

Deliverables include:· Phase i (AAI) report (up to 30 report of which half wil be petroleum product sites and

half wil be hazardous substances sites).· Updated AAI report

¡JlêS~; ctivities

~ the approximately 30 sites to receive Phase i assessments, approximatellŠ1e~~~~~i!lfidu§,_~$.šølT~nerefore, sites are not known at this time but wil be identified

after the Phase i assessments are completed. The criteria for Phase II assessment wil be a priorityre-use site with suspected contaminants based on the Phase i assessment. The purpose of thePhase II Investigations wil be to delineate the areas of contamination and environmental concern atthe site, confirm whether further investigation and/or remediation is warranted, and provide a basisfor estimating the cleanup and potential remediation cost. Phase II ESAs shall conform with ASTM

E1903-97 Standard Guide for Environmental Site Assessment: Phase II Environmental SiteAssessment Process. Prior to ùndertaking any sampling, the contractor(s) wil prepare a QualityAssurance Project Plan (QAPP) that meets the approval of California Department of ToxicSubstances Control (DTSC) and the U.S. EPA. The County wil work in close coordination with EPA todetermine the ápproãch and ãdequãcy of sámpling plans, Human Health and Safety Plans andother components of the Phase \I process. (See also Task 4 above).


b. Task Budget

Cost: Brownfields Gran~a__'$100,000 Petroleum Grant and $100,000 Hazardous

Substances ~rant).

c. Schedule

Task Start Date: July 2012 Task Completion Date: December 2013

d. Deliverables.

Deliverables include:· Up to 8 ASTM Phase II reports

Task 7 - Cleanup Plans/End Use Planning! Health Monitoring

Not Applicable

¿~~!l~D!l~i!l~~~esa. Task Description

i&~J!~~"Ig~Jr"l\l'gf The selected environmental consultant wil provide monthly status report tothe County that wil be used in preparing the Quarterly Progress and Financial report to EPA. Thequarterly reports wil document the measurable grant outcomes and outputs stipulated in theCooperative Agreement Work Plan. The Quarterly Reports wil generally follow the format of theapproved workplan and wil include a list, by project task and budget category, of expenses that wil beinvoiced and/or have been invoiced during the reporting period. The Quarterly Report wil also include adescription of cumulative expenditures to date by project task and budget category. The quarterly

budget summaries wil include information on recipient's cost share Property Profie Forms (PPF). Anupdated PPF is required each quarter thereafter.

~JÆS.i~: The County and selected environmental consultant wil prepare a final

summary report describing the initial goals and objectives of the brownfields grant, accomplishment ofthe goals and objectives, and any changes implemented. The report wil highlight lessons learned andclearly describe future tasks which wil be necessary to complete the cleanup and development of thesite(s). The report wil describe resources leveraged during the project (other than the EPA grant), howthey were used, and any resources leveraged to continue the project after the expiration. of thebrownfields grant. The report should include any supporting assessment documents or summaries notpreviously provided. The Final Summary Report wil also include a final property profile (OMB NO. 2050-0192.

i¥~i!G.t~~~!,-~;~tiJthe grantee wil need to comply with closeout requirements in the terms andConditions of the Cooperative Agreement.


b. Task BudgetCost: Brownfields Grant: See Task 1: Project Management - Costs included in ProjectManagement Budget.

c. Schedule

Project Start Date: December 30, 20102013

Project Completion Date: December 30,

d. Deliverables

Project deliverables due to the Project Officer include:· Quarterly progress report,· Property Profile Forms

· Final Summary Report

· Field reports, if applicable

Administrative deliverables due to the Grant Specialist include:· Annual Financial Status Report (FSR)

· Final FSR

· MBE/WBE Utilzation Reports


E. Schedule of Milestones & Deliverables

çl;unty of Los Angeles Schedule of Milestones

i 1:Mli~; f;) ¡ ¡:ù~i~';---:~' 0l rF.Äi~-il'7----'-~ '''~-~;¡-~i.y¡$ii-m1JOr¡~J0æßl;~'mJ3Jt ~~l ~1!B~-'-~:---:'~--~~~~~~201.0- 1st Jan 30th · Selection of Project Manager/201.1. Revised Workplan

· Begin selection of Contractor tocomplete Site Asessment Work andRelated Documents (RFP /RFQ)

· Begin preparation of County-ownedsites list and draft criteria for prioritysites.

201.0- 2nd April 30th · Contractor selected and contract201.1. executed

· Site inventory created· Draft Site Selection Criteria finalized.· Commi,mity Outreach Strategy,

mailng list and outreach materials201.0- 3rd July 30th · Hold Community Outreach Meetings201.1. · Finalize site selection criteria

· Rank and Prioritize Sites.201.0- 4th Oct. 30th · EPA Approval of Initial Sites201.1. · Begin Phase i Assessments201.1.- 1.st Jan 30th · Continue Phase i Assessments2012201.1.- 2nd April 30th · Complete Phase i Assessments201.2 · Begin Ranking and Prioritization of

sites for Phase II201.1.- 3rd July 30th · Final List of Phase II sites201.2 · Coordination with EPA, DTSC for

Q~p?s· Begin Phase II

201.1.- 4th Oct. 30th · Continue Phase II Assessments201.2 · Coordination with EPA, DTSC for

QAPPs

201.2- 1.st Jan. 30 · Continue Phase II Assessments201.3 · Coordination with EPA, DTSC for

QAPPs -

.

201.2- 2nd April 30th · Continue Phase II Assessments201.3 · Coorclination with EPA, DTSC for

QAPPs


County of Los Angeles Schedule of Milestones

~~~ ~j201.2- 3rd July 30th · Contiiil,ePhase II Assessments201.3 · Coordination witli EPA,DTSC for

QAPPs201.2- 4th Oct. 30th · Continue Phase II Assessments201.3 · Coordination with EPA, DTSC for

QAPPs· Begin Draft Final Report

201.3- 1.st December 30 · Final Close-out Report201.4On-Going · Project Management and Reporting

· Citizen and Agency CoordinationQuarterly · Quarterly Progress Reports

· Quarterly Financial Status Reports· Propert Profile Forms· ACRES data

Rev. 2008 Page 10 of 11

F. Budget Summary

County of Los AngelesEãsf LA Atéã COiTiTLiñity Widé Asséssméñt Grãiit

Petroleum Products GrantPersonnel * * * * * *

Fringe * * * * * *

BenefitsTravel $2500 * * * * $2500Equipment $0 $0 $0 $0 $0 $0

* * * * * *Supplies

Contractual $3,000 $8,000 $6,000 $80,500 $100,000 $197,500Sub-Total $5,500 $8,000 $6,000 $80,500 $100,000 $200,000

Hazardous Materials GrantPersonnel * * * * * *

Fringe * * * * * *

BenefitsTravel $2500 * * * * $2500Equipment $0 $0 $0 $0 $0 $0Supplies * * * * * *

Contractual $3,000 $8,000 $6,000 $80,500 $100,000 $197,500Sub-Total $5,500 $8,000 $6,000 $80,500 $100,000 $200,000

Total (bothGrants) $11,000 $16,000 $12,000 $161,000 $200,000 $400,000

Rev. 2008 Page 11 of 11

OMB Approval No. 0348-0040ASSURCES - NON-CONSTRUCTION PROGRAS

Public reportg burden for this collection of information is estated to fferage 15 miutes per response, includig time forreviewiginstrctions, searchig existig data sources, gatherig and maintaing the data needed, and completing and reviewing the collection of

inormtion. Send comments regardig the burden estimate or any other aspect of ths collection of inormation" includig suggestions forreducing ths burden, to the Offce of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503.

. PLEASE DO NOT RETUR YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AN BUDGET.SEND IT TO THE ADDRESS PROVIED BY THE SPONSORIG AGENCY.

NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact theawardig agency. Furer, certin Federal awarding agencies may require applicants to certfy to additional assurances.If such is the case, you will be notified.

As the duly authoried representative of the applicant, I certfy that the applicant:

4.' Wil establish safeguards to prohibit employees from usingtheir positions for a purose that constitutes or presents theappearce of personal or organizational conflct of interest,or personal gain.

basis of handicaps; (d) the Age Discrimination Act of1975, as amended (42 U.S.C. 6101-6107), whichprohibits discration of the basis of age; (e) the Drug

Abuse Offce and Treatment Act of 1972 (p.L. 92-255),as amended, relating to nondiscrimiation on the basis ofdrg abuse; (f) the Comprehensive Alcohol Abuse andAlcoholism Prevention, Treatment and Rehabiltation Actof 1970 (p.L. 91-616), as amended, relatig to

nondiscrimiation on the basis of alcohol abuse oralcoholism; (g) 523 and 527 of the Public Health ServiceAct of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), asamended, relating to confidentiality of alcohol and drgabuse patient records; (h) Title VI of the Civil Rights Actof 1968 (42 U.S.C. 3601 et seq.), as amended, relatjpg tonondiscriation in the sale, rental or financing ofhousing; (i) any other nondiscrimiation provisions inthe specifc statute(s) under which application for Federal

assistance is being made; and G) the requirements of anyother nondiscriination statute(s) which may apply to the

application.

1. Has the legal authority to apply for Federal assistace and theinstitutiona, managerial and financial capability (includigfuds suffcient to pay the non-Federal share of project cost)

to ensure proper planng, management and completion ofthe project described in this application.

2. Wil give the awardig agency, the Comptroller General of

the United States and, if appropriate, the State, though anyauthoried representative, access to and the right to exameal records, books, papers, or documents related to the award;and wil establish a proper accountig system in accordancewith generally accepted accountig standards or agencydirectives.

3. Wil establish sa.~~ds to prohibit employees from using

their positions for a purose that constitutes or presents theappearance of personal or organational confict of interest,or personal gain.

5. Wil comply with the Intergovernental Personnel Act of

1970 (42 U.S.C. 4728-4763) relatig to prescribed standardsfor merit systems for programs fuded under one of the 19statutes or regulations specified in Appendi A of OPM'sStadards for a Merit System of Personnel Administrtion (5

C.F.R. 900, Subpar F).

7. Wil comply, or has already complied, with therequirements of Titles II and il ofthe UniformRelocation Assistance and Real Propert Acquisition

Policies Act of 1970 (p.L. 91-646) which provide for fairand equitable treatment of persons displaced or whosepropert is acquired as a result of Federal or federally-assisted programs. These requirements apply to all

. interests in real propert acquired for project purosesregardless of Federal parcipation in purchases.

6. Wil comply with all Federal statutes relatig tonondiscrimiation. These include but are not limited to: (a)Title VI of the Civil Rights Act of 1964 (p.L. 88-352) whichprohibits discriation on the basis ofrace, color or

national origi; (b) Title IX of the Education Amendments of1972, as amended (20 U.S.C. 1681-1683, and 1685-1686),whch prhibits discmination on the basis of sex; (c)Section 504 of the Rehabiltation Act of 1973, as amended(29 U.S.C. 794), which prohibits discriination on the

8. Wil comply, as applicable, with provisions of the HatchAct (5 U.S.C. 1501-1508 and 7324-7328) which limit thepolitical activities of employees whose pricipalemployment activities are fuded in whole or in par withFederal fuds.

Previous Edition UsableAuthorized for Local Reproduction

Standard Form 424B (Rev 4-2012)Prescribed by OMB Circular A-102

9. Wil comply, as applicable, with the provisions of 12. Wil comply with the Wild and Scenic Rivers Act of 1968 (16the Davis-Bacon Act (40 U.S.c. 276a to 276a-7), the U.S.c. 1271 et seq.) Related to protectig components or potentialCopeland Act (40 U.S.C. 276c iid 18 U.S.C. 874), and components of the national wild and scenic rivers system.the Contract Work Hour and Safety Stadads Act (40U.S.C. 327-333), regardig labor stadards for 13. Wil assist the awardig agency in assurg compliance wilfederally-assisted constiction subagreement. Section 106 of the National Historic Preservation Act of 1966, as

amended (16 U.S.C. 470), EO 11593 (identification and p:rotectoni O. Wil comply, if applicable, with flood insurance of historic propertes), and the Archaeological and Historicpurchase requiements of Section 102(a) of the Flood Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).DisasterProtection Act of 1973 (p.L. 93-234) whichrequires recipients in a special flood hazard area to 14. Wil comply with P.L. 93-348 regarding the protection ofparcipate in the program and to purchase flood human subjects involved in research, development, and relatedinsurance if the total cost of insurable constrction and activities supported by ths award of assistance.acquisition is $10,000 or more.

15. Wil comply with the Laboratory Anmal Welfare Act of 1966

11. Wil comply with envionmenta stadards which (p.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) Pertinng to the

may be prescrbed pursuant to the following: (a) caTe, handlg, and treatment of war blooded animals held forinstitution of envionmental quality control measures research, teachig, or other activities supported by ths award ofunder the National Environmental Policy Act of 1969 assistace.(p.L. 91-190) and Executive Order (EO) 11514; (b)notification of violating facilities pursuat to EO 16. Wil comply with the Lead-Based Pait Poisoning Prevention11738; (c) protection of wetlands pursuatto EO Act (42 U.S.C. 4801 et seq.) Which prohibits the use oflead-based11990; (d) evaluation of flood hazards in flood plains pait in constrction or rehabiltation of residence strctues.

in accordance with EO 11988; (e) assurance of project

consistency with the approved State management 17. Wil cause to be performed the required fiancial andprogram developed under the Coasta Zone compliance audits in accordance with the Single Audit ActManagement Act of 1972 (16 U.S.C. 1451 et seq.); (f) Amendments of1996 andOMB Circular No. A-133, "Audits ofconformty of Federal actions to State (Clean Ai) States, Local Governents, and Non-Profit Organations."Implementation Plans under Section 176( c) of the ,

Clean Ai Act of 1955, as amended (42 U.S.C. 7401 et 18. Wil comply with all applicable requiements of all otherseq.); (g) protection of underground sources of drng Federal laws, executive orders, reguations, and policies governg

. water under the Safe Drig Water Act of 1974, as ths program.

amended (p.L.93-523); and, (h) protection ofendangered species under the Endagered Species Actof 1973, as amended (p.L. 93-205).

TITLE

Senior Manager, CEODATE SUBMITTED

June 25, 2010Standard Form 424B (Rev 4-2012) Back

~.

FORM Approved By OMB: No. 2030-0020 Expires 04:-30-2012

Preaward Compliance Review Report forAl Applicants and Recipients Requestig EPA Financial Assistace

Note: Read instrctions on other side before comnletio form.i. ApplicantJecipient (Name, Address, State, Zip Code).

I DUNS

No.

CUUN1YUF LÕS ANGËLES 02-114-7595ll. Is the applicant curently receivig EPA assistance?

NOil. List al civil rights lawsuts and admstrative complaints pending agait the applicant/recipient that allege discrmination based on race,

color, national origi, sex, age, or disabilty. (Do not include employment complaits not covered by 40 C.F .R. Pars 5 and 7. Seeinstrctions on reverse side.)

Separate attachment wil be provided.

IV. List all civil rights lawsuts and admstrative complaints decided agait the applicant/recipient within the last year that allegediscration based on race, color, national origi, sex, age, or disabilty and enclose a copy of all decisions. Please descrbe al correctiveaction taen. (Do not include employment complaits not covered by 40 C.F .R; Pars 5 and 7. See instrctions on reverse side.)

Separate attachment wil be provided.fl. List all civil rights compliance reviews of the applicant/recipient conducted by any agency with the last two year and enclose a copy of the

review and any decisions, orders, or agreements based on the review. Please describe any corrective action taen. (40 C.F.R § 7.80(c)(3))

Separate attachment wil be provided.VI. Is the applicant requestig EPA assistanc~new constrction? Ifno, proceed to Vi; if yes, answer (a) and/or (b) below.Yes 0

. If the grt is for new constrction, will al new facilties or alterations to existing facilties be designed and constrcted to be readlyaccessible to and usable by persons with disabilties? If yes, proceed to VLL; ifno, proceed to VI(b). Yes Nob. If the grant is for new constrction and the new facilities or alterations to existig facilties will not be readily accessible to and usable byoersons with disabilties, exolai how a reirlatorv exceotion (40 C.F.R lì 7.70) aoolies. Yes . No

Vi.* Does the applicant/recipient provide intial and contiuing notice that it does not d~te on the basis of race, color, national origin, sex,age, or disabilty in its progrs or activities? (40 C.F.R § 5.140 and § 7.95) Yes No

a. Do the methods of notice accommodate those with impaired vision or hearng? Yes No. Is the notice posted in a prominent place in the applicant's Off~aCilties or, for education programs and activities, in appropriate

. periodicals and other wrtten communcations? es Noc. Does the notice identify a designated civil rights coordinator? ~ No

vr.* Does the applicant/recipient maintain demographic data on the race, color, national origi, sex, age, or handicap of the population it serves?(40 C.F.R. § 7.85(a)) YES =

IX.* Does the applicant/recipient have a policy/procedure for providing access to services for persons with lited English proficiency?(40 C.F.R. Par 7, E.O. 13166) YES =

X. * If the applicant/recipient is an education program or activity, or has 15 or more employees, has it designated an employee to coordinate its

ompliance with 40 C.F.R Par 5 and 7? Provide the name, title, position, maiing address, e-mail address, fax number, and telephone

number of the designated coordiator. NI A =XI* If the applicant/recipient is an education program or activity, or has 15 or more employees, has it adopted grevance procedures that assure

the prompt and fair resolution of complaints that allege a violation of 40 C.F.R Pars 5 and 7? Provide a legal citation or Internet addressfor, or a copy of, the procedures. N/A =

For the Applicant/ecipient

I certfy that the statements I have made on ths form and all attachments thereto are tre, accurate and complete. I acknowledge that any knowinglyfalse or misleadig statement may be punshable by fine or imprisonment or both under applicable law. I assue that I wil fuy comply with allapplicable civil rights sttutes and EPA regulations. -

~~:(mt~ffC~/~~ B. Title of Authoried Offcial C'Zelú/ioSenior Manager, CEOL/"" ~ I- For the U.S. Environmental Protection Agency

I have reviewed t e in ormation provided by the applicant/recipient and hereby certify that the applicant/recipient has submitted all preawardcompliance inorma on requied by 40 C.F.R. Pars 5 and 7; that based on the inormation submitted, this application satisfies the preaward provisionsof 40 C.F.R. Par 5 and 7; and that the applicant has given assurance that it wil fuly comply with all applicable civil rights statutes and EPAregulations.

A. Signatue of Authoried EPA Offcial B. Title of Authorized EPA Official C. Date

~,,, ** nnt". nn Y"."""YO,, o;ri".

EPA Form 4700-4 (Rev. 04/2009). Previous editions are obsolete.

o I:a Unite State~ftEnVií'mental Prolêtiøn Agency

R9 Tracking #: 10-351

EPA Project Control Number

CERTIFICATION REGARDING LOBBYING

CERTIFICATION FOR CONTRACTS, GRANTS,LOANS AND.COOPERATIVE AGREEMENTS

The undersigned certfies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or wil be paid, by or on behalf of theundersigned, to any person for influencing or attempting to influence an officer oremployee of any agency, a Member of Congress, an offcer or employee of Congress, oran employee of a Member of Congress in connection with the awarding of any Federalcontract, the making of any Federal grant, the making of any Federal loan, the enteringinto of any cooperative agreement, and the extension, continuation, renewal,amendment, or modification of any Federal contract, grant, loan, or cooperativeagreement.

(2) If any funds other than Federal appropriated funds have been paid or wil be paid toany person for influencing or attempting to influence an offcer or employee of anyagency, a Member of Congress in connection with this Federal contract, grant, loan, orcooperative agreement, the undersigned shall complete and submit Standard Form-LLL,"Disclosure Form to Report Lobbying," in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in theaward documents for all sub-awards at all tiers (including sub-contracts, sub-grants, andcontracts under grants, loans, and cooperative agreements) and that all sub-recipientsshall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when thistransaction was made or entered into. Submission of this certification is a prerequisite for makingor entering into this transaction imposed by section 1352, title 31 U.S. Code. Any person who failsto file the required certification shall be subject to a civil penalty of not less than $10,000 and not

- . more than $100,000 for each such failure. -

David Jan Takata, Senior Manager, CEOTyped Na & Title of Authorized Representatìve

EPA Form 6600-06 (Rev. 06/2008) Previous editions are obsolete.

DISCLOSURE OF LOBBYING ACTIVITIESComplete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352

See reverse for public burden disclosure.)2. Status of Federal Action: 3. Report Type:

Da. bid/offer/application D a. initial filngb. initial award b. material changec. post-award For Material Change Only:

year quarterdate of last report

1. Type of Federal Action:

D a. contractb. grantc. cooperative agreementd.loane. loan guaranteef. loan insurance

4. Name and Address of Reporting Entity:IK Prime 0 Subawardee

Tier . if known:

"

County of Los AngelesChief Executive OfceCapital Projects/Debt Management500 W. Temple 51. Rm 754Los Angeles, CA 90012

Congressional District, if known: 2225 through 39, 42 and 46

6. Federal Department/Agency:us Environmental Protection Agency,

Grants Management Offce, MTS.7Management & Technical Services DMsionU.S. EPA, Region 9

Approvedby OMS

0348-0046

5. If Reporting Entity in No.4 is a Subawardee, Enter Nameand Address of Prime:

N/A

Congressional District, if known:7. Federal Program Name/Description:

N/A - no lobbying activities

CFDA Number, if applicable:

8. Federal Action Number, if known:N/A

10. a. Name and Address of Lobbying Registrant(if individual, last name, first name, M/):

N/A

9. Award Amount, if known:

$ N/Ab. Individuals Penorming Services (including address if

different from No. 10a)

(last name, first name, M/):

N/A

11 ation requested through this form is authorized by litie 31 U.S.C. secton. 1352. This disclosure of lobbying activities is a material representation of factupon which reliance was placed by the tier above when this trnsacton was madeor entered into. This disclosure is required pursuant to 31 U.S.C. 1352. Thisinformation wil be reported to the Congress semi-annually and will be available forpubric inspection. Any person who fails to file the required disclosure shall besubJec to a civil penally of not less that $10,000 and not more than $100,000 foreach such failure

Signature:

Print Na

Telephone No.: (213) '17'1- Z,2-7'! Date: 'li-s-/i 0. Authorized for Local Reproduction

Standard Fonn LLL (Rev. 4/2012