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Aboriginal Health 528 Wentworth Street Nanaimo BC V9R 3E4 Telephone 250 755-7691 Ext. 57571 Fax 250 740-6909 ABORIGINAL HEALTH INITIATIVE PROGRAM 2014/15 REQUEST FOR PROPOSAL RFP TEMPLATE Submission deadline November 29 2013 4 pm 1. NUMBER OF APPLICATIONS PER ORGANIZATION Organizations may submit more than one project for consideration but approval for funding will be limited to only one project per organization. Where sodium-based bentonite clay is being used in this manner o The clay shall be used in a ratio of at least two 2 pounds of sodium-based bentonite per one 1 gallon of water to create a low permeability seal or according to the manufacturer s specifications and a pH below five 5. 0 or having a total dissolved solids content greater than one thousand 1 000 milligrams per liter mg/L or according to the manufacturer s specifications. DDOE Well Completion Reporting Within 60 days of installation the well owner or duly designated agent shall submit the attached Well Completion Form along with any additional information asked for on the form to DDOE WQD Ground Water Protection Program 1200 First Street NE 5th Floor Washington DC 20002 Schematic Form and any additional comments DDOE Well Abandonment Workplan To abandon a well including a borehole in the District submit a well abandonment workplan to DDOE WQD for approval. Disapproval of this item on ROPS I and ROPS II and the subsequent unclear communication from DOF appearing to approve the item from LMIHF on ROPS I was one of several subjects of the Successor Agency s True Up Payment litigation against the County Auditor Controller and DOF and was addressed in discussions with DOF legal counsel leading up to the stipulated judgment issued by Sacramento County Superior Court on December 21 2012. Although this item was not directly addressed in the stipulated judgment the Successor Agency relied upon discussions with DOF legal counsel in determining its use of ROPS I and ROPS III RPTTF and in its request to amend its Housing Due Diligence Review. The 60 000 balance of the pre DDA obligation is being listed on ROPS 13 14A for funding with RPTTF consistent with the stipulated judgment discussions and DOF s initial ROPS III approvals. 05 17 12 WELL ID S WELL OWNER WELL ADDRESS LOT NUMBER SIGNATURE SQUARE NUMBER D. C. WELL APPLICATION SCHEMATIC FORM LOCKABLE CAP PROTECTIVE CASING AND CONCRETE PAD TOP OF CASING TO GROUND SURFACE L1 PAD DIMENSIONS HEIGHT ABOVE GROUND ------------------------------------------------------------------------------------------------------------------------------------------------------------- WELL CASING GROUT AROUND CASING MIX RATIO OF SOLIDS L4 L6 LOW PERMEABILITY SEAL HEIGHT ABOVE FILTER PACK L3 Feet FILTER PACK TYPE OF FILTER HEIGHT ABOVE SCREEN L4 Feet WELL SCREEN L5 SCREEN MATERIAL SLOT SIZE DEPTH TO THE BOTTOM OF WELL L6 Feet WELL ANNULUS inches APPLICATION DATE WELL ID NUMBER LOT NUMBER WELL OWNER OWNER ADDRESS. The outstanding obligation has been revised from prior ROPS based on estimated funding requirements under the terms of the agreement. Due to the uneven nature of the Successor Agency s FY2013 14 obligations of RPTTF the entire administrative allowance is being included on ROPS 13 14A. CITY COUNCIL RESOLUTION 2012-XX AGENCY SUCCESSOR AGENCY down the former redevelopment agencies affairs and of the City but the City is providing administrative services for the Successor Agency and WHEREAS the Dissolution Act requires the Successor Agency to prepare a Recognized obligations including an administrative cost allowance of 250 000 per fiscal year and WHEREAS Health Safety Code Section 34173 h allows the City to loan funds to the reported on a ROPS and approved by the Oversight Board and period January through June 2013 and the Department of Finance DOF approved the DOF over the True Up Payment the cost of which is an enforceable obligation of RPTTF that was included on the ROPS for July through December 2013 ROPS 13-14A so that the WHEREAS there are insufficient funds available in the RPTTF to pay all approved period and the litigation costs on ROPS 13-14A and WHEREAS the estimated cash flow advance to the Successor Agency required during the ROPS III period will be 238 000 and WHEREAS to enable the Successor Agency to meet its fiduciary responsibilities to holders of enforceable obligations and for the Successor Agency to have adequate funds for amount not to exceed 238 000 and WHEREAS Exhibit A to this Resolution is a proposed Cash Flow Loan Agreement Loan Agreement pursuant to the authority granted by Health and Safety Code Section 34173 h and WHEREAS the City and Successor Agency have determined that entering into the proposed Loan Agreement is in the best interests of the City and the Successor Agency and WHEREAS the Loan Agreement is subject to the approval of the Oversight Board of the hereby finds the above recitals to be true and accurate. Due to the uneven nature of the Successor Agency s FY2013 14 obligations of RPTTF the entire administrative allowance is being included on ROPS 13 14A. CITY COUNCIL RESOLUTION 2012-XX AGENCY SUCCESSOR AGENCY down the former redevelopment agencies affairs and of the City but the City is providing administrative services for the Successor Agency and WHEREAS the Dissolution Act requires the Successor Agency to prepare a Recognized obligations including an administrative cost allowance of 250 000 per fiscal year and WHEREAS Health Safety Code Section 34173 h allows the City to loan funds to the reported on a ROPS and approved by the Oversight Board and period January through June 2013 and the Department of Finance DOF approved the DOF over the True Up Payment the cost of which is an enforceable obligation of RPTTF that was included on the ROPS for July through December 2013 ROPS 13-14A so that the WHEREAS there are insufficient funds available in the RPTTF to pay all approved period and the litigation costs on ROPS 13-14A and WHEREAS the estimated cash flow advance to the Successor Agency required during the ROPS III period will be 238 000 and WHEREAS to enable the Successor Agency to meet its fiduciary responsibilities to holders of enforceable obligations and for the Successor Agency to have adequate funds for amount not to exceed 238 000 and WHEREAS Exhibit A to this Resolution is a proposed Cash Flow Loan Agreement Loan Agreement pursuant to the authority granted by Health and Safety Code Section 34173 h and WHEREAS the City and Successor Agency have determined that entering into the proposed Loan Agreement is in the best interests of the City and the Successor Agency and WHEREAS the Loan Agreement is subject to the approval of the Oversight Board of the hereby finds the above recitals to be true and accurate. execution of the Cash Flow Loan Agreement substantially in the form attached hereto as Exhibit A subject only to those changes approved by the City Manager and further subject to approval of City s advance of the Loan shall not exceed 238 000 and the Successor Agency shall list the loan as an enforceable obligation on future ROPS until the loan is paid in full at an interest rate on the Loan equal to the rate applicable to funds on deposit in the Local Agency Investment Fund. The well abandonment report should include The D. C. Well Abandonment Form see attachment A table providing details of the wells being abandoned at the site and any remaining wells see attachment A site map drawn to scale with a compass rose property lines building footprints and the nearest street intersection showing the locations of all on-site wells including those that were abandoned Photographs showing the abandonment procedure and Any additional comments DDOE WELL APPLICATION SCHEMATIC Confining Unit Check one Application h k l As Built GROUND SURFACE OUTER CASING USE IF AREA IS CONTAMINATED L2 OUTER CASING MATERIAL DIAMETER D1 inches LENGTH L1 feet DEPTH TO TOP OF CONFINING UNIT L2 feet L1 WILL WELL BE OPEN MORE THAN 24 CONSECUTIVE HOURS YES NO If yes how will open annular space be covered and protected CONFINING UNIT D1 WILL WELL BE ABANDONDED ACCORDING TO WELL ABANDONMENT REQUIREMENTS SECTION 8 IN DDOE WELL CONSTRUCTION L3 WHAT TYPE OF GROUT AND GROUT WATER RATIOS WILL BE USED DEPTH TO THE DEPTH TO THE BOTTOM OF HOLE L3 feet D2 DIAMETER OF BOREHOLE D2 inches Rev. I02482066 Extender ELC - Add SMCS Code 1352-544-NL Cat ELC Extended Life Coolant does not require the frequent additions of any supplemental cooling additives which are associated with the present conventional coolants. The Cat ELC Extender only needs to be added once. Use only Cat Extended Life Coolant ELC Extender with Cat ELC. .