10/5/21, 11:47 AM Time Extension #1 ~ my.IowaHomelandSecurity.org

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Routing in Progress: Final Review (Step 3 of 4) Time Extension #1 Time Extension #1Project F0-S18:Project F0-S18:

This form notifies the State that the physical work on a project will not becompleted by the work completion deadline. Typically this request for anextension should be made at least 30 days prior to an upcomingdeadline.

Project Officer: Terry E Brown te.brown@iowa.gov 515-218-5444

ApprovedExtension Date:

< no value >

RequestedCompletionDate:

January 31, 2022

FEMA Tracking#

Justification: Delay was due to added funding being madeavailable for the added work completed. All workhas been completed and waiting for closeout.

Current %Complete:

100%

FEMADetermination:

N/A

Is RequestedCompletion DateWithin the POP?

No

Current Step: 3) Final Review

2019 Flood Recovery Fund -Iowa Code 418.16 Non-Federal Grant Start: May 28, 2019 Work Deadline: June 30, 2024

Grant Period ofPerformance Start Date - May 28, 2019 Grant Period ofPerformance End Date - Jun 30, 2024

L-601 Missouri River LB -Bartlett Segment Name (Legal): Mills CountyTreasurer County Jurisdiction:Fremont, Mills FremontCounty FIPS: 071-U8FVM-00 FEIN #: 32-0259171 Vendor #: 00002129055 DUNS #: 078289947 Has Direct Deposit: No Billing Address: 418 Sharp St,Glenwood, IA, 51534-1774

F # S #18 Levee Improvements GF General Fund Project POP Deadline:

Time Extension Details

Workflow Summary

Grant

Applicant

Project

2019 Flood Recovery Fund - Iowa Co... L-601 Missouri River LB - Bartlett... Account for 2019 (NFG) - L-601 Mis...

Project F0-S18 - Levee Improvement...

10/5/21, 11:47 AM Time Extension #1 ~ my.IowaHomelandSecurity.org

https://my.iowahomelandsecurity.org/app/?print=*Tabsummary,*Tabform,*Tabform .subpage:not(.hiddentab)&includeNotes=false#534562?t=form 2/4

Description: Final Review by Grant Manager

Recipients: ND Grant Manager (State), Flood RecoveryManager (ND Financial Manager)

Last Advanced: Oct 5, 2021 at 11:18 AM by Terry EBrown

Submission: Oct 5, 2021 at 11:18 AM by Terry EBrown

December 31, 2020 Eligible: $925,836.20 Federal: $0.00 (0%) Un-Expended Eligible: $0.00

10/5/21, 11:47 AM Time Extension #1 ~ my.IowaHomelandSecurity.org

https://my.iowahomelandsecurity.org/app/?print=*Tabsummary,*Tabform,*Tabform .subpage:not(.hiddentab)&includeNotes=false#534562?t=form 3/4

Form

Milestones

Detailed timeline for completing the remainder of the work on this project.

FEMA Determination: Choose One

Approved Completion Date:

FEMA Tracking #

State Use Only

Requested Completion Date: Jan 31, 2022

Justification: Delay was due to added funding being made available for the added workcompleted. All work has been completed and waiting for closeout.

Provide a detailed timeline of delays in conjunction with documented justification describing the extenuating circumstancesor unusual project requirements that are beyond the control of the applicant. This must be provided for approvalconsideration. Add attachments as necessary for a complete request description.

Current Percent Complete: %

No Quarterly Report Percent Complete available.

100

Current Estimated ProjectCost:

$

From To Description

Dec 31, 2020 Jan 31, 2022Debris removal, Construction and repair, Replacement materials, Removal of pump station,Engineering

Assigned Project Officer:

Entering an Assigned Project Officer into this field will override the default Assigned Project Officer for this Appeal.The default Assigned Project Officer is: Terry E Brown