Program Conditions and Instructions

The City of Lenexa is partnering with the Johnson County Stormwater Management Program to provide $15,000 for a stormwater management cost-share program. The program is intended to help cover the cost of materials and/or contractor labor to install such projects. The City of Lenexa will provide a 75 percent match for rain barrels and associated materials, up to $110 per rain barrel.

Funding is available to applicants on a first come, first served basis, and applications will be considered in the order they are received.

Program Applicant Conditions

1. The applicant shall be responsible for all project costs. The City of Lenexa will provide reimbursement after the costs have been incurred. After the applicant submits all final costs and receipts, the City of Lenexa will verify the structure is properly installed and will then provide reimbursement to the applicant.
2. The project must be installed and completed by October 31, 2021.
3. The City of Lenexa will require access to your property for evaluation of the application prior to the start of construction, during construction and after construction is complete for final inspection of the project. Photos will be taken of the project for possible use in promotional materials about Lenexa’s Stormwater Program.
4. Implementation of an approved project is the sole responsibility of the property owner. The City of Lenexa is not liable for personal injury or property damage resulting from work or alterations in drainage.
5. Projects approved for funding carry no implied warranty by the City of Lenexa.
6. The funded practice shall be maintained for a minimum period of three years. All maintenance costs are the responsibility of the property owner.
7. The applicant is responsible for obtaining all applicable permits. This includes notifying Kansas One Call before digging. This application approval does not constitute a permit.
8. Annual reimbursement is limited to $1500 per resident.
9. The person requesting the reimbursement must submit a completed W-9 form with the application. Applications without a completed W-9 will not be approved until it has been submitted.

Instructions if Mailing in your Form

1. If you only have Rain Barrels in your project, use this form.
   If you have more than just Rain Barrels, use this form.
2. Print out and complete the application. Make sure to include a project map or diagram, a cost summary, a project schedule and signed maintenance agreement form.
3. Make sure the application is signed by the property owner(s).
4. Submit the completed application and all required documents via email to Tom Jacobs at costshare@lenexa.com or via regular post mail:
   City of Lenexa
   Community Development Division
   Attn: Tom Jacobs, P.E.
   17101 W. 87th St Pkwy, Lenexa, KS 66219
5. Log onto the City of Lenexa Vendor portal (https://www.lenexa.com/government/departments___divisions/finance/vendors/) to create your vendor profile, submit your W-9. Upon project completion you will also submit final receipts for approval and payment through this system.

Instructions if Submitting Electronically

1. Complete this online application by using the "Next" buttons to move through the sections of the form.

Important Things to Remember

• You must maintain your project for three years after installation.
• Picking the right spot in your yard is critical.
• Lenexa’s staff is here to assist you with this process. Email us at costshare@lenexa.com to contact us.
• Always, always call Kansas One-call (811) before you dig.

Applicant Section

Please provide the following contact information.

Project Section

* Denotes a required field.

Project Planning Worksheet

Project Plan Diagram and Description

Sketch your yard. Indicate structures, existing landscaping and problem areas. Then, add where you would like your project to be placed (include on a separate document).

To attach your files below, press "browse" and then selecting all the files you would like to attach. Once you have selected all your files, click "Attach Files" to add them to your application.

To remove files, click "browse" again and simply select only the files you would like to keep. Click "Attach Files" to update your selection.

Your Attached Project Plans

Step 2: Cost Summary

You must enter a cost summary for your project. You can either enter it on this page using the tool below, or on the next page as an attached file.

Rain Barrel Short Form

The application process for rain barrels has been stream lined. You will no longer need to submit a project plan or schedule as part of this shortened process. Instead, you will either need to submit receipts or estimates. If you already have purchased your rain barrels, attach images of your receipts. If you have not yet purchased your rain barrels, attach an estimate.

Step 3: Project Schedule

List the major dates for your project, including when you will begin and end.

W-9 Form

You are required to submit a W-9 form as part of this application. This can be done through the Vendor Self-Service site in the first step below. All applicants are required to complete that step.

Vendor Self-Service Site

The City of Lenexa now uses a Vendor Self-Service website to register all people who will be receiving payments from the City. On the Vendor Self-Service site:

• You wil use your first name and last name as your Vendor Name in the self-service form.
• For your Vendor Type use CSP-Cost Share Program.
• Complete banking information to receive payment by direct deposit (preferred method of payment but not manditory).
• Download the W-9 form from the Vendor Self-Service site and attach the W-9 form below.

You must complete the Vendor Self-Service portion of the application. If you have issues with the W-9 or banking information, see the information below.

Alternative W-9 And Banking Resources

If you are unable to complete the W-9 form in the Vendor Self-Service step above, you may download the W9 Form and attach to this application. Please make sure to fill out as much of the information as you can.

If you have issues with the W-9 or banking information, you may contact Dana Stauch for assistance by email or calling (913) 477-7545. Once you have the W-9 Form completed you will need to attach it here to continue.

Step 4: Maintenance & Release Agreement

On this _____ day of __________, _____, ("Grantee") and the City of Lenexa, Kansas, a Kansas municipal corporation ("City") agree to the following:

Grantee has voluntarily installed the following Stormwater Treatment Facility/Facilities ("STF"):

1. Provide way for grantee to mark which STFs apply.
2. Grantee agrees to maintain the above-referenced STF for a minimum of (3) years after project completion. Nothing within this section shall limit Grantee’s responsibility to maintain its property in accordance with the Lenexa City Code.
3. Grantee understands and acknowledges that neither City’s agreement to reimburse Grantee a portion of the cost of the STF, nor any technical advice regarding installation or maintenance of the STF shall create any responsibility for the City to maintain or manage the STF, or create any liability upon the City.
4. Grantee agrees to indemnify, defend, and hold the City harmless for any damage, loss, or liability of any kind, including but not limited to injury to persons or damage to property which may be related to reimbursement of the cost of the STF, and/or construction of a STF on his/her property.
5. Grantee understands that the City may take photos of the STF and grants City the unrestricted right to use and publish photographs of me and/or the STF without compensation, for editorial, trade, promotional, and any other purpose and in any manner and medium and to copyright the same. I hereby release the City from all claims and liability relating to said photographs.

Submit Application

Please check that you have attached all required documentation.

If you opted to submit your W-9 via the self service portal and have not done so, please do so now.

To submit via the self service portal, please go to the self service portal linked to here. We use our Vendor Self Service portal for this reimbursement program, so don't be confused by the name.

• You will use your first name and last name as your "vendor name" in the self service portal form.
• For your "vendor type" use "NRGP-Neighborhod Revital Grant Prg".