HomeMy WebLinkAboutBack-Up Documents40-TBA - Legion Park - FIND Phase I Estimate
PROJECT ELEMENTS
Project Cost
Applicant Cost
FIND COST
Phase II
Design
$
302,000.00
$
151,000.00
$
151,000.00
Permitting
$
60,400.00
$
30,200.00
$
30,200.00
Testing and Surveying
$
30,200.00
$
15,100.00
$
15,100.00
Project Management
$
113,250.00
$
113,250.00
OCI Admin:
$
75,500.00
$
75,500.00
$
-
AIPP
$
45,300.00
$
45,300.00
$
-
Total
$
626,650.00
$
430,350.00
$
196,300.00
Ineligible Costs
$
234,050.00
Scope of Work:
The scope of work includes 600 linear feet of shoreline stabilization/seawall, addition of rip
rap, Miami 21 baywalk and two kayak launches.
Date: 01/06/21 Prepared By:
D. Clavijo - OCI CP&M
FLORIDA INLAND NAVIGATION DISTRICT
FLGRIDA INLAND
NAVIGATION DISTRICT
To: Federal, State and Regional Governments
From: Janet Zimmerman, Assistant Executive Director
Subject: 2021-2022 Cooperative Assistance Program (CAP)
Date: December 21, 2020
COMMISSIONERS
DON DONALDSON
Attached is an application package for the District's FY 2021-2022 Cooperative
CHAIR
ST. LUCIE COUNTY
gram (CAP). PP Assistance Pro CAP The CAP application can also be downloaded from our
website: www.AICW.org Through CAP, the District has provided over $39 million
J. BLOW
VICE -CHAIR
VICE -CHAIR
t to perform
in funding istto ional tithiDistrict
g assistance o state anregional governments within our
ST. JOHNS COUNTY
waterway improvement projects including; public navigation, public waterway access
JON NETTS
facilities, public recreation, new inlet management, beach renourishment,
TREASURER
environmental education and boatingsafe projects directly related to the waterways.
P y erwa y
FLAGLER COUNTY
The funding level of this year's program will be determined in July based upon the
FRANK GERNERT
availability of funding and the quality and number of applications received.
SECRETARY
BROWARD COUNTY
T. SPENCER CROWLEY, III
Applications are due in the District office by 4:30 PM, March 29, 2021 Your
MIAMI-DADE COUNTY
application must be discussed with your local FIND Commissioner prior to March 4
DONALD J. CUOZZO
2020. The application must be initialed by the Commissioner prior to submission to
MARTIN COUNTY
the District office on March 29, 2021. Please see the application package for the
complete program schedule and the name and address of your Commissioner.
CHARLES C. ISIMINGER
PALM BEACH COUNTY
VACANT
A completed hardcopy of the application may be delivered to: FIND, 1314 Marcinski
VOLUSIA COUNTY
Rd., Jupiter, FL 33477 OR an electronic copy (single pdf plus separate permits if
MICHAELO'STEEN
required) may be emalled to JZimmerman@aicw.org. Application must be received
DUVAL COUNTY
by the deadline, no exceptions. It is VERY important that the application forms
remain in the same 8.5 x 11 ", paginated format, and the forms must be presented in
JERRY H. SANSOM
BREVARD COUNTY
the order listed on the application checklist. Applications that do not follow the
program directions, rules, or the application format may be rejected.
LYNN A. WILLIAMS
NASSAU COUNTY
Please review the application checklist and be sure you can provide all of the required
vacANr
INDIAN RIVER COUNTY
items. If you cannot provide ALL of the items on the application checklist lease
Y P PP � P
contact staff immediately for advice on the potential resolution of a required item.
Any application failing to include the required application items (with the exception
MARKT. CROSLEY
EXECUTIVE DIRECTOR
of environmental resource permits & exemptions) will be eliminated from
JANETZIMMERMAN
consideration on May 21, 2021. There is no waiver or exception available for this
ASSISTANT EXECUTIVE DIRECTOR
deadline. Solving questions or problems prior to the preparation and submission of
your application will save us both time and effort and result in a more successful
application.
ADMINISTRATIVE OFFICE ON THE INTRACOASTAL WATERWAY IN PALM BEACH COUNTY
1314 MARCINSKI ROAD, JUPITER, FLORIDA 33477-9427 TELEPHONE 561-627-3386 FAX No. 561-624-6480
www.am-org
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WATERWAYS ASSISTANCE PROGRAM
APPLICATION PACKAGE
Part 2. Attachment E
FY 2021
WATERWAYS ASSISTANCE PROGRAM
APPLICATION PACKAGE
Part 2. Attachment E
The following attachment E-1 through E-8, in addition to
the requirements of items 10 through 13 of the
application checklist, constitute your formal application.
SUBMIT THE APPLICATION INFORMATION IN
THE ORDER LISTED ON THE CHECKLIST.
Applications must be received by the District by 4:30 p.m. on March 29, 2021.
SUBMIT ENTIRE APPLICATION ONE OF TWO WAYS:
Completed hardcopy via Mail:
_ Electronic copy (pdf) via email: OR FIND, 1314 Marcinski Rd.,
JZimmerman@aicw.org
Jupiter, Fl. 33477
Application must be received by the deadline, no exceptions.
Attachment E - Applicant Tips Sheet
(Mistakes Common to the application process and how to avoid them)
SCHEDULING
The new application is available by January each year, and District funding is available AFTER October 1 st
of each year. Applicants should plan their schedule to avoid commonly missed deadlines: Application due
- 29th of March; Property control/Technical sufficiency items - 21 st of May, Permits - 20th of September.
(Staff suggestion: Begin to secure property control and permits PRIOR to applying for funding.)
PROPERTY CONTROL VERIFICATION
Please have your attorney complete and sign the form in the application verifying applicant property
control. In the case of leases or management agreements, please forward a copy to the District well in
advance of the deadline to verify consistency with our program rules. (Staff suggestion: Resolve this
requirement outside the application "window".)
PROJECT COSTS ELIGIBILITY
Please note the eligible project costs in Rule Section 6613-2.008, F.A.C. If you are not sure about an item's
eligibility, ask! Note: Any ineligible cost, including in-house project management and administration, is also
not eligible for an applicant's match. Make sure you have delineated your required minimum cost -share on
the project cost estimate. (Staff suggestion: If you have questions about the eligibility of an item, work up a
mock cost -sheet and send it to our office well before the deadline.)
COST -SHARE
Although the applicant must provide a minimum of 50% of the total project costs (25% for eligible public
navigation dredging), there is no specific requirement to split each item. (Staff suggestion: You may want to
organize project element in a certain manner for easier accounting.)
PRE -AGREEMENT EXPENSES
Rule 66B-2.005(3), F.A.C. requires any activity in the submitted project cost estimate occurring PRIOR
to October 1st to be considered as pre -agreement expenses. The Board's past philosophy has been to fund
only those projects that require District funding assistance to be completed. It is best to avoid
pre -agreement expenses if possible. Note, that pre -agreement expenses must be limited to 50% or less
of the total project costs, and they are eligible for only'/2 of the original District funding. (Example: A project
with a total cost of $200,000 is Board -approved for one-half construction PRIOR to October 1 st. In this case,
District funding will be limited as follows: Only 50% of the $100,000 project cost prior to October 1 st is eligible
as project expenses (i.e. $50,000). Then only'/2 of the eligible project expenses ($50,000) are eligible for
District funding assistance (i.e. $25,000).
SUBMITTED MATERIALS & JUNE PRESENTATION
The Board must review and evaluate every application and each year we receive about 90 applications
for consideration. The final product for the Commissioner's review is two 8-1 /2" x 1 1 " spiral -bound notebooks
containing the essential information for the application. NOTE: make sure your final submitted material is the
same material you will be presenting to the Board at our June meeting. This will avoid confusion and
strengthen your presentation. (Staff suggestion: Limit the submitted materials to the requested information,
in the required format and make sure it is consistent with your June presentation. Do not submit additional
material at the June presentation!)
ELECTRONIC SUBMISSIONS
Grant applications are being accepted by email or hardcopy. Grant applications may be submitted via
email as a pdf attachment (permits attached separately). Make sure to label your pdf attachment with the
applicant and project title. You will receive a confirmation email letting you know your application has
been received. Email your completed application to JZimmerman@aicw.org Or you may send hardcopy
applications to FIND, 1314 Marcinski Rd, Jupiter, EL 33477.
Applications must be received by the District by 4:30 p.m. on March 29, 2021.
ATTACHMENT E-1
APPLICATION CHECKLIST
WATERWAY ASSISTANCE PROGRAM FY 2021
Project Title:
Applicant:
This checklist and the other items listed below in items 1 through 13 constitute your
application. The required information shall be submitted in the order listed.
An electronic copy may be emailed to JZimmerman@aicw.org. Application must be
received by the deadline, no exceptions.
All information will be printed on 81/2"xl1" paper to be included in agenda books
bound by staff.
YES
NO
1.
District Commissioner Review (prior to March 4th)
(NOTE: For District Commissioner initials ONLY0
(District Commissioner must initial the yes line on this
checklist for the application to be deemed complete)
2.
Application Checklist - E-1 (Form No. 90-26, 2 pages)
(Form must be signed and dated)
3.
Applicant Info/Project Summary- E-2 (Form No. 90-22, 1
0
page)(Form must be completed and signed)
4.
Project Information - E-3 (Form No. 90-22a, 1 page)
O
5.
Application and Evaluation Worksheet - E-4(+) (Form
O
No.91-25) (One proper sub -attachment included, 7 pages)
Must answer questions 1-10. No signatures required
6.
Project Cost Estimate - E-5 (Form No. 90-25, 1 page)
O
(Must be on District form)
7.
Project Timeline - E-6 (Form No. 96-10, 1 page)
O
8.
Official Resolution Form - E-7 (Form No. 90-21, 2 pages)
0
(Resolution must be in District format and include
items 1-6)
ATTACHMENT E-1 (Continued)
APPLICATION CHECKLIST
WATERWAY ASSISTANCE PROGRAM FY 2021
YES NO
9. Attorney's Certification (Land Ownership) - E-8
,—Is,
0
(Must be on or follow format of Form No. 94-26,
Legal descriptions NOT accepted in lieu of form)
10. County/City Location Map
U
11. Project Boundary Map
0
0
12. Clear & Detailed Site Development Plan Map
0
0
13. Copies of all Required Permits: ACOE, DEP, WMD
O
0
(Required of development projects only)
The undersigned, as applicant, acknowledges that Items 1 through 12 above
constitutes a complete application and that this information is due in the District office
no later than 4:30 PM, March 29, 2021 By May 21, 2021 my application must be deemed
complete (except for permits) or it will be removed from any further consideration
by the District. I also acknowledge that the information in Item 13 is due to the District no
later than September 20, 2021. If the information in Item 13 is not submitted to the District
office by September 20, 2021, 1 am aware that my application will be removed from
any further funding consideration by the District.
LIAISON:
** SIGNATURE - PROJECT LIAISON **
Date Received:
Local FIND Commissioner Review:
All Required Supporting Documents:
Applicant Eligibility:
Project Eligibility:
Compliance with Rule 6613-2 F.A.C.:
Eligibility of Project Cost:
TITLE:
FIND OFFICE USE ONLY
Available Score:
Form No. 90-26 - New 9/2/92, Revised 07-30-02.
ATTACHMENT E-2
APPLICANT INFORMATION & PROJECT SUMMARY
WATERWAY ASSISTANCE PROGRAM FY 2021
APPLICANT INFORMATION
Applicant:
Department:
Project Title:
Project Director: Title:
Project Liaison:
(if different from Director)
Title:
Mailing Address:
City:
Zip Code:
Email Address:
Phone #:
Project Address:
*** I hereby certify that the information provided in this application is true and accurate. ***
SIGNATURE:
DATE:
PROJECT NARRATIVE (Please summarize the project in space provided below in 2 paragraphs or less.)
Form No. 90-22, Rule 6613-2, (New 12/17/90, Rev.07-30-02, 04-24-06)
ATTACHMENT E-3
PROJECT INFORMATION
WATERWAY ASSISTANCE PROGRAM FY 2021
Applicant:
Project Title:
Total Project Cost: $
FIND Funding
Requested: $
% of Total Cost:
Amount of Applicant's Matching Funds:
Source of Applicant's Matching Funds:
1. Ownership of Project Site (check one): Own:() Leased: UOther:()
2. If leased or other, please describe lease or terms and conditions:
3. Has the District previously provided assistance funding to this project or site? YeOl No: ❑ O
4. If yes, please list:
5. What is the current level of public access in terms of the number of boat ramps, boat slips and
trailer parking spaces, linear feet of boardwalk (etc.)? (as applicable):
6. How many additional ramps, slips, parking spaces or other access features will be added by this
project?
7. Are fees charged for the use of this project? Noo Yes 0"
**If yes, please attach additional documentation of fees and how they compare with fees from
similar public & private facilities in the area.
Please list all Environmental Resource Permits required for this project:
AGENCY
Yes / No / N/A
Date Applied For
Date Received
WMD
DEP
ACOE
Form No. 90-22a (New 10-14-92, Rev. 04-24-06, 4-15-07)
ATTACHMENT E-4
EVALUATION WORKSHEET
WATERWAY ASSISTANCE PROGRAM FY 2021
DIRECTIONS:
All applicants will complete questions 1 through 6, and then based on the type of
project, complete one and only one subsection (E-4A, B, C, D or E) for questions 7-10.
***Please keep your answers brief and do not change the pagination of Attachment E-4***
All other sub -attachments that are not applicable to an applicant's project should not be
included in the submitted application.
Project Title:
Applicant:
1) PRIORITY LIST:
a) Denote the priority list category of this project from Attachment C in the application.
(The application may only be of one type based upon the predominant cost of the
project elements.)
Choose from dropdown
b) Explain how the project fits this priority category.
(For reviewer only)
Max. Available Score for application
Question 1. Range of Score (I to ---points)
2) WATERWAY RELATIONSHIP:
a) Explain how the project relates to the ICW and the mission of the Navigation District.
b) What public access or navigational benefit to the ICW or adjoining waterway will
result from this project?
(For reviewer only)
(1-6 points)
3) PUBLIC USAGE & BENEFITS:
a) Describe how the project increases/improves boater/public access.
Estimate the amount of total public use.
b) Discuss the regional and local public benefits provided by the project.
Can residents from other counties of the District reasonably access and use the
project? Explain.
c) Has the local Sponsor implemented or plans to implement any boating access, speed
zone, commercial access or other restrictive use of this site?
(For reviewer only)
(1-8 points)
4) TIMELINESS:
a) Describe current status of the project and present a reasonable and effective
timeline for the completion of the project consistent with Attachment E-6.
b) Briefly explain any unique aspects of this project that could influence the timeline.
(For reviewer only)
(1-3 points)
5) COSTS & EFFICIENCY:
a) List funding sources and the status and amount of the corresponding funding that will
be utilized to complete this project including any cash match or matching grant funds.
b) Identify and describe any project costs that may be increased because of the materials
utilized or specific site conditions.
c) Are there any fees associated with the use of this facility? If so, please list or attach fee sheet.
d) If there are any fees, please explain where these fees go and what they are used for. In
addition, please provide a listing of the fees charged by similar facilities, public and private, in
the project area.
(For reviewer only)
(1-6 points)
6) PROJECT VIABILITY:
a) Why is the project necessary and what need will it fill? Why are existing facilities
insufficient to meet demand?
b) Clearly demonstrate how the project will continue to be maintained and funded after funding is
completed.
c) Is this project referenced or incorporated in an existing maritime management, public assess
or comp plan?
(For reviewer only)
(1-7 points)
SUB -TOTAL
FIND FORM NO. 91-25
Rule 66B-2.005 (Effective Date: 3-21-01, Revised 4-24-06, 1-27-14)
ATTACHMENT E-4A
EVALUATION WORKSHEET
DEVELOPMENT & CONSTRUCTION PROJECTS
WATERWAY ASSISTANCE PROGRAM FY 2021
THIS ATTACHMENT IS TO BE COMPLETED IF YOUR PROJECT IS A DEVELOPMENT OR
CONSTRUCTION PROJECT BUT IS NOT AN INLET MANAGEMENT OR BEACH
RENOURISHMENT PROJECT.
7) PERMITTING:
a) Have all required environmental permits been applied for? (USACE, DEP and WMD)
If permits are NOT required, explain why not.
b) If the project is a Phase I project, please provide a general cost estimate for the future
Phase II work.
c) Detail any significant impediments that may have been identified that would
potentially delay the timely issuance of the required permits.
(For reviewer only)
(1-4 points)
8) PROJECT DESIGN:
a) Has the design work been completed?
If this is a Phase I project, has a preliminary design been developed?
b) Are there unique beneficial aspects to the proposed design that enhance public
usage or access, minimize environmental impacts, improve water quality or
reduce costs?
(For reviewer only)
(1-2 points)
9) CONSTRUCTION TECHNIQUES:
a) Briefly explain the construction techniques and materials to be utilized for this project.
Identify any unique construction materials that may significantly alter the project costs.
If a Phase 1, elaborate on potential techniques.
b) What is the design life of the proposed materials compared to other available
materials?
(For reviewer only)
(1-3 points)
10) ENVIRONMENTAL COMPONENTS:
a) How has the facility where the project is located demonstrated commitment to
environmental compliance, sustainability, and stewardship?
b) What considerations, if any, have been made for sea level rise impacts in the design
and life span of this project?
(For reviewer only)
(1-3 points)
RATING POINT TOTAL
Note:
The total maximum score possible is dependent upon the project priority category but
cannot exceed 50 points unless the project qualifies as an emergency -related project.
The minimum score possible is 10 points. A score of 35 points or more is required to be
considered for funding.
Form No. 91-25A
Rule 66B-2.005 (Effective Date: 3-21-01, revised 4-24-06, 1-27-14)
ATTACHMENT E-413
EVALUATION WORKSHEET
ENVIRONMENTAL EDUCATION PROJECTS
WATERWAY ASSISTANCE PROGRAM FY 2021
THIS ATTACHMENT IS TO BE COMPLETED IF YOUR PROJECT IS AN
ENVIRONMENTAL EDUCATION PROJECT
7) THOROUGHNESS:
a) Who is the primary target audience or user group for the project and how were they
identified?
b) How have the needs of the target audience been evaluated and met?
c) How many people will the program serve on an annual basis? What will be the
measurable results?
(For reviewer only)
(1-5 points)
8) DELIVERABLES:
a) Describe the materials and project deliverables to be produced by this project.
b) Is there a clear and effective plan of dissemination of the materials produced
through the project? Please describe.
(For reviewer only)
(1-2 points)
9) EXPERIENCE & QUALIFICATIONS:
a) Please briefly describe the qualifications of the program administrator(s), including
prior experience, and areas of expertise.
b) What previous projects of this nature have been completed by the program
manager?
(For reviewer only)
(1-2 points)
10) PROJECT GOALS:
a) What are the long-term goals of this project as it relates to the ICW?
b) What is the expected duration/frequency of this program?
(For reviewer only)
(1-3 points)
RATING POINT TOTAL
Note:
The total maximum score possible is dependent upon the project priority category but
cannot exceed 50 points unless the project qualifies as an emergency -related project.
The minimum score possible is 10 points. A score of 35 points or more is required to be
considered for funding.
Form No. 91-25B
Rule 66B-2.005 (Effective Date: 3-21-01, Revised 4-24-06, 1-27-14)
ATTACHMENT E-4C
EVALUATION WORKSHEET
LAW ENFORCEMENT & BOATING SAFETY PROJECTS
WATERWAY ASSISTANCE PROGRAM FY 2021
THIS ATTACHMENT IS TO BE COMPLETED IF YOUR PROJECT IS A LAW
ENFORCEMENT OR BOATING SAFETY PROJECT
7) VIABILITY:
c) Describe how the project will address particular public health, safety, or welfare
issues of the Navigation District's Waterways.
d) How does the project provide significant benefits or enhancements to the District's
Waterways?
(For reviewer only)
(1-3 points)
8) EXPERIENCE & QUALIFICATIONS:
a) List the personnel tasked with the implementation of this project, their qualifications,
previous training and experience.
b) Have the personnel participated in or received state marine law enforcement training?
(For reviewer only)
(1-2 points)
9) DELIVERABLES:
a) Describe the anticipated, long-term measurable results of implementing this project.
b) What is the range or area of coverage for this project? Please provide a map of the
coverage area.
c) Does the project fulfill a particular community need?
For reviewer only)
(1-4 points)
10) EDUCATION:
a) What are the educational benefits (if any) of this proposed project?
b) How does the project or program provide effective public boating education
or expand boater safety?
(For reviewer only)
(1 -3 points)
RATING POINT TOTAL
Note:
The total maximum score possible is dependent upon the project priority category but
cannot exceed 50 points unless the project qualifies as an emergency -related project.
The minimum score possible is 10 points. A score of 35 points or more is required to be
considered for funding.
FormNo. 91-25C
Rule 66B-2.005 (Effective Date: 3-21-01, revised 4-24-06, 1-27-14)
ATTACHMENT E-41)
EVALUATION WORKSHEET
INLET MANAGEMENT & PUBLIC NAVIGATION PROJECTS
WATERWAY ASSISTANCE PROGRAM FY 2021
THIS ATTACHMENT IS TO BE COMPLETED IF YOUR PROJECT IS AN INLET
MANAGEMENT OR PUBLIC NAVIGATION PROJECT
7) WATERWAY RELATIONSHIP:
a) How does the project directly benefit the Atlantic Intracoastal Waterway (AICW)?
b) Identify any long-term sedimentation problems and briefly discuss any methods
or activities that will address these issues.
c) Will the project inhibit sediment inflow into, or reduce the dredging frequency
of the AICW?
(For reviewer only)
(1-5points)
8) PUBLIC ACCESS:
a) Will the project enhance public access to or from the waterways? Describe in
brief detail.
b) List the upstream publicly accessible facilities with improved access as a result
of this project.
(For reviewer only)
(1 -3 points)
9) BENEFICIAL PROJECT ELEMENTS:
a) Are there additional economic benefits to be realized by implementing this project?
b) Briefly spell out any water quality, environmental or habitat benefits to be realized
by this project.
(For reviewer only)
(I -2 points)
10) PROJECT MAINTENANCE:
a) When was this area last dredged? What is the expected frequency of future dredging?
b) Explain the funding mechanism for the long-term maintenance of the project.
c) Describe the long-range dredge material management plans.
(For reviewer only)
(I -2 points)
RATING POINT TOTAL
Note:
The total maximum score possible is dependent upon the project priority category but
cannot exceed 50 points unless the project qualifies as an emergency -related project.
The minimum score possible is 10 points. A score of 35 points or more is required to be
considered for funding.
Form No. 91-25D
Rule 66B-2.005 (Effective Date: 3-21-01, Revised 4-24-06, 1-27-14)
ATTACHMENT E-4E
EVALUATION WORKSHEET
BEACH RENOURISHMENT PROJECTS
WATERWAY ASSISTANCE PROGRAM FY 2021
THIS ATTACHMENT IS TO BE COMPLETED IF YOUR PROJECT IS A
BEACH RENOURISHMENT PROJECT
7) WATERWAY RELATIONSHIP:
a) Describe how the District and other navigation interests will benefit from the
implementation of this project.
(For reviewer only)
(I -4 points)
8) VIABILITY:
a) Is the project site defined as critically eroded area by a statewide beach
management plan?
b) Cite the quantifiable rate of erosion in this area.
c) Is the project an important component of an overall beach management effort?
(For reviewer only)
(1 -4 points)
9) PUBLIC BENEFITS:
a) Are there quantifiable public benefits demonstrated by the project?
b) Is there adequate public access to the project area?
Please describe location and amount.
(For reviewer only)
(1-2 points)
10) PROJECT FUNDING:
a) Describe any assistance funding from other sources.
b) Clarify the availability of long-term funding for this project.
(For reviewer only)
(1-2 points)
RATING POINT TOTAL:
Note:
The total maximum score possible is dependent upon the project priority category but
cannot exceed 50 points unless the project qualifies as an emergency -related project.
The minimum score possible is 10 points. A score of 35 points or more is required to be
considered for funding.
FormNo. 91-25E
Rule 66B-2.005 (Effective Date: 3-21-01, Revised 4-24-06, 1-27-14)
ATTACHMENT E-4F
EVALUATION WORKSHEET
EMERGENCY RE -CONSTRUCTION
WATERWAY ASSISTANCE PROGRAM FY 2021
THIS ATTACHMENT IS TO BE COMPLETED ONLY IF YOUR PROJECT IS A WATERWAY
PROJECT THAT WAS DAMAGED BY A NATURAL DISASTER AS DECLARED BY A
STATE OF EMERGENCY UNDER CHAPTER 252, FLORIDA STATUTES.
11. (EXTRA) STORM DAMAGE EVALUATION:
a) List the State of Emergency declaration order or proclamation & the name and date
of the storm/event.
b) Has this site/project previously received funding from FIND
c) Detail the other funding mechanisms and financial assistance that will be applied to
defray the reconstruction costs or damage repair.
d) What is the current status of your FEMA paperwork for the project?
(For reviewer only)
(0-3 points)
Form No. 91-25F
Rule 66B-2.005 (Effective Date: 2-05, Revised 4-24-06, 1-27-14)
ATTACHMENT E-5
PROJECT COST ESTIMATE
WATERWAY ASSISTANCE PROGRAM FY 2021
(See Rule Section 6613-2.005 & 2.008 for eligibility and funding ratios)
Project Title:
Applicant:
Project Elements
(Please list the MAJOR project elements
Total Estimated
Applicant's
FIND Cost
and provide general costs for each one.
Cost
Cost
For Phase I Projects, please list the major
(To the nearest $50)
(To the nearest $50)
elements and products expected)
"TOTALS = $ 0.00 $ 0.00 $ 0.00
Forth No. 90-25 (New 10/14/92, Revised 04-24-06)
ATTACHMENT E-6
PROJECT TIMELINE
WATERWAY ASSISTANCE PROGRAM FY 2021
Project Title:
Applicant:
The applicant is to present a detailed timeline on the accomplishment of the
components of the proposed project including, as applicable, completion
dates for: permitting, design, bidding, applicant approvals, initiation of
construction and completion of construction.
NOTE: All funded activities must begin AFTER October 1 St
(or be consistent with Rule 66B-2.005(3) - Pre -agreement expenses)
Date Component
FIND Form 96-10 (effective date 04-15-07)
ATTACHMENT E-7
RESOLUTION FOR ASSISTANCE 2021
UNDER THE FLORIDA INLAND NAVIGATION DISTRICT
WATERWAYS ASSISTANCE PROGRAM
WHEREAS, THE
is interested in carrying out the
(Name ofAgency)
following described project for the enjoyment of the citizenry of
and the State of Florida:
Project Title
Total Estimated Cost $ 0.00
Brief Description of Project:
AND, Florida Inland Navigation District financial assistance is required for the program
mentioned above,
NOW THEREFORE, be it resolved by the
that the project described above be authorized,
AND, be it further resolved that said
(Name ofAgency)
(Name ofAgency)
make application to the Florida Inland Navigation District in the amount of % of the
actual cost of the project in behalf of said
(Name ofAgency)
AND, be it further resolved by the
(Name ofAgency)
that it certifies to the following:
1. That it will accept the terms and conditions set forth in FIND Rule 6613-2
F.A.C. and which will be a part of the Project Agreement for any assistance awarded under
the attached proposal.
2. That it is in complete accord with the attached proposal and that it will carry out
the Program in the manner described in the proposal and any plans and specifications attached
thereto unless prior approval for any change has been received from the District.
(1)
Fonn No. 90-21 (Effective date 12-17-90, Rev. 10-14-92)
3 . That it has the ability and intention to finance its share of the cost of the project
and that the project will be operated and maintained at the expense of said
for public use.
(Name of Agency)
4. That it will not discriminate against any person on the basis of race, color or
national origin in the use of any property or facility acquired or developed pursuant to this
proposal, and shall comply with the terms and intent of the Title VI of the Civil Rights Act of
1964, P. L. 88-352 (1964) and design and construct all facilities to comply fully with statutes
relating to accessibility by persons with disabilities as well as other federal, state and local
laws, rules and requirements.
5. That it will maintain adequate financial records on the proposed project to
substantiate claims for reimbursement.
6. That it will make available to FEND if requested, a post -audit of expenses
incurred on the project prior to, or in conjunction with, request for the final 10% of the
funding agreed to by FIND.
This is to certify that the foregoing is a true and correct copy of a resolution duly and
legally adopted by the at a legal meeting
(agency governing board)
held on this day of
Attest
Title
20
(2)
Signature
Title
Form No. 90-21 (Effective date 12-17-90, Rev. 10-14-92)
ATTACHMENT E-8
ATTORNEYS CERTIFICATION OF TITLE 2021
(See Rule 66B-2.006(4) & 2.008(2) FAC)
OFFICE OF THE (Cityor County) ATTORNEY
(Address)
2021
TO WHOM IT MAY CONCERN:
1 (Name) , am the Attorney for the (City or county) , Florida. I hereby
state that I have examined a copy of a (deed, lease, management agreement, etc.)
from to the (City or county) dated conveying
(type of interest, ie. Fee simple, easement, 25 year
lease, etc.) in the following described property:
(Brief Legal Description of Property)
I have also examined a document showing that this property is listed on the tax
rolls as belonging to the (city or county) . Finally, I have also examined such
documents and records as necessary for this certification.
This property is what is now called "
(Name of Property as Referenced in the WAP application) "
I certify that the (City or county) does in fact (own, lease, etc.) this property
for years.
Very truly yours,
(Name)
(City or County) Attorney
FIND Form No. 94-26 (effective date 5-25-00)