HomeMy WebLinkAboutExhibit 3FIRMA DEPARTMENT 01INVIRONMENTAI PROTECTION
Legislative Line items Proje ct /nlormation
1 APPLICANT INFORMATION
Name ofApplicant: City of Miami Department of Parks and Recreation
Project Name: Boundless Playground for Bryant Park
Federal Employment Identification number: 5 9- 6 0 0 0 3 7 5
Contact Person: Mari a Perez Title: Support Services Coordinator
(The contact person is someone who will be in direct contact with the DEP)
Address: Street/PO Box: 444 SW 2nd Ave . , 8 th floor
City/State: Miami, FL Zip Code: 33130
Email Address: MMPerez@ci.miaml.fl.us
Telephone: 6 0 5) 41 6 -1 31 4
Suncom:
FAX:305-416-2154
- ---Praj��CLocari an'-Street-Address--2-301--5W---1 3-th--St-reet
City: Miami County: Miami -Dade
LEGISLATIVE DISTR1u1 S IN WHICH THE PROJECT SITE IS LOCATED:
(Name) (District Number)
State Senator: Diaz de la Portilla Senate District Number: 36
State Representative: Lopez -Can't era
2 PROJECT INFORMATION
House District Number: 1 1 3
Please provide the supplemental documentation as outlined below:
Tab A
A boundary map of the project site.
Tab B
A copy of the site control documents (e.g., deed, lease, agreement, etc.).
TabC
A resolution from the controlling agency giving the authority and to enter in to agreement and the
delegation for expending the grant funds.
Tab D.
A three years or less time line outlining the project's completion.
Scope of Work:.
Please provide a project cost estimate detailing the scope work for the grant funds
Quantity
Description
Estimated Cost
N
E
W
i
Planning, Procurement, Permitting
$ 80,000
Demolition, Disposal, Site Preparation
30,000
10,000 SF
Pour -in -place safety surfacing, Concrete base, '•"
$130,000
18 pieces
Recreational equipment (delivered and installed)
$ 10,000
TOTALS
$250,000,
R
E
N
O
v
A
s_
0 •
l
.
.
O
N
S,
.
-
.
..
Total Primary
$
TOTAL COST OF PROPOSED PROJECT $ $ 2 S 0 , 0 0 0
I hereby ce t ' at the in ation provided in this application is true and accurate. I further
certify hority.for this grant on behalf of the applicant.
Si y ature of Aut orized Representative Date