California Cultural and Historical Endowment by o3647G7

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									California Cultural and
Historical Endowment
(CCHE)



PLANNING GRANT DIVISION
Grant Application
Round Two

DEADLINE: JANUARY 31, 2006


                 CCHE
                 900 N Street, Room 500
                 Sacramento, CA 95814

                 Telephone:        916-651-8223
                 Toll Free Number: 1-866-311-2178
                 FAX:               916-651-9871

                 Email:   endowment@library.ca.gov
                 Website: www.library.ca.gov/cche
CCHE Round Two Grant Application – Planning Grant Division Application

                            Important Dates for Round Two
                             of the CCHE Grant Application


October 2005                Review and Finalize CCHE Grant Application


November 2005               CCHE Grant Application Available for Public Distribution


December 2005 –             CCHE Informational Meetings
January 2006                 (Please refer to the CCHE website for current schedule –
                             www.library.ca.gov/cche)




January 31, 2006              CCHE Grant Application Due


February – April 2006       CCHE Grant Review


April 2006                  CCHE Board Meets to Consider Projects for Funding


                            Site Visits
May 2006
                            Follow-up Information Submitted


                            CCHE Board Meets to Consider Approval of Funding for
July 2006                    Projects

                            Grant Agreements Initiated
CCHE Round Two Grant Application – Planning Grant Division Application


                 Planning Grant Division Grant Application
                         Planning Grants for ALL Divisions


Eligibility:                     All organizations are eligible to apply.

Grant Award:                     Minimum of $10,000
                                 Maximum of $300,000

Definition of a Planning Grant: A Planning Grant provides the necessary funding to
                                create a specific tangible plan that will result in an
                                identified capital assets Project. Depending on the
                                type of Project you are interested in pursuing, various
                                plans will need to be developed before you can start
                                the physical work to rehabilitate, renovate, construct
                                or re-use a facility or structure.

                                 A specific capital asset must be included as part of a
                                 grant application; the grant cannot be used for the
                                 preliminary planning to identify the capital asset.

Planning Grants include,                Schematic plans
but are not limited to:                 Design development plans
                                        Construction plans and details
                                        Feasibility plans of an existing building and
                                         existing conditions
                                        Feasibility plans and studies for the purpose of
                                         seismic retrofit of a structure
                                        Historic Structure reports
                                        Emergency stabilization study and plans
CCHE Round Two Grant Application – Planning Grant Division Application


         PLANNING DIVISION GRANT APPLICATION
                         Planning Grants for ALL Divisions

               DEADLINE: JANUARY 31, 2006
Section One – PROJECT SUMMARY (5 points)
PART ONE: GENERAL INFORMATION
A. Applicant Name:
   Address:
                       Street


                       City                                      State     Zip Code
   Telephone:                                             Fax:
   Email Address:
   Website Address:

B. Contact Regarding this Proposed Project:
   Address:
                       Street


                       City                                      State     Zip Code
   Telephone:                                             Fax:
   Email Address:

PART TWO: INFORMATION REGARDING GRANT APPLICATION AWARD
A. I am applying for a CCHE Planning Grant for the Division and amount indicated:

                                                       Funding Amount Requested
         Planning Grant Division Applying
                                                   (Minimum Amount Available: $10,000
                     Under
                                                  Maximum Amount Available: $300,000)
            Division One Planning Grant          $
            Division Two Planning Grant          $
            Division Three Planning Grant        $
            Division Four Planning Grant         $




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CCHE Round Two Grant Application – Planning Grant Division Application


PART THREE: PROJECT LOCATION
A. The location of the proposed Project is: (Please indicate exact street address, city, county and zip code)
    Specific Address:
                              Street


                              City                            County                              Zip Code


B. State and Congressional District (Please indicate district number):
  State Assembly District:
  State Senate District:
  Congressional District:

C. Project Site Location Latitude and
   Longitude (Please use decimal system):

PART FOUR: PROJECT DESCRIPTION
Please check and answer the following as it applies to your application
A. Project to acquire an interest in real property?                                                  Yes        No

B. Project to construct a new facility?                                                              Yes        No
    i. If so, what is the total square footage of the new facility?
    ii. Are you replacing a facility that you currently use to create this new
                                                                                                    Yes         No
         facility?
         If so, what is the square footage of your current facility?
     iii. Is it consistent with local zoning and general plan regulations?                         Yes          No

C. Project to primarily renovate, restore, rehabilitate or reuse an existing
                                                                                                     Yes        No
   facility?
    i. If so, number of square feet presently occupied?
    ii. Number of square feet after completion of proposed Project?

D. Project involves a historic structure that adheres to the Secretary of
                                                                                                     Yes        No
   Interior’s Standards for the Treatment of Historic Properties?

E. Do you own the real property, which is the subject of the proposed Project
                                                                                                     Yes        No
   in fee simple?




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CCHE Round Two Grant Application – Planning Grant Division Application



F. If you do not own this real property, what type of arrangement do you have with the owner to
   use and make changes to the property? (Please be very specific, as CCHE requires all
   leases to be at least 20 years, or have the option to renew up to 20 years, and for the
   applicant to have exclusive control of the premises. CCHE also needs to know whether there
   are any restrictions and/or easements on the property.)

   Describe arrangement (your response is limited to 10 lines):




G. Are there any local, state, federal or other zoning, ordinances or other
   restrictions that you are aware of where the proposed Project will take
                                                                                Yes       No
   place that would prevent or substantially delay you from completing your
   Project?
    If Yes, please specify (your response is limited to 10 lines):




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CCHE Round Two Grant Application – Planning Grant Division Application



PART FIVE: ORGANIZATIONAL INFORMATION
                          Question A Applies to ALL APPLICANTS
A. Total dollar amount of the proposed Project:          $
    CCHE amount:                                         $
    Cash contributions from other sources:               $
    Matching Fund Source (cash amount):                  $
    Matching Fund Source (in-kind amount):               $

                 Questions B, C and D Apply to Tribal Organizations ONLY
B. Date your organization was recognized by the Bureau of Indian Affairs:

C. Number of FTE staff in your division who will be working on the
   proposed Project:

D. Please describe the Projects and goals you have accomplished as it relates to the
   proposed planning grant, and what future Projects you are planning (your response is
   limited to 20 lines):




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CCHE Round Two Grant Application – Planning Grant Division Application


                    Questions E, F & G Apply to Public Agencies ONLY
E. Number of FTE staff in your division who will be working
   on the proposed Project:

F. Annual Operating Budget of the division working on the
   proposed Project:                                              $

G. Please describe the function and purpose of your agency and list the specific Projects
   and goals that have been accomplished by this Agency and the future Projects you are
   planning (your response is limited to 20 lines):




                   Questions H, I, J & K Apply to Nonprofit Entities ONLY
H. Date your organization was incorporated:

I. Number of FTE staff in your organization:

J. Organization’s Annual Operating Budget:          $




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CCHE Round Two Grant Application – Planning Grant Division Application



K. Please describe your organization, its purpose and goals and its future purpose and
   goals in the space below (your response is limited to 20 lines):




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CCHE Round Two Grant Application – Planning Grant Division Application


CERTIFICATION
   I certify the following:
     1. That the information contained in this Grant Application has been carefully
        reviewed for its content and accuracy and I believe it to be true and correct to
        the best of my ability.
     2. That I understand that I waive all rights to privacy and confidentiality of the
        material submitted and subsequent material requested regarding this Grant
        Application.
     3. That I understand that I may be asked to provide further information at the time
        of grant review and CCHE staff may ask inquiries of me regarding the
        information submitted.
     4. That if any part of this information is incorrect, inaccurate or there has been a
        change of information about any part of the material submitted, that it be made
        known to CCHE as soon as possible.
     5. FOR TRIBAL ORGANIZATIONS ONLY: As part of any CCHE grant
        agreement with a tribal organization, a waiver of tribal sovereign immunity will
        be required.




       Signature:
       Print Name:
       Title:
       Organization:
       Date:




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CCHE Round Two Grant Application – Planning Grant Division Application



Section Two – DESCRIPTION OF PLAN (10 points)
Please describe the type of plans CCHE will fund and how it will contribute to your
overall capital assets Project (your response is limited to 20 lines)?




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CCHE Round Two Grant Application – Planning Grant Division Application




Section Three – PROJECT THREAD (15 points)
Please describe the THREAD of the proposed Project as it relates to California Culture
and history (your response is limited to 20 lines):




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CCHE Round Two Grant Application – Planning Grant Division Application




Section Four – CURRENT PROGRESS OF PROJECT (3 points)
Please provide a brief summary of the work completed to date that describes the steps
you have taken to achieve your desired capital assets Project (i.e. what type of plans
are currently in existence, what additional plans are needed to complete the planning
stage of your Project? Your response is limited to 20 lines.)




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CCHE Round Two Grant Application – Planning Grant Division Application




Section Five – AUDIENCE AWARENESS (2 points)
A. Please describe what measures you have taken to inform your intended audience of
   the development of your plans and clearly identify your audience (your response is
   limited to 10 lines):




B. Please describe your audience (your response is limited to 10 lines):




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CCHE Round Two Grant Application – Planning Grant Division Application




Section Six – BUDGET AND MATCHING FUNDS (10 points)
A. BUDGET
   Please provide the following information (no line limitation):

                              Source of          Restrictions on        Tasks to be
       Cost of Plan
                               Funding              Funding              Achieved




B. MATCHING FUNDS
   If you a Division One applicant, you will not need to fulfill the 1:1 matching fund
   requirement for a Planning Grant. If you are a Division Two applicant, you may
   request a 30% match reduction. However, Divisions Three and Four will need to
   fulfill a 1:1 matching fund requirement for a Planning Grant. Please indicate the
   source and amount of the match below to fulfill this requirement. (Please see
   Appendix A regarding In-kind contributions.)

   (No line limitation.)

               Source of Match                             Amount of Match




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CCHE Round Two Grant Application – Planning Grant Division Application




Section Seven – PROJECT STAFFING (5 points)
   How many FTE staff will be responsible for working on this Project (no line
   limitations)?

                                           Experience in Working         Number of
                           Specific
          Name                               on Capital Assets           Years with
                         Project Role
                                                  Project               Organization
                       Lead Staff




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