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1 of 18 Florida Division of Historical Resources Bureau of Historic Preservation 2013 Certified Local Government Regional Training Program Grants Non-Matching Grant Application May 1- June 29, 2012 Solicitation A. Application Review Overview: The Division of Historical Resources’ Historic Preservation Grants-in-Aid Program announces a May 1- June 29, 2012 grant application solicitation to award grants to hold one of four Regional Florida Certified Local Government (CLG) Training programs throughout the State of Florida. These regional historic preservation training programs, which may take the form of workshops, conferences, seminars, and hands-on educational activities or combinations thereof, will be funded with Federal Fiscal Year 2012 Historic Preservation Funds. The Division will award four grants each in the amount of $16,500 to the selected CLGs for the purpose of holding one of the four Regional Florida CLG Training Programs. The selected CLGs will enter into a Grant Award Agreement with the Division of Historical Resources to provide the services described below. No match is required for this solicitation. Applications must be submitted in hard copy and will be available for download and printing at the Division’s Grant Program website, www.flheritage.com/grants, beginning May 1, 2012. Grant applications must be received in-person by 5:00 p.m. on Friday, June 29, 2012, or must be postmarked by 11:59 p.m. on Friday, June 29, 2012. Six paper copies of the application and all required application attachments (one original and five duplicates) must be delivered to the Grants Program at: Bureau of Historic Preservation, Grants Program, 4th Floor, R. A. Gray Building, 500 South Bronough Street, Tallahassee, Florida 32399-0250, by this deadline. Applications will be reviewed, ranked, and selected for funding approval by a five-member 2013 CLG Training Program Grant Selection Subcommittee of the Florida Historical Commission (FHC) on July 23, 2012. Following selection, all applicants will be notified in writing of the award decisions. Please see the formal grant solicitation notice, available at www.flheritage.com/grants, for more information on this solicitation. Application Limitations: An applicant from the same organization may not submit more than one (1) application in this solicitation. Eligible applicants are limited to the historic preservation and planning sections of Certified Local Governments. Visit http://www.flheritage.com/preservation/clg/docs/CLG_list.pdf for a list of currently designated CLGs. 2 of 18 B. Required Program Elements: The following elements and services (a-g) must be included in each training program. These requirements must be sufficiently addressed in the grant application to be eligible for this funding opportunity: a) Trainings programs must be limited to historic preservation topics. b) Trainings programs must last at least two consecutive business days. c) While the trainings will be targeted toward CLG historic preservation and planning staff, boards, and volunteers, other local governments interested in the CLG program and interested members of the general public will also be encouraged to attend. d) At least one two-hour session must be reserved for historic preservation training topics of local or regional concern to be selected by the applicant. e) At least one two-hour session must be an open discussion period in which participants discuss local and regional preservation issues and concerns. Training program attendees shall be encouraged to bring discussion topics with them to prepare for this session. f) The applicant must hold a two-hour networking reception as part of the training program. It will be the responsibility of the applicant to provide food, drink, and entertainment as these costs are not allowable grant award expenditures. Note: While training program registration fees may be charged, such fees must be minimal and may only be collected to recuperate expenses directly related to the program. Because food, drink, and entertainment may not be purchased using grant award funds, it is recommended that applicants use the proceeds earned from program registration fees to pay for these expenses. g) At least $3,000.00 of the $16,500.00 grant award must be reserved for travel stipends for training program attendees. The purpose of this requirement is to encourage the largest attendance possible, especially from CLG representatives from the surrounding region. The applicant is responsible for both the recruitment of recipients of these travel stipends and the management of the use of the minimum $3,000 travel stipend allotment. Recipients of the travel stipends may use the funds to pay for travel to and from the training location and for travel accommodations. Travel stipend funds may not be used to pay for food, drink, or entertainment. 1. Applicant Organization Enter the full name of the applicant organization. There can be only one applicant organization per application. 2. Applicant Type (Check one) CLG Municipality CLG County 3 of 18 3. Geographic Region of Training One training program application will be funded for each of the four geographic regions of the state of Florida. Please select only one region. North Florida Central Florida Southeast Florida Southwest Florida 4. Project Title, Dates, and Location a) Please ensure that your project title integrates the project region and objective. For example, “North Florida Regional Historic Preservation Workshop.” Project Title: b) Proposed Dates of Training Event c) Proposed Training Location/Venue: d) Training Location/Venue Street Address: e) County Where Program will be Located: 5. Amount Requested and Voluntary Match The amounts listed in a) and b) below must equal the totals listed for Grant Funds and Voluntary Match Value under Question 10, Project Budget. Note: Match is not required for this solicitation. a) Amount of Grant Funding Requested: $16,500.00 b) Voluntary Match Amount: $ 6. Training Program Project Description In the space provided, describe in detail the proposed regional historic preservation training project for which funding is requested. Indicate how you intend to use the $16,500 grant award requested, describing each of the major work items involved, emphasizing the training project’s primary objectives and intended results. All Required Program Elements (a-g) listed in Section C. above must be addressed in your response. 4 of 18 5 of 18 7. Tentative Training Program Agenda Include proposed session topics, speakers and presenters, dates and times, and locations. 8. Major Elements and Responsible Entities Describe the major elements of the project and indicate the type of entity (e.g., consultant, hired speakers, in-house personnel, volunteers, etc.) responsible for each element. Major Project Elements Entity Type Responsible a. b. 6 of 18 c. d. e. f. g. h. i. 9. Tentative Project Timeline Indicate below all major elements of the project for which funding assistance is requested (see Question 8 above), the anticipated time required to complete each element, and the planned sequence of these activities. Month 1 is the project start date. Projects, if awarded, will begin October 1, 2012, and expire June 30, 2013. Projects must be completed within this nine month period. Month Project Activity 1 2 3 4 5 6 7 8 9 a. b. c. d. e. f. g. h. i. 10. Project Budget Important: In itemizing items to be paid for with grant funds, please note the following: a) The following expenses are not allowable for grant reimbursement for this Certified Local Government Training Program application: Project administrative and management expenditures which in aggregate exceed 10% of the requested grant award amount. Note: Applicants may request to apply up to 10% ($1,650) of the $16,500 grant award to pay for direct program management and administration costs. If requested, direct program management and administration costs must be included in the budget section of the grant application. Entertainment, food, beverages, plaques, awards, or gifts. Work performed prior to announcement of award. Miscellaneous costs such as contingencies, reserves, indirect costs, or overhead. Cash reserves, endowments, or revolving funds. Fundraising costs. Conservation of collections. Long-term maintenance or curatorial work. 7 of 18 Reconstruction of no-longer extant historic properties. Moving historic properties. Construction of new buildings. Capital improvements to historic or non-historic properties. Expenditures for the purchase of furniture and equipment, unless specifically authorized during the application review process. Entertainment, food, beverages, plaques, awards, or gifts. Grantee operational support (i.e., organization salaries, rent, or utilities). Insurance costs. All other non-allowable expenditures as stipulated by program Administrative Rule 1A-39.005, “Non-Allowable Costs” available at www.flheritage.com/grants. b) All grant expenditures must be incurred during the grant period. No costs incurred before October 1, 2012 or after the grant period has expired will be eligible for payment with grant funds. c) Should you have questions regarding the eligibility of a specific activity for grant funding, please contact the Division's grants staff at 1-800-847-7278. Project Budget Work Detailed Work Item Description Grant Funds Voluntary Voluntary Sub-Total Item Match Value Match Type # 1. Required Attendee Travel Stipends (at $ $ $ least $3,000 allocation) 2. $ $ $ 3. $ $ $ 4. $ $ $ 5. $ $ $ 6. $ $ $ 7. $ $ $ 8 of 18 8. $ $ $ 9. $ $ $ 10. $ $ $ Total $16,500.00 $ $ $ Note: Totals must be the same as the corresponding amounts indicated in Questions 5a and 5b. 12. Estimated Number of Training Program Participants a) How many participants are anticipated to attend the proposed training program? b) What is the basis of this estimate? 13. Direct Economic Impact Provide a brief explanation of the Direct Economic Impact this project will have on the surrounding community. Include any information regarding number of jobs the project may provide, if known. 14. Benefit to Minorities and the Disabled Briefly describe any direct benefit the project will have on ethnic minority groups and/or the disabled. 9 of 18 15. Educational Benefits Provide a brief description of the educational benefits of this project. Explain how the project will enhance public awareness of historic preservation, Florida history, or heritage for the local community and the state at large. 16. Applicant Information a) Organization Name: b) Address: c) City: d) State: e) Zip: f) Date of CLG Certification: g) Name and Title of Organization’s Chief Officer: h) Applicant Organization’s SAMAS Number or Federal Employer Identification Number: i) Ending Date of Applicant Organization’s Fiscal Year (e.g., June 30): j) Applicant Organization’s Website Address: 17. Designated Project Contact The Project Contact is the applicant organization's primary contact for the application review process. In addition to being available to answer questions from Division of Historical Resources staff regarding the proposed project and application, the Project Contact is usually the individual who will be administering the grant project, if it is funded. Provide the designated Project Contact’s name, address, daytime phone number, FAX number, and e-mail address in spaces provided. a) Project Contact’s Name: b) Address: 10 of 18 c) City: d) State: e) Zip: f) Daytime Telephone No: g) Ext: h) Fax Number: i) Email Address: 18. Project Area Population and Representation Indicate the population of the community and county where the project is located as determined by the most recent edition of "Florida Estimates of Population." This information is available at your public library or online at http: edr.state.fl.us/Content/population-demographics/data/index.cfm. a) Community/City Population: b) County Population: Please provide the following information requested regarding state legislative and congressional representation for the project location. View www.usa.gov/Contact/Elected.shtml to find this data. c) State House of Representatives District Number and Name of Representative for Project Location 1) District Number(s): 2) Representative: d) State Senate District Number and State Senator for the Project Location 1) District Number(s): 2) Senator: e) Congressional District Number and Name of U.S. Congressional Representative for the Project Location 1) District Number(s): 2) Congressman: 19. Applicant's Grant Experience and History Provide the following information regarding the applicant’s previous experience with grant assistance from the Department of State and other granting entities, and current administrative support. a) Has the applicant received grant assistance from the Department of State in the past five (5) years? If yes, specify the year, the grant number, the project name, the Division that awarded the grant, the amount of the award and its current status. Attach an additional sheet if necessary. Use the Department’s online grant search tools at www.flheritage.com/grants/info/awards/ and www.dos.state.fl.us/grantsearch/. Year Grant Project Name DOS Division Amount Open/Closed 11 of 18 No. b) Has the applicant received previous grant assistance from entities other than the Department of State within the past five (5) years? If so, please specify the year of the award, the project name, the entity that awarded the grant, the amount of the award, and the current status. Year Project Name Granting Entity Amount Open/Closed c) List those persons within the applicant organization who will be directly involved with the administration of the grant. This will include the Project Contact listed in Question 17 and all other individuals who will have a role in the completion of the grant project. List below the individuals’ names, roles or titles within the applicant organization, percentage of work time dedicated to grant administration, and anticipated duties. Name Role or Title Percentage of Time Duties 12 of 18 d) Were any of the individuals listed in Question 19 c above, involved with the administration of previous grants listed in Questions 19a or 19b? If so, indicate which grant(s) and briefly describe their administrative responsibilities. Also, describe any additional grant experience they have in the space below. To complete this application, you must complete the application checklist (attached) and submit the corresponding attachments as described in the checklist. One designated original application, checklist, and set of attachments with original signatures, and five additional copies of the application, checklist, and attachments, must also be submitted. See the Application Checklist for instructions. 13 of 18 2013 Certified Local Government Training Program Grant Application Checklist Indicate in the boxes below each item in 1 through 3 included in your submission: 1. Application One original application with one set of signed original required Attachments A-C, and optional Attachments D and/or E as described below Five additional copies of the application, checklist, and attachments 2. Required Attachments Attachment A-Application Certification form (attached) Attachment B-Civil Rights Assurance form (attached) Attachment C-Federal Debarment Form (attached) 3. Optional Attachments Attachment D-Letters of Support, Endorsement, or Resolutions (optional but strongly encouraged) Letters of Support, Endorsement, or Resolutions: In this attachment, provide letters of support from your Legislative delegation, community leaders, civic organizations, and local citizens. The purpose of this attachment is to demonstrate community support for the expenditure of public funds for your project. Individual letters are preferred. Form letters are discouraged as they typically do not effectively convey genuine local support for the proposed project. The number of letters submitted should not overwhelm the application in terms of volume. In most cases, 10 to 20 letters of support are sufficient for an applicant to make the case for broad community or regional support for the project. Letters should be addressed to: Mr. Robert F. Bendus, Director Division of Historical Resources Bureau of Historic Preservation Grants and Education Section 500 South Bronough Street Tallahassee, Florida 32399-0250 Note that letters of support received by this office, independent from the application or after the application cycle deadline, will be filed with the original version of the application, which is retained by the Bureau of Historic Preservation. Such letters will not be transmitted to the reviewing body, but will be available to the review panel during its public meeting. Grants staff will make the panel aware of additional expressions of support received independent from the application or after the application cycle deadline. 14 of 18 Provide a coversheet for Attachment D which includes the following information for each letter of support, endorsement or resolution included in your application: name of author, type of communication (letter, petition, resolution, etc.), organization represented (if applicable), and date. Attachment E-Optional Attachments Optional Attachments may include photographs of relevant aspects of your community; resumes of invited historic preservationists and professionals, or municipal, county, or tribal community staff, who, for example, will provide training instruction; photographs and brochures of proposed training venue site(s) or historic sites involved in the training, for example. Submit no more than 10 pages for this attachment. On the cover page for this attachment, list (with a short description) all included optional materials. I have read and understand the above application checklist and have included all attachments in the appropriate format. Title of Project: Name of Authorized Organization or Agency Representative (type or print): Title: Organization or Agency: Signature: _____________________________________________________________ Date: ____________________________ 15 of 18 Attachment A APPLICANT CERTIFICATION FORM This form is required of all applicants. Applications submitted without this certification sheet will be ineligible for review. This certification must be signed by the duly authorized representative of the applicant organization or agency. I certify that the information contained in this application is true and correct to the best of my knowledge, and that I am the duly authorized representative of the applicant. Title of Project: Name of Authorized Organization or Agency Representative (type or print): Title: Organization or agency: Signature: _____________________________________________________________ Date: ____________________________ 16 of 18 Attachment B U.S. DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICE CIVIL RIGHTS ASSURANCE OF COMPLIANCE This form is required of all applicants. (hereinafter called “Applicant-Recipient”) hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (P.L. 88-352) and all requirements imposed by or pursuant to the Department of the Interior Regulations (43 CFR 17) issued pursuant to that title, to the end that, in accordance with Title VI of the Act and the Regulations, no person in the United States shall, on the grounds of race, color, or national origin be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant-Recipient receives financial assistance from the Florida Department of State and hereby gives assurance that it will immediately take any measures to effectuate this agreement. The Applicant-Recipient also agrees to comply with Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975 and all requirements imposed by or pursuant to the Department of the Interior Regulations (43 CFR 17) issued pursuant to these titles, to the end that, no person in the United States shall, on the grounds of disability or age be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant-Recipient receives financial assistance from the National Park Service and hereby gives assurance that it will immediately take any measures to effectuate this agreement. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant-Recipient by the Florida Department of State, this assurance obligates the Applicant- Recipient, or in the case of any transfer of such property, any transferee for the period during which the real property or structure is used for a purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance obligates the Applicant-Recipient for the period during which it retains ownership or possession of the property. In all other cases, this assurance obligates the Applicant-Recipient for the period during which the Federal financial assistance is extended to it by the Florida Department of State. This assurance is given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property discounts or other Federal financial assistance extended after the date hereof to the Applicant- Recipient by the bureau or office, including installment payments after such date on account of arrangements for Federal financial assistance which were approved before such date. The Applicant-Recipient recognizes and agrees that such Federal financial assistance will be extended in reliance on the representations and agreements made in this assurance, and that the United States shall reserve the right to seek judicial enforcement of this assurance. This assurance is binding on the Applicant-Recipient, its successors, transferees, and assignees, and the person or persons whose signature appears below are authorized to sign this assurance on behalf of the Applicant-Recipient. _____________________________________________________________________________________________ Applicant-Recipient: Title of Project: Applicant-Recipient Mailing Address: Signature of Authorized Official _________________________________ Date: ___________________________ 17 of 18 Attachment C CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS DHR Historic Preservation Grants Applicant Organization: Project Title: This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 45 CFR 1183.35, Participants' responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Copies of the regulations may be obtained by contacting the person to which this proposal is submitted. (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE) (1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Name and Title of Authorized Representative Signature Date 18 of 18 INSTRUCTIONS FOR CERTIFICATION 1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the federal government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. 3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The terms “covered transaction,” “debarred,” “suspended,” “ineligible,” “lower tier covered transaction,” “participant,” “person,” “primary covered transaction,” “principal,” “proposal,” and “voluntarily excluded,” as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. 5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. 6. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled “Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion- Lower Tier Covered Transactions,” without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List (Telephone Number). 8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntary excluded from participation in this transaction, in addition to other remedies available to the federal government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.
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