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                           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.
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    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.
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                                                                                                      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.
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         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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