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					 New York State Office of Parks, Recreation and Historic Preservation
                              (OPRHP)

         STATE FISCAL YEAR 2010-2011
             GRANT PROGRAM
                   under the
    ENVIRONMENTAL PROTECTION ACT OF 1993



PARK DEVELOPMENT AND PLANNING PROGRAM


              APPLICATION and INSTRUCTIONS

              Application Deadline: July 12, 2010




                                                            Office of Parks, Recreation
   State of New York                                         and Historic Preservation
   David A. Paterson, Governor
                                                            Carol Ash, Commissioner




   An Equal
   Opportunity/Affirmative Action
   Agency            An Equal Opportunity/Affirmative Action Agency
CONTENTS
                                                                                       Page
       General Program Information                                                      3-9
           OPRHP Regional Grants Officers                                                  4
           Application Questions and Answers                                             5-7
           Summary of Regulation Changes                                                   8
           Grant Selection Criteria                                                        9

       Instructions                                                                  10-20
           Instructions for Application Forms                                         10-17
           Sample Part C                                                                 16
           Instructions for Additional Information                                    18-20

       Application Forms                                                             21-25

Application forms, resource materials and other useful documents can be found at
www.nysparks.com, under Grants. Application forms are also available from Regional Grants
Officers (RGOs—see list on page 4), and from the Albany Grants Bureau. For general questions
regarding this grant program, please call your RGO.

All potential applicants are encouraged to attend pre-application workshops, which will be held
at several locations around the State to explain the process and answer your questions. For the
workshop schedule, please check the OPRHP website www.nysparks.com under Grants or call
your RGO.
                           Application Deadline: July 12, 2010.

               This is the Park Development and Planning application.
New York State legislation enacted in 2008 made several important changes to the municipal
parks, historic preservation and heritage areas grant programs:
   Federal funds are now allowed as match for all projects.
   Grants may be provided for up to 75 percent of the project cost when the poverty rate is
    greater than or equal to 10 percent in the area in which the project is proposed.
   Project planning is eligible for stand-alone funding in all three program areas. This funding
    is intended for project-specific planning, such as designs and specifications for rehabilitation
    of an historic property or structural assessment of a dock for public fishing, not for
    comprehensive Open Space or Management Plans. Therefore, applications will use the same
    format and be rated by the same criteria as development projects, but will be ranked
    separately in three new grant categories (Park Planning, Historic Property Planning, Heritage
    Areas System Project Planning).




                                                -2-
              OPRHP Environmental Protection Fund (EPF) Grants
Available Applications

Funding is available under Title 9 of the Environmental Protection Act of 1993 for the
acquisition, planning, development, and improvement of parks, historic properties, and heritage
areas. Municipalities and not-for-profit organizations, with an ownership interest in the property
are eligible to apply.

The Office of Parks, Recreation and Historic Preservation (OPRHP) is soliciting grant
applications for the following grant programs:

      Park Development and Planning Program - for the development of parks and
       recreational facilities to preserve, rehabilitate or restore lands, waters or structures for
       park, recreation or conservation purposes and for structural assessments or planning for
       such projects. Some examples of eligible projects: playgrounds, courts, rinks,
       community gardens, and facilities for swimming, boating, picnicking, hunting, fishing,
       camping or other recreational activities.
      Acquisition Program - for the acquisition of a permanent easement or fee title to lands,
       waters or structures for park, recreation, conservation or historic preservation purposes
       and for projects identified in a local heritage area management plan. Some examples of
       eligible projects: acquisition of open space for conservation, recreation, or to protect the
       setting of a property listed on the State or National Register, long-term lease of land for a
       community garden, purchase of a façade easement.
      Historic Property Preservation and Planning Program - to improve, protect, preserve,
       rehabilitate or restore properties listed on the State or National Registers of Historic
       Places and for structural assessments or planning for such projects. Properties not
       currently listed but approved at the State Review Board meeting on September 14, 2010,
       are eligible to apply for funding. Questions about or proposals for listing on the State or
       National Register should be directed to the National Register Unit at (518) 237-8643.
      Heritage Areas System Development and Planning Program - for projects to preserve,
       rehabilitate or restore lands, waters or structures, identified in the approved management
       plans for Heritage Areas designated under section 33.01 of the Parks, Recreation and
       Historic Preservation Law and for structural assessments or planning for such projects.
       The designated Heritage Areas with approved Management Plans are listed below. For
       exact Heritage Area boundaries, contact the Heritage Area or call (518) 473-7787.
       * Albany            * Harbor Park (NYC) * Sackets Harbor                 * Seneca Falls
       * Buffalo           * Ossining                 * Schenectady             * Syracuse
       * Kingston          * Rochester                * Saratoga Springs        * Whitehall
       * Hudson-Mohawk (Cohoes, Colonie, Green Island, Troy, Waterford Town/Village, Watervliet)
       * Long Island North Shore Heritage Area (Nassau and Suffolk Cos. north of Rte. 25/I-495)
       * Mohawk Valley Heritage Corridor (Oneida, Herkimer, Montgomery, Fulton,
         Schenectady, Schoharie, Saratoga, and Albany Counties, excluding Adirondack Park)
       * Susquehanna (Binghamton, Endicott, and Johnson City)
       * Western Erie Canal Heritage Corridor (Erie, Niagara, Orleans, Monroe and Wayne Cos.)



                                               -3-
                               Regional Grants Officers (RGOs)
                                                       Albany Grants Bureau
For general questions regarding this grant             NYS Office of Parks, Recreation and
program, please call your Regional Grants                  Historic Preservation,
Officer (RGO).                                         Grants Management Bureau
                                                       Empire State Plaza, Agency One
                                                       Albany, NY 12238
                                                       (518) 474-0427
                                                       For applications within the Catskill and Adirondack Parks
Allegany Region                                        Central Region
Lynn LeFeber                                           Jean Egenhofer
Allegany State Park                                    Clark Reservation
ASP Rte 1, Salamanca, NY 14779                         Jamesville, NY 13078-9516
(716) 354-9101, FAX (716) 354-2255                     (315) 492-1756, FAX (315) 492-3277
COUNTIES: Allegany, Cattaraugus and Chautauqua         COUNTIES: Broome, Chenango, Cortland, Delaware,
                                                       Herkimer, Madison, Oneida, Onondaga, Oswego, and
                                                       Otsego
Finger Lakes Region                                    Genesee Region
Laurie Moore                                           Karen Ferguson
2221 Taughannock Park Road                             Letchworth State Park
Trumansburg, NY 14886                                  Castile, NY 14427-1124
(607) 387-7041, FAX (607) 387-3390                     (585) 493-3613, FAX (585) 493-5272
COUNTIES: Cayuga, Chemung, Ontario, Seneca,            COUNTIES: Genesee, Livingston Monroe, Orleans, and
Schuyler, Steuben, Tioga, Tompkins, Wayne and Yates    Wyoming
Long Island Region                                     Niagara Region
Traci Christian                                        Noelle Kardos
Belmont Lake State Park                                Niagara Reservation State Park
PO Box 247                                             PO Box 1132
Babylon, NY 11702                                      Niagara Falls, NY 14303-0132
(631) 321-3543, FAX (631) 321-3721                     (716) 278-1761, FAX (716) 278-1744
COUNTIES: Nassau and Suffolk                           COUNTIES: Erie and Niagara
New York City Region                                   Palisades and Taconic Regions
Merrill Hesch                                          Ron Rader and Erin O’Neil
NYS OPRHP                                              NYS OPRHP
Adam Clayton Powell, Jr. State Office Building         Taconic Regional Office
163 West 125th Street, 17th Floor                      9 Old Post Road
New York, NY 10027                                     Staatsburg, NY 12580
(212) 866-2599, FAX (212) 866-3186                     (845) 889-3865 or 3866, FAX (845) 889-8321
COUNTIES: Bronx, Kings, New York, Queens and           COUNTIES: Orange, Rockland, Sullivan, Ulster
Richmond                                                      Columbia, Dutchess, Putnam, Westchester
Saratoga/Capital District Region                       Thousand Islands Region
Cathy Jepson                                           Gayle Underhill-Plumb
Saratoga Spa State Park                                Keewaydin State Park
19 Roosevelt Drive                                     Alexandria Bay, NY 13607
Saratoga Springs, NY 12866-6214                        (315) 482-2593, FAX (315) 482-9413
(518) 584-2000, FAX (518) 584-5694
                                                       COUNTIES: Clinton, Franklin, Hamilton, Jefferson,
COUNTIES: Albany, Essex, Fulton, Greene,               Lewis, and St. Lawrence
Montgomery, Rensselaer, Saratoga, Schenectady,
Schoharie, Warren and Washington




                                                      -4-
                     APPLICATION QUESTIONS AND ANSWERS
WHO MAY APPLY?
Municipalities, State agencies, public benefit corporations, public authorities and not-for-profit
corporations with an ownership interest in the property may apply. Such an interest may be
outright ownership (fee simple) or a lesser interest, such as development rights, an easement, or a
long-term lease of duration equal to the period of OPRHP’s oversight of the project. All parties
with an ownership interest in the property, including lien holders, will be required to sign the
project agreement. All lien holders must subordinate their interests to those of the State. Not-
for-profit corporations are subject to New York State's Not-For-Profit Corporation Law. In order
to apply under this program, a not-for-profit corporation and must have a certificate of
incorporation from the Department of State or Board of Regents, a charities registration number
from the Office of the Attorney General, and proof of tax-exempt status under the IRS code.
Copies of these documents must be submitted with the application.
HOW ARE GRANTS SELECTED FOR AWARD?
Each application will be reviewed for eligibility and, if determined eligible, will be rated
according to the Grant Selection Criteria (see page 9). Within each region, applications are
ranked according to project category, competing only against others in their region and category.
WHAT ARE THIS YEAR’S FUNDING PRIORITIES?
Commissioner Ash has identified the following priorities for Parks Development funding:
      Projects that promote coordination and the pooling of capital and operating resources
       among multiple sponsors (including government agencies, not-for-profit organizations,
       for-profit entities, and/or private individuals) to deliver park, heritage and historic
       preservation benefits to the general public.
      Projects that enhance connectivity. Deserving projects will foster the development of
       connections (physical, functional, thematic, etc.) among protected lands, greenways,
       trails and rivers that invite people and wildlife to move across New York’s landscapes.
      Projects that promote sustainability by incorporating the principles of energy
       conservation, smart growth and natural and historic resource protection.
      Projects that will complete multi-phased or long-term projects.
      Projects that contribute to downtown revitalization.
HOW DO I DECIDE WHICH APPLICATION TO USE?
There are four application packages available, depending on the type of project proposed. It is
suggested that you consider the eligibility and rating criteria for all four programs before
deciding which application to use. To view all the applications and rating criteria, go to
www.nysparks.com under Grants.
WHEN IS THE APPLICATION DUE, AND WHERE?
Three full sets of the application (Parts A-E) must be postmarked by or received in the
appropriate regional office (alternatively, in the case of Catskill and Adirondack Park projects, in
the Albany Grants Bureau) no later than close of business on July 12, 2010. Incomplete or
illegible applications will not be considered for funding.



                                                -5-
WHAT IS MY FIRST STEP?
Online registration is required. Go to www.nysparks.com under Grants to complete the
registration process. Print your confirmation (Part A of the application) and attach to your
application. If there are changes between the time of registration and submitting the application,
please make handwritten corrections on the confirmation pages submitted with the application.
IS THERE A MAXIMUM GRANT OR A LIMIT ON THE NUMBER OF GRANTS?
There is no statutory limit on the number of grants one property or one applicant may receive.
This year, the Commissioner has established a cap of $400,000.
ARE THESE MATCHING GRANTS?
Yes. Assistance toward the cost of projects shall not exceed 50% of the approved project cost.
Applicants whose projects are located in zip codes with poverty rates of 10% or more can apply
for up to 75% of the cost of the project, per the new regulations. To view state poverty data, go
to www.nysparks.com, Grants, Forms & Resources. After the grant award is made, the funding
amount will not be adjusted upward.
WHAT TYPES OF APPLICANT SHARE ARE ELIGIBLE?
The applicant's share (also referred to as matching share or, simply, match) includes all funds
(including State and Federal funds), other than the grant amount, related to the project and fully
documented. The applicant's share may include cash and/or the value of force account labor, real
property, professional services, labor, equipment, supplies and materials.
WHEN MUST MY SHARE BE AVAILABLE?
Successful applicants are expected to raise their full share within one year of the grant award.
Professional services and materials purchased or donated (and warehoused, not installed) up to
three years prior to the application deadline may be applied toward the matching share, as may
acquisition costs retroactive up to one year prior to the application deadline.
ARE THERE AFFIRMATIVE ACTION REQUIREMENTS?
Yes. Our agency is committed to programs of Affirmative Action. Your RGO will assist you in
undertaking Affirmative Action initiatives as you plan your project. Article 15A of the
Executive Law pertains to Minority and Women-owned Business Enterprises (MWBE)/Equal
Employment Opportunity (EEO). Grant recipients will be required to solicit MWBEs before the
project and to document their efforts to involve MWBEs during the project.
ARE THERE ENVIRONMENTAL REVIEW REQUIREMENTS?
Yes. Before any action to award grants, the requirements of the State Environmental Quality
Review Act (SEQR) must be met. Specific requirements for SEQR, including the designation of
lead agency and classification of actions, can be found on page 19.
ARE THERE HISTORIC PRESERVATION REQUIREMENTS?
For projects that involve properties listed on or eligible for the State and/or National Register, all
work undertaken as part of a grant-assisted project must conform to the Secretary of the
Interior's Standards for the Treatment of Historic Properties.




                                                 -6-
WHEN ARE THE GRANT MONIES AVAILABLE?
These are reimbursement grants. Once the project agreement is formally approved and
conditions met, grant recipients must document project expenditures in order to receive
reimbursement (i.e., document 100% of costs to receive 50% reimbursement or 75%
reimbursement for selected high-poverty grants). Grant recipients must plan their financial
arrangements accordingly. An advance of up to 25% of the grant amount may be available.
WHEN CAN I START WORK?
Project costs will be eligible for reimbursement only if grant work meets State standards and the
expenditures are made in compliance with State requirements. Work completed prior to award is
not generally eligible for reimbursement or for match (retroactivity exceptions are noted above).
Successful applicants are advised NOT to begin work until a project agreement (including a
budget, scope of work and performance timeline) has been formalized between OPRHP and the
grant recipient and OPRHP has issued all necessary approvals. Conditions of award will include
environmental and historic preservation review, OPRHP approval of plans and specifications and
bidding documents, competitive bidding, solicitation of MWBEs, etc. Proceeding without
advance OPRHP approval could jeopardize grant reimbursement.
WHEN MUST WORK BE ACCOMPLISHED?
All projects must be completed within five years from date of award. OPRHP will monitor the
progress of project work and will recapture awarded funds if significant progress is not made.
DO THESE GRANTS COME WITH PROVISIONS FOR LONG TERM PROTECTION?
Yes. All successful applicants will be required to enter into formal project agreements. Other
legal documents that will ensure the long term protection of the property and restrict changes in
the use of the property may also be required. Any work involving an historic resource will
require that a preservation covenant be conveyed to OPRHP. Any not-for-profit corporation
undertaking a park development project will be required to convey a public access covenant to
OPRHP. Any not-for-profit acquiring land for recreation or conservation purposes must grant the
State a permanent conservation easement to the property.
WHAT OTHER REQUIREMENTS MUST BE MET?
All projects will need to comply with the Uniform Fire Prevention and Building Code, the
Americans with Disabilities Act, the State Labor Law, Workers' Compensation Law and State
Historic Preservation Law. Please contact your RGO for information on how these and other
applicable statutes may impact your project.
ARE THE REQUIREMENTS THE SAME AS PRIOR YEARS’?
Program regulations have been amended in accordance with statutory changes enacted in 2008.
See the summary below and regulations at www.nysparks.com, Grants, Forms & Resources.




                                              -7-
Summary of amendments to 9 NYCRR Parts 439-443 enacted by consensus rulemaking:

The new rule:
   Clarifies the authority and purpose of Title 9 of the Environmental Protection Act and clarifies that
    heritage area projects are also eligible for State assistance (Section 439.1);
   In accordance with the recent statutory changes, updates the definitions of ―heritage area project,‖
    ―historic preservation project‖ and‖ park project‖ to include costs of planning and structural
    assessment; clarifies the definition of ―municipality;‖ and updates the definition of the ―Secretary of
    the Interior’s Standards for the Treatment of Historic Properties‖ by reference to 36 CFR Part 68. It
    also amends the definition of ―cost‖ to include federal assistance in the approved project cost (Section
    439.2);
   Clarifies that a State agency project must be recommended by the State agency’s chief executive
    (Section 440.1);
   Requires the copy of the not-for-profit corporation’s certificate from either the Department of State or
    Board of Regents and the IRS determination letter be included in the grant application, and requires
    verification of not-for-profit status for the project agreement (Section 440.2);
   Clarifies that the State may not guarantee a project or public benefit agreement for a project on State
    land (Section 440.3);
   Increases the State assistance up to 75% of approved cost for a project in an area with a 10% or more
    poverty rate (Section 440.4);
   Allows the fair market value of real property for the project sponsor’s match to include only property
    acquired or converted within 1 year prior to the application deadline date (Section 440.5);
   Clarifies that an application may be obtained from OPRHP’s website at
    www.nysparks.state.ny.us/grants or from OPRHP’s Grants Management office in Albany or from
    OPRHP’s 11 regional offices (Section 440.7);
   Clarifies that an application for a park, historic preservation or heritage area project located in the
    Catskill and Adirondack Parks should be submitted to OPRHP’s Grants Management office in
    Albany. (Section 440.7);
   Clarifies that the project agreement will require a municipality’s contracting to comply with General
    Municipal Law Sections 103 (competitive bidding) and 104-b (procurement policies and procedures),
    and will require that a not-for-profit corporation’s procurement policies services ensure prudent and
    economical use of public money (Section 440.10);
   Clarifies that an ―urban cultural park‖ is now called a ―heritage area‖ (see, PRHPL §31.01[2] and
    ECL §54-0901[3]) (Sections 439.2[f], 440.11 and 443.1);
   Clarifies that eligible park, historic preservation and heritage area projects may include costs for
    planning and structural assessments and the value of acquisitions made within one year prior to the
    application deadline (Sections 441.1, 442.1 and 443.1);
   Clarifies that for park projects any required alienation legislation must be part of the application;
    clarifies the rating criteria for determining public benefit in a public-private partnership; and clarifies
    that the project agreement will also require commissioner approval and alienation legislation for any
    proposed subsequent lease, exchange or donation of the park property (Sections 441.2 and 441.4); and
   Repeals an outdated section pertaining to reporting requirements, a task force and public input that
    are not required by the controlling statute and repeals a SEQRA requirement that is redundant
    (Section 439.4).




                                                    -8-
   PARK DEVELOPMENT AND PLANNING GRANT SELECTION CRITERIA
The Park Development and Planning applications will be rated according to the following
criteria. A successful proposal is not expected to meet all of these criteria.
 Relative Financial Status (up to 15 points) – based on poverty by zip code (0-10) and
    population density by Minor Civil Division (0-5) of the area impacted by the project.
 Local Need and Commitment (up to 35 points) – includes demonstrated local participation
    in and commitment to the project (0-15), evidence of local need for the project (0-5),
    diversity of population served by the proposed project (0-5), and community impact (0-10).
 Statewide Need (up to 15 points)
     Statewide Index of Need (0-10): based on the ―Relative Index of Needs‖ table in the
         State Comprehensive Outdoor Recreation Plan (SCORP)
     Statewide Programs (0-5): for documented partnership/participation in other New York
         State programs, including how the project relates to statewide policies and program
         initiatives such as: the NYS Open Space Conservation Plan; a Heritage Area
         Management Plan; a Certified Local Government (CLG); as well as any other applicable
         Federal or State plans.
 Environmental Contribution (up to 15 points) – for demonstrated environmentally
    sensitive activities associated with the project. Assessment of the extent that the project will
    protect environmentally significant resources.
 Project Emphasis (up to 15 points) – for addressing the Commissioner’s priorities:
     Projects that promote coordination and the pooling of capital and operating resources
         among multiple sponsors (including government agencies, not-for-profit organizations,
         for-profit entities, and/or private individuals) to deliver park, heritage and historic
         preservation benefits to the general public.
     Projects that enhance connectivity. Deserving projects will foster the development of
         connections (physical, functional, thematic, etc.) among protected lands, greenways,
         trails and rivers that invite people and wildlife to move across New York’s landscapes.
     Projects that promote sustainability by incorporating the principles of energy
         conservation, smart growth and natural and historic resource protection.
     Projects that will complete multi-phased or long-term projects.
     Projects that contribute to downtown revitalization.
 Reasonableness of cost (up to 25 points) – for a complete, eligible, feasible, well-defined,
    comprehensive budget.
                                       MAXIMUM POINTS 120
Additional Considerations:
 Regional Assessment (10 points for each region) – Project meets regional needs, by
    comparison with other Park Development and Planning applications received within a region.
 Statewide Assessment (10 points) – Project addresses needs of the statewide Parks system,
    with special consideration to:
     the geographic distribution of other fundable projects in any given application cycle
     the extent to which the project will maximize the use and accessibility of a facility
     special engineering, environmental and historic preservation concerns or benefits
     the past performance, if any, of the project sponsor on previous projects, including its
         compliance with Equal Employment Opportunity and Minority and Women-Owned
         Business Enterprise programs
 Hudson River Valley Greenway Compact Community (5% bonus)



                                               -9-
                             APPLICATION INSTRUCTIONS
A complete application will include the following (THREE copies):

PART A. – GENERAL PROJECT INFORMATION (copy of online confirmation)
PART B. – PROJECT NARRATIVE (no more than 1500 words or 5 pages)
PART C. – PROJECT SCHEDULE: SCOPE, BUDGET AND TIMEFRAME
PART D. – APPLICANT SHARE AND SOURCES
PART E. – APPLICATION CHECKLIST
ATTACHMENTS AS DESCRIBED BELOW
FORMAT: Please submit THREE complete copies of the application packet. Each page of the
application should be labeled in the upper right corner with project name, location, application
part, and page number. Do not include bulky bindings, dividers, etc. Required attachments are
noted in italics. To the extent possible, all attachments should be no larger than 8½" x 11"
format, cross-referenced to the specific part in the application, and labeled using the following
convention: the first attachment referenced in Part A will be marked Attachment A1, the second
A2, etc. Citations in the application form should be annotated accordingly. [For example: ―The
Plan for City Parks (Attachment B4) suggests …‖]
PART A – GENERAL PROJECT INFORMATION (Complete Part A via online
registration at www.nysparks.com; submit copy of printed confirmation)
Applicant: Provide the full official name of the applicant organization. Not-for-profit
corporations must include their Federal Employer ID and New York State Charities Registration
numbers and attach a copy of the Department of State or Board of Regents certificate of
incorporation and a copy of the letter from the IRS confirming tax-exempt status.
Project: Description should be a brief phrase to indicate the type of work being done. Location
should indicate the facility, site or property where work will be performed. If the property is
listed on the State or National Register, use the official name under which it is registered. If the
property is also designated under a local preservation ordinance, complete Local Historic
Designation with the name under which it is designated and attach evidence of local designation.
Minor Civil Division should indicate the City, incorporated Village, or (if the location is not in a
city or incorporated village) Town of the location, as opposed to its postal address.
Total Project Cost/Grant Request: Provide the total project cost (including applicant/matching
share) and the grant amount being requested, as detailed in Part C.
Legislative Districts: List the NYS Senate, NYS Assembly, and Congressional District of the
project location.
Authorized Official: This is the person who should receive official notification about decisions
regarding this application.
Contact: This is the person who should be contacted during regular business hours for additional
information or questions about this application and project.
PART B. – PROJECT NARRATIVE
FORMAT: The Project Narrative may be up to 5 pages (1500 words), each page labeled in the
upper right hand corner with Project Name, Location, Part and Page number.
Use the boldface headings shown below to structure the narrative.


                                               - 10 -
Required attachments are noted in italics; additional attachments may be included, as appropriate
to illustrate the narrative. Attachments referenced in the narrative should be numbered in the
order cited and labeled accordingly. [Example: ―The Homeplace property was acquired by the
Home Historical Society in 1975 (see deed, attachment B-4), then leased to the Hometown
School District (see lease, B-5) for thirty years.‖]
PROJECT SUMMARY:
Provide a brief (no more than 150 words) summary of the project, including who you are, the
name and significance of the property, what work you are proposing, and the resulting public
benefit upon completion of the project.
PROJECT OVERVIEW
Describe the type of project and work proposed for grant funding. If the grant proposal is part of
a larger project, describe the complete project and identify the portion proposed for current grant
funding. If the grant proposal is for a planning project other than the preparation of contract
documents (plans and specifications), identify in detail the components of the final product.
Submit a draft table of contents or equal.
Identify the property ownership and any restrictions on the use or ownership of the property, site
or facility that is the subject of the grant proposal (e.g., zoning limitations, utility rights-of-way,
easements, covenants and grant obligations). Provide ownership documentation and
documentation of any liens or restrictions (e.g., Title Policy Schedule B). If all or part of the park
facility is being sold, leased, exchanged, donated, disposed of or used for other than public park
purposes, attach legislation authorizing the alienation.
Explain past, current and proposed uses of the property, site or facility, including how the project
will be operated and maintained in the future. If the proposed project involves a remediated
brownfield, describe how it will rehabilitate or restore the site for park, recreation or
conservation purposes. Provide a certificate of completion or letter from the NYS Department of
Environmental Conservation (DEC) that recognizes the successful removal of hazardous waste.
Identify any resources, such as dedicated maintenance funds or sources of income that will be
used to maintain the property.
Describe the overall existing condition of the project, sites or facilities. Describe to what extent,
if any, the project will impact historic and/or archeological resources. Submit photos and a
schematic site plan that show the facilities/areas of impact. Describe any project-specific studies
that have been conducted or proposals that have been prepared for this project/property. Provide
highlighted excerpts in support of the project narrative, clearly citing date and source, or a link
if posted online.
LOCAL NEED AND COMMITMENT
Describe local planning efforts specific to this project, and how any public and community
support for the project was accomplished through community participation and/or public
outreach. Document the community involvement in the concept of the project. Describe the role
and experience of municipal agencies, private organizations, consultants, volunteers, and others
involved in the project. If the project is included in a local plan or in your organization's
strategic plan, provide documentation. If the project is specifically identified in a formally
adopted plan, submit highlighted copies of the relevant pages of the plan, clearly identifying the
source, along with a copy of the resolution adopting or reaffirming the local plan within the last
five years. If the project is not specifically identified in a formally adopted plan, provide written


                                                - 11 -
documentation clearly identifying community involvement (an official resolution by the
governing body of the applicant, approving and/or endorsing the project and affirming public
and community support for it; public outreach plan; press releases/announcements; fundraising
campaign plans; evidence of public participation, public meetings, events). Provide copies of
official project endorsements, partnerships and letters of support.
Describe and provide evidence of the local need for the project. You may include information
such as the number of similar facilities within the service area; amenities; size and condition of
the facilities; accessibility and ADA compliance of existing facility; current use of the facility;
anticipated maintenance, operation, and level of use of proposed facility.
If applicable, describe how the project meets the needs for an aging population, encourages
participation by youth, or responds to changes in the composition of the population and social
condition of the community. If the project will provide new access and/or ensure open and
reasonable access to a property, describe how this will be accomplished (for example, opening
land locked areas for public use or building a new boat launch on a lake where the public did not
have prior access).
Explain the impact of the project in the community. Consider any significant economic stimulus,
community renewal, local revenue generation, visual appeal, or any other impact.
STATEWIDE PROGRAMS
Describe how the proposed project relates to statewide policies and program initiatives. Note,
for example: Is the project identified as a priority project within the NYS Open Space
Conservation Plan or does it contribute to the goals of that Plan? Is the project consistent with a
Heritage Area Management Plan? Is the project located in a Certified Local Government (CLG),
and how does it contribute to the CLG? Is the property designated under a local preservation
ordinance? For these and any other Federal or State plans that apply, cite the specific pages of
the documents where the proposed project is referenced. Provide highlighted copies of relevant
sections of planning/program documents, and, if applicable, documentation of the local
preservation designation (e.g., municipal list of designated properties, copy of the preservation
designation, etc.), and/or a written endorsement of the project from the local Heritage Area
Director or Advisory Commission.
Note any special or emergency situations or any State or Federal mandates affecting the need for
the project.
ENVIRONMENTAL CONTRIBUTION
Describe how the project will protect and/or minimize adverse impact to the site. Demonstrate
that adverse impacts on environmentally sensitive features have been minimized by measures
such as:
 Locating proposed facilities in already cleared areas to minimize additional clearing of trees
    and vegetation; promoting native planting and/or community greening efforts; implementing
    an established invasive species management plan;
 Locating proposed facilities where topography and soil conditions are suitable, minimizing
    grading, excavation, fill and drainage of a site. Explain in detail through narrative and
    photographs the proposed alteration to the existing landscape. Show evidence that conditions
    of the landscape have been researched and that thoughtful consideration has been given to
    choosing a building site and limiting ground work;



                                               - 12 -
   Retaining, enhancing or establishing vegetative buffers, or incorporating other site-sensitive
    techniques to minimize impacts on sensitive areas such as shellfish beds, beach/dune
    systems, forests, wetlands (tidal marsh, coastal marsh, shoals, bars, mudflats, tidal or fresh
    water interface, coastal aquifer or inter-coastal waterways, lakes, rivers and runoff areas,
    steep slopes, endangered or threatened species habitat and aquifer recharge areas) or is
    designed in such a manner as to have no impact on sensitive areas;
   Correcting or mitigating prior environmental degradation (for example: returns area to a
    functioning wetland, replaces native vegetation previously cleared, returns streams and flood
    plain to original functions, rebuilds prior animal habitat, etc.);
   Protecting significant habitat areas identified on the Department of Environmental
    Conservation (DEC), Department of State (DOS), or Natural Heritage Program inventories;
    protecting species listed as endangered or threatened species or species of special concern, or
    species that are rare, exploitable or vulnerable, as identified on lists from DEC or DOS.
Please provide documentation from appropriate State agencies, as well as photographs of the
site, to maximize your points in the environmental category.
PROJECT EMPHASIS
Describe the public benefit that will result from completion of the project. Show why the State
should participate in the cost of the project. Include how the project meets the Commissioner's
funding priorities for 2010.
REASONABLENESS OF COST
This category will be rated according to the following indicators, among others: Is there a logical
justification for all expenses? Does the budget narrative include an explanation for each budget
line and clearly support the applicant's need for additional financial resources to achieve project
outcomes? Does the budget include the required matching funds? Does the proposal describe
how the grant recipient will monitor expenditures during the life of the project to ensure that the
project stays on schedule and within budget?
Describe who, what, when and how the project will be accomplished, addressing all work items
and expenditures listed in Part C: Project Schedule. The budget, scope and timetable described
in this section of the narrative and Part C should provide an accurate, comprehensive, feasible,
and thorough assessment of the costs and schedule for the proposed project. The budget should
not contain extraneous or ineligible expenses (e.g., contingencies). Explain the basis, date,
and/or source for estimated costs and timetables. For Planning budgets involving just the
preparation of plans and specifications, provide at least two professional estimates for
construction costs or submitted construction bids to justify the proposed consultant costs. For
other planning projects (condition studies, etc) submit justification for consultant costs. The
timeline should indentify interim tasks and/or products that will be generated in addition to the
date/time necessary to complete the project.
Describe the administrative structures in place to administer the requested grant. Identify
individuals who will be responsible for specific tasks such as contract and grants administration,
fiscal accounting, project management; include relationship to the applicant, relevant experience
and background of all parties. List and describe projects of similar scale and/or scope currently
underway or previously completed. For acquisition proposals, list and describe other properties
successfully purchased and maintained.




                                               - 13 -
Describe current and/or previous planning efforts related to this specific project and describe
where you are in the planning process. Note whether a consultant has been chosen to prepare
construction documents, if pre-construction planning documents have been prepared and/or
already submitted, if designs meet the standards in SCORP and/or the Secretary of the Interior’s
Standards, and the status of any required permits. Please include the past or projected dates of
these project preparation activities. Provide highlighted excerpts in support of the project
narrative, clearly citing date and source, or a link if posted online.
Summarize consultant selection process and schedule, and note whether completed, underway or
proposed. If underway, provide draft or copy of Request for Proposals or other materials
proposed for soliciting services. If consultant selection has been completed, provide
individual/firm resume, scope of services and documentation of the procurement process.
Describe the source, type, amount and status of all matching funds, and summarize in Part D:
Applicant Share. (For definitions, see instructions to Part D.) Describe any restrictions, such as
endowments or grants that can only be used for specific purposes. Describe the overall
fundraising strategy for the project, including how much match is on hand at this time, how
much is committed, and how the balance will be obtained.
HUDSON RIVER VALLEY GREENWAY SYSTEM
If the proposed project is located in a Hudson River Valley Greenway Compact Community, so
note. To find out if yours is a Greenway Compact Community, consult the map posted at
www.hudsongreenway.state.ny.us or contact the Greenway at (518) 473-3835 or
hrvg@hudsongreenway.state.ny.us.

PART C: PROJECT SCHEDULE
Provide a detailed scope for the project broken down into general construction specification
categories. For each scope element, provide the completion timeframe (calculated in months
from the start of the project) and the estimated costs associated with that component. Include
only costs that are directly related to and necessary for the project as described in the narrative.
Extraneous expenses, such as ―contingencies‖ will not be accepted. Sources and/or basis for cost
and time estimates should be in the project narrative or in annotations to this project schedule. If
work will take place at more than one site, please provide separate budgets for each site.
Eligible categories and their components are:
PRE-DEVELOPMENT PLANNING AND DESIGN
Design Fees and other Professional Fees are allowed for the preparation of construction
documents and to satisfy other pre-construction requirements. Pre-development costs must be
incurred during the project term or in the three years prior to the application deadline.
Consultant contracts in excess of $25,000 must be awarded on a competitive basis. If you use a
consultant selected on a non-competitive basis, the cost of that contract will not be eligible for
grant reimbursement. In general, pre-development costs should not exceed fifteen percent of the
construction costs.
Archeology includes field work, report writing, curation of artifacts and interpretation. For
projects involving ground disturbance, if you cannot document prior ground disturbance in the
location where work will take place, it is very likely that an archeological survey will be required
prior to any work on the project. Your budget should take into account the need for an




                                               - 14 -
archeological survey. Contact your regional grants officer (RGO) to determine the need and
anticipated costs for archeology.
CONSTRUCTION
Include only work items related to this grant application.
ACQUISITION
Provide a breakdown for each parcel showing the type of interest acquired (fee simple, lease,
easement, etc.) and method of acquisition (purchase, donation or transfer from another use),
number of acres and estimated fair market value of the parcel(s) as determined by a qualified
appraiser. A written estimate of value (windshield appraisal/market valuation) for each parcel
must be included. Include the value of any land that will be acquired through donation to the
project or converted from other purposes. Acquisition costs must be incurred during the project
term or up to one year prior to the application deadline. If a grant is awarded, the value of each
parcel must be established by a full, self-contained appraisal, the standards for which can be
found at www.nysparks.com (under Grants, click on Forms & Resources). For any parcel
valued at $300,000 or more, two full, self-contained appraisal reports are required.
Also include cost of appraisals, surveys, title search, and legal fees under this category as
associated acquisition costs.
ADMINISTRATION
Construction Supervision costs are those associated with the coordination, supervision and
scheduling of work and may be provided by a qualified member of the applicant’s staff, the
design professional who prepared the construction documents, or a clerk of the works.
Grant Administration costs include expenses associated with administering the grant after it is
awarded, such as preparing the project agreement, affirmative action, MWBE, and payment
request documentation. The cost of preparing this application is NOT eligible. In general, these
costs should not exceed ten percent of the grant amount.
Procurement Costs include costs for assuring competitive pricing, such as costs for distributing
Requests for Proposals and for public advertising for bids, including the cost of advertising in
specialty publications, such as minority newspapers and appropriate construction publications.
Audit: Upon completion of the project, an independent audit performed by a Certified Public
Accountant is required for all projects. Prior to final reimbursement, the audit must be submitted
to and approved by OPRHP.
Project Sign: All grant-funded projects must have a project sign noting the funding assistance.
Signs are available for purchase through the State for approximately $120.
See PART C SAMPLE on the following page.




                                                - 15 -
SAMPLE PART C
                                                                   _Sample Park, Sample Town
                                                                              Project Name and Location

                                                                                Part C Page ____1_____
PART C
                                 PROJECT SCHEDULE
                              Scope, Budget and Timeframe

PRE-DEVELOPMENT
Component                                                     Completion*                   Cost
Design fees                                                   Month 0-9                 $ 90,000
Archeology                                                    Month 0-2                  $10,000
                                                              Subtotal:                $ 100,000

CONSTRUCTION
Excavation, site preparation and grading                      Month 12-14               $160,000
Site utilities                                                Month 14-16                $65,000
Pathways, sidewalks, paving, fencing                          Month 15-18               $120,000
Maintenance building and restroom                             Month 16-14               $375,000
Play equipment                                                Month 24-27               $420,000
Site furnishings                                              Month 24-27               $110,000
Landscaping                                                   Month 27-30               $120,000
                                                              Subtotal:              $1,370,000

ACQUISITION
(Include the value of any property that will be donated or transferred from another use)
Circle/highlight one: donated purchased converted from other purpose
10 acres, former town garage (value)                            February, 2010         $285,000

Associated Costs: appraisals, survey, legal fees                                         $15,000
                                                              Subtotal:                 $300,000
ADMINISTRATION
Grant Administration                                          Month 1-30                 $30,000
Site Supervision                                              Month 1-30                 $90,000
CPA Audit Report                                              Month 30                    $5,000
Project Sign                                                  Month 1                       $120
                                                              Subtotal:                 $125,120


                                                              Total Project Cost: $1,895,120


                                                              Grant Request:            $400,000
*calculated in months from start of project


                                              - 16 -
PART D: APPLICANT SHARE
Applicant share may derive from a variety of sources, including State and Federal grants,
municipal support, applicant operating budgets, and private sector donations, among others.

For FUNDS COMMITTED OR IN-HAND, identify each funding source by amount, name, type, date
available (if on hand, so state; if pledged, give date receivable), and any restrictions on use (such
as, endowment for specific building).

For FUNDS REQUESTED FROM OTHER SOURCES (but not yet committed), identify each funding
source by amount, name, type, date available, status of request, and dates funds are expected, and
any restrictions on use (such as, a grant for design services only).

Principal types of applicant share are:

   Cash: includes grants other than this grant request.
   Force Account (Payroll of applicant): Itemize according to job title or job assignment (on
    project). At the time of the reimbursement request, grant recipients will be required to
    document time worked, tasks, pay ratio and payment (including components and percentage
    of fringe benefit rate).
   Professional Services: the value of services provided by professional and technical
    personnel and consultants. Three-year retroactivity applies.
   Supplies and Materials: the value of items warehoused (not yet installed) with current
    market prices at the time they are obtained. Three-year retroactivity applies.
   Volunteer Labor: Skilled and professional labor can be computed at the job rate. Unskilled
    labor and work performed by professionals or skilled laborers in an area outside of their area
    of expertise must be computed at the minimum wage. (For example, a lawyer donating legal
    services may compute the value based on the standard billing rate, but the same lawyer
    donating time painting walls may calculate the value only at the minimum wage).
   Equipment Usage: Compute the value according to its fair market rental value in project
    location.
   Real Property: The value of all property acquired, donated or converted from other
    purposes should be included in the project schedule. One year retroactivity applies to all
    three categories:
       Owned by the applicant and converted from other purposes. Value of such property
        may be included under the EPF budget, provided it has not been previously designated as
        parkland or otherwise used for purposes related to this project.
       Donated - must be after July 12, 2009
       Acquired - must be after July 12, 2009




                                                - 17 -
INSTRUCTIONS FOR ADDITIONAL REQUIRED INFORMATION
Each of the THREE copies of the application must include the following attachments:
OWNERSHIP DOCUMENTATION
Provide a clear and legible copy of the recorded deed to the property, showing Liber and Page
number or electronic filing number of recording. In addition, if the applicant has less than fee
simple ownership in the property, a clear and legible copy of the documentation showing such
interest in the property (i.e., lease, management agreement, etc.) must be provided. If there are
any restrictions on the use or ownership of the property, provide documentation of any liens or
restrictions (e.g., Title Policy Schedule B).
MAP
Submit a 1:24,000 scale USGS or DOT planimetric map with the subject property circled. An
8½‖ x 11‖ section, copy, or printout is acceptable, so long as it shows at least 1:24,000 scale and
is clearly marked as to scale and source, including Quad Name and/or Code. Go to the NYS GIS
Clearinghouse www.nysgis.state.ny.us/gisdata/quads/ for downloadable, printable maps.
PHOTOS
Provide images (photographs or digital print-outs; photocopies are not acceptable substitutes)
showing the overall project area and documenting existing conditions. Include photos of any
structures more than 50 years old within, or immediately adjacent to, the project area. Provide
views to these features from the project site, as well as views of the project site from them. Key
all images to a schematic site plan (see below).
SCHEMATIC SITE PLAN
Provide a plan and/or elevations that depict the project site and its immediate surroundings and
identifies both existing conditions and proposed project elements as described in the project
narrative.
PROJECT-SPECIFIC PLANNING DOCUMENTS
Provide highlighted excerpts in support of the project narrative, clearly citing date and source, or
a link if posted online.
LOCAL, STATE AND FEDERAL PLANNING DOCUMENTS
Provide highlighted excerpts in support of the project narrative AND either a copy of the
resolution adopting or reaffirming the local plan within the last five years OR if the project is not
specifically identified in a formally adopted plan, provide written documentation clearly
identifying community involvement (e.g., an official resolution by the governing body of the
applicant, approving and/or endorsing the project and affirming public and community support
for it, evidence of public participation, public outreach plan, press releases/announcements,
public meetings, events, fundraising campaign plans). Provide copies of official project
endorsements, partnerships and letters of support.




                                               - 18 -
STATE ENVIRONMENTAL QUALITY REVIEW ACT COMPLIANCE (SEQR)
NOT-FOR-PROFIT CORPORATIONS: Complete the Environmental Review Form available
at www.nysparks.com, Grants, Forms & Resources. Also include with your application clear
drawings, maps, or plans of existing and proposed natural and man-made conditions on the site
and the areas immediately adjacent to the site.
MUNICIPALITIES: The municipality will be SEQR lead agency if OPRHP is the only other
involved agency, or will be responsible for initiating lead agency designation procedures if there
are other involved agencies (e.g., the Department of Environmental Conservation (DEC) via a
required permit). The lead agency is required to classify projects under SEQR as follows:
If your project is Type II, it is not subject to SEQR. If this is the case, provide a statement as to
the classification of your project and the reason. If any permits are required, list them in your
statement.
If your project is subject to SEQR, consult SEQR regulations to determine if it is classified
Unlisted or Type I. If it is Unlisted, submit a completed short Environmental Assessment Form
(EAF) (Parts I-III). If the project is classified Type I, submit a completed long EAF and either a
negative declaration or a Final Environmental Impact Statement (FEIS) and SEQR Findings.
If the project's impacts have been previously reviewed under SEQR, supporting documentation
must be submitted (e.g., FEIS and SEQR Findings Statement).
PERMITS
Depending on the project scope, some grant projects will require permits from agencies such as
the NYS Department of Environmental Conservation (DEC) or the US Army Corps of Engineers
(COE). To determine if any permits are needed, especially if your project is located in or
adjacent to a water body (e.g., stream, river, lake, wetland, canal), consult the Governor's Office
of Regulatory Reform (GORR) Permit Assistance Hotline (1-800-342-3464) or www.nys-
permits.org or contact the permitting agencies directly.
AUTHORIZING RESOLUTION
A resolution in the appropriate form provided below must be passed at an official meeting of the
governing body of the applicant and a copy attached to this application. The resolution must be
typed on the applicant's stationery and should hold the official seal. The name of the applicant
must be stated as it is recorded in the incorporation documents. Use the appropriate phrase in
brackets, depending on whether the applicant is a not-for-profit corporation or municipality.
                              ACCEPTABLE SAMPLE TRANSMITTAL
       I, (name), [the duly elected and qualified secretary OR the duly qualified and acting
       Clerk] of the [(Organization Name) of (place), New York, corporation subject to the Not-
       for-Profit Corporation Law of New York State and qualified for tax exempt status under
       the federal internal revenue code OR (Municipality), New York], do hereby certify that
       the following resolution was adopted at a [regular OR special] meeting of the (governing
       body) held on (date) , and is [incorporated in the original minutes of said meeting OR on
       file and of record], and that said resolution has not been altered, amended or revoked and
       is in full force and effect.


                                                - 19 -
                    ACCEPTABLE SAMPLE AUTHORIZING RESOLUTION
       RESOLVED:
       That (name), as (title) of [(organization name) OR (municipality)], is hereby authorized
       and directed to file an application for funds from the New York State Office of Parks,
       Recreation and Historic Preservation in accordance with the provisions of Title 9 of the
       Environmental Protection Act of 1993, in an amount not to exceed $(grant request), and
       upon approval of said request to enter into and execute a project agreement with the State
       for such financial assistance to this [(organization name) OR (municipality)] for (grant
       project description) and, if appropriate, a conservation easement/preservation covenant to
       the deed of the assisted property.
       [(Signature of Secretary)         OR            (Signature of Clerk)]
       [Seal of Organization             OR            Seal of Municipality]

MUNICIPAL ENDORSEMENT
Not-for-profits must attach the endorsement of the municipality in which the project is located.
                    ACCEPTABLE SAMPLE MUNICIPAL ENDORSEMENT
                      *** FOR NOT-FOR-PROFIT APPLICANTS ONLY ***
       Resolution No.
       WHEREAS, the (not-for-profit organization name) is applying to the New York State
       Office of Parks, Recreation and Historic Preservation (OPRHP) for a grant under the
       Environmental Protection Fund for a park project to be located (location), a site located
       within the territorial jurisdiction of this (Board, Council or Legislature); and
       WHEREAS, as a requirement under the rules of these programs, said not-for-profit
       corporation must obtain the "approval/endorsement of the governing body of the
       municipality in which the project will be located";
       NOW, THEREFORE, be it resolved by this august body that the (Board, Council or
       Legislature) of (municipality) hereby does approve and endorse the application of
       (organization) for a grant under the Environmental Protection Fund for a park project
       known as (project title) and located within this community.
       If the project is taking place on municipally-owned land, the following must be added:
       And further, it is resolved that, should (organization) be unable to do so, said property
       shall be forever maintained by (municipality) as a municipal park in this community
       consistent with the rules promulgated by OPRHP.
       DATE OF ADOPTION                                            CERTIFICATION OF CLERK

CANAL CORPORATION APPROVAL
Any project that is approved for funding and is located on land under the jurisdiction of the
Canal Corporation must receive all necessary approvals of the Canal Corporation prior to the
final execution of a project agreement.



                                              - 20 -
                                                             ____________________________
                                                                    Application # (AGENCY USE ONLY)


PART A
NOTE: Provide the following information via online registration at www.nysparks.com,
Grants. Print out completed registration form and include with the application. If changes
or corrections are required, please make handwritten corrections on the confirmation
pages submitted with the application.
                            SFY 2010-2011
                EPF MUNICIPAL PARK GRANT PROGRAM
                              OPRHP
            PARK PLANNING AND DEVELOPMENT APPLICATION
APPLICANT
Name:                                              Federal ID #
Mailing Address:                                   Charities Registration #


State:               Zip Code:
PROJECT
Description:
Location:                                          County:
Local Historic Designation:                        Legislative Districts:
Site Address:                                      NYS Assembly
Zip Code:                                          NYS Senate
Minor Civil Division:                              U.S. Congress:
Total project cost: $                              Grant request: $
AUTHORIZED OFFICIAL                                CONTACT
Name:                                              Name:
Title:                                             Title:
Business Address:                                  Firm:
                                                   Address:
State:              Zip Code:                      State:         Zip Code:
Telephone #:                                       Telephone #
FAX #:                                             FAX #:
E-Mail Address:                                    E-mail:



                                          - 21 -
                                                               ____________________________
                                                                                Project Name and Location

                                                                                   Part B Page _________
PART B
                                 PROJECT NARRATIVE
Include at least the following headings. Add pages as needed (5 page limit for the narrative.)

PROJECT SUMMARY (150 word limit):
PROJECT OVERVIEW
LOCAL NEED AND COMMITMENT
STATEWIDE PROGRAMS
ENVIRONMENTAL CONTRIBUTION
PROJECT EMPHASIS
REASONABLENESS OF COST
HUDSON RIVER VALLEY GREENWAY




                                              - 22 -
                                                                      ____________________________
                                                                                         Project Name and Location

                                                                                            Part C Page _________
PART C
                                    PROJECT SCHEDULE
                                 Scope, Budget and Timeframe
Component                                                              Completion*              Cost

PRE-DEVELOPMENT
Consultants
Design Fees
Archeology

                                                                       Subtotal:
CONSTRUCTION
Outdoor


Indoor


Ancillary

                                                                       Subtotal:
ACQUISITION (Include the value of any property that will be donated or transferred from another use)
Description (by parcel) Number of Acres                                 *Completion             Cost
Circle/Highlight one: donated purchased converted from other purpose


Associated Acquisition Costs

                                                                       Subtotal:
ADMINISTRATION

Construction Supervision
Grant Administration
Procurement Costs
CPA Audit Report
Project Sign
                                                                       Subtotal:
                                                                       Total Project Cost:
                                                                       Grant Request:
*calculated in months from start of project



                                                   - 23 -
                                                               ____________________________
                                                                                 Project Name and Location

                                                                                    Part D Page _________
PART D
                        APPLICANT SHARE AND SOURCES
Identify all funding for this project. For each funding source (refer to page 17), include
information on type (i.e., cash on hand, other grants awarded, force account, donations, real
property, etc.) the amount, name, and date available or requested. Include all funds or support
in-hand, committed or anticipated for this project. Restrictions that apply to any funds used as
match must be documented at this time. Repeat format below as necessary to describe ALL
funding sources.

FUNDS COMMITTED

Dollar Amount:
Name of Funder:
Type of Funds (circle/highlight one): cash, grant, force account, donations, real property, other
      If a Donation (circle/highlight one): supplies/materials, volunteer labor, real property
Date Available:
Restriction:




FUNDS REQUESTED

Dollar Amount:
Name of Funder:
Type of Funds (circle/highlight one): cash, grant, force account, donations, real property, other
      If a Donation (circle/highlight one): supplies/materials, volunteer labor, real property
Date Available:
Restriction:




                                               - 24 -
                                                                     ____________________________
                                                                                       Project Name and Location

                                                                                          Part E Page _________
PART E
                                   APPLICATION CHECKLIST
A complete application includes THREE full sets of Parts A-E and required attachments.
        Parts A-E of the application, including this checklist
        Ownership Documentation (pages 11, 18)
        Documentation of liens and restrictions, such as Title Policy, Schedule B (pages 11, 18)
        Legislative authorization of alienation (page 11)
        Evidence of local historic preservation or landmark designation, written endorsement of the
        project from the local Heritage Area Director or Advisory Commission (pages 10, 12)
        Photos showing the project area (pages 11, 13, 18)
        1:24,000 scale topographic or planimetric map with the subject property circled (page 18)
        Schematic Site Plan (pages 11, 18)
        Highlighted excerpts from project-specific planning documents (pages 11, 12, 14, 18)
        Highlighted excerpts from federal, statewide, regional or local planning documents (pages 12, 18)
        Written documentation clearly identifying community involvement, including resolution that local
        plan was adopted or reaffirmed within 5 years, if in a formally adopted plan (pages 11-12, 19)
        Documentation from State agencies regarding remediated brownfields, protected species, habitats,
        etc. (pages 11, 13)
        Documentation of pre-construction planning, procurement of services, consultant qualifications,
        etc. (pages 13-14)
        Ground disturbance documentation (page 15)
        Written estimate of fair market value (market valuation), for any property that will be acquired or
        used as match (page 15)
        SEQR compliance documentation (page 19)
        Permits (pages 14, 19)
        Signed Authorizing Resolution (pages 19-20)
        Canal Corporation approval (page 20)
        All official project endorsements, partnerships and letters of support (pages 12, 18)
  Only not-for-profit Applicants must submit the following attachments
        Certificate of incorporation from Department of State or Board of Regents (page 10)
        IRS Determination letter listing Federal ID number (page 10)
        Signed Municipal Endorsement (page 20)
  For stand alone planning projects, submit the following additional attachments:
        Documentation of components of final product (page 11)
        Justification of budget estimate (page 13)
   To the extent possible, all attachments should be no larger than 8 1/2" x 11" format, labeled with
        property name and location and cross-referenced to the specific part in the application.
Did you attend an OPRHP sponsored Workshop?                          No               Yes
If yes, date                          location                        attendee(s)
Applications must be postmarked or received in the appropriate regional office no later than close
                                  of business July 12, 2010.
                Incomplete or illegible applications will NOT be considered for funding..


                                                  - 25 -

				
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Description: Ontario Printable Lease Agreement document sample