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<br />Water Supply Reserve Account - Grant Application Form <br />Form Revised May 2007 <br /> <br />Attachment 1 <br />Sample Budget Table: Please note that this budget table is an example and will need to be adapted to fit each individual <br />application. In the tables below please list the personnel by specialty/ expertise i.e. project manager, project engineer, etc. <br />Also, tasks should correspond to the scope of work of your project and the number of tasks listed will vary accordingly. <br /> <br />See also attached spreadsheet for detailed information. <br /> <br />Total Costs <br /> <br /> Total Project <br />Description Labor Subcontracts Di rect Costs Cos ts <br />Task 1 Reservoir Operations and Modeling $ 84,000 $ 25,000 $ 3,000 $ 112,000 <br />Task 2 Review of Preliminary Engineering $ 15,500 $ 5,500 $ 3,000 $ 24,000 <br />Task 3 Julesberg Irrigation District $ 13,000 $ 25,000 $ 2,000 $ 40,000 <br />Task 4 Final Design $ 204,000 $ 218,000 $ 5,000 $ 427,000 <br />Task 5 State Dam Safety Permit $ 84,000 $ 14,000 $ 98,000 <br />Task 6 Bid Documents and Contract Agreements $ 13,000 $ 25,000 $ 5,000 $ 43,000 <br />Task 7 Construction Project Management $ 669,000 $ 970,000 $ 117,000 $ 1,756,000 <br />Total Project Fee $ 1,082,500 $ 1,268,500 $ 149,000 $ 2,500,000 <br /> <br />Names and addresses oftechnical or legal consultants retained to represent the applicant or to conduct investigations for the <br />water activity/project. <br /> <br />Name <br /> <br />AddresslPhone Number <br /> <br />Applegate Group, Inc. 1499 West 1 20th A venue, Suite 200 <br />Mike Applegate, PE Westminster, CO 80234 <br />Dick Stenzel, PE <br />Jennifer Lee, Project Engineer (303) 452-6611 <br />Craig Ullmann, PE Senior Project <br />Engineer <br />Michael Peel, Project Engineer <br />Matt Young, Project Engineer <br />Richard Raines, Senior Water Resources <br />Specialist <br />Jared Dains, Water Resources Engineer <br />Trout, Raley, Montano, Witwer and 1120 Lincoln Street, Suite 1600 <br />Freeman Denver, CO 80203 <br />Bennett Raley, Esq. (303) 861-1963 <br />Lower South Platte Water Conservancy 100 Broadway Plaza, Suite 12 <br />District Sterling, CO 80751-2757 <br />Joe Frank, PE <br /> <br />19 <br />