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Applicant: Per-4014-C - C .400 <br /> Date: 5124 <br /> Grant Amount: 434)92s- <br /> HB 05-1254: Evaluation checklist for Agencies <br /> For Agency Applicant: Yes No Comments: <br /> Is the applicant a public or private agency whose primary purpose is the / Pg 3 <br /> promotion of water resource conservation? v <br /> Did the applicant provide a charter and/or have they defined their <br /> Affe+-iotx <br /> operation principals? ✓ <br /> Did the applicant provide a written statement from the agency's <br /> governing board, stating the agency's commitment to the project and the <br /> implementation of long-term water savings measures and programs <br /> (w/authorized signature)? <br /> Did the applicant provide a cover letter with the agency's: name, contact <br /> information, and a signature of an individual with the authority to commit <br /> the resources of the agency? <br /> Did the agency state/identify who will be included in the education and A, <br /> outreach efforts of the project? <br /> Description of Project: <br /> Did the agency identify specific goals of the project? PG. "7 <br /> Did the agency identify: their target audience(s)to reach,possible policy "Pa.v r <br /> changes, and/or outcomes of educational efforts? (with respects to ✓ wAy2 <br /> promoting the benefits of water resource conservation and water "'"`�'` 5' <br /> efficiency through education and outreach activities) <br /> Did the agency make a note of how the"goals" of their proposed project ✓ 0 4) <br /> tie to the mission and objectives of the CWCB and its programs? <br /> Did the agency provide a detailed narrative (description) of specific tasks c PI y-`o)< <br /> to be performed with grant monies (stating how grant money will be used <br /> to achieve project goals) Including ALL meetings, workshops, fairs, <br /> printings, mailings, etc.? *(a"scope of work" can combine this item with <br /> the timeline described below) <br /> Did the agency provide a"project"timeline, stating milestones with dates co''/,, _ Mk. 3+ <br /> and end products with dates; also state the estimated dates when progress <br /> reports will be submitted to OWCDP staff(50% &15% completion)? ✓ �'"'�� _ '��� <br /> Did the applicant present a project budget overview, breaking down tasks ►JEe s T°'' 1 .oJ6,c-r C T <br /> by labor hours and costs also including all other direct costs such as ✓ �°`'"""' A0 - hti,, on <br /> travel per diem associated to the tasks? (Preferred in a schedule format) �v` � 2 <br /> 7�1��12- Coy--�Puer10 <br /> Did the applicant provide a list of people and/or organizations that will be PPS ri D+x A <br /> involved in assisting with the grant project(list of who will be utilizing <br /> the grant money)? <br /> Does the applicant demonstrate 25%matching funds? Listing all funding r�rA►- �� ` 2�� <br /> sources to complete the "project"? In cash, in-kind services, or through ✓ I� k+ O M° `" � <br /> � <br /> payment of consulting fees or a combination thereof? Q/„, °� � �� <br />