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Applicant: C-12-C-- <br /> Date: 20/5124:43 <br /> Grant Amount: S 4}9)%0.-.1312800 <br /> HB 05-1254: Evaluation checklist for Agencies <br /> For Agency Apmlicant: Yes No Comments: <br /> Is the applicant a public or private agency whose primary purpose is the ✓ <br /> promotion of water resource conservation? d: <br /> Did the applicant provide a charter and/or have they defined their j RI 2- <br /> operation principals? V <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 % Pc� to-t t <br /> outreach efforts of the project? v <br /> Description of Project: <br /> Did the agency identify specific goals of the project? ,/ P4.G", <br /> Did the agency identify: their target audience(s)to reach,possible policy X67 PA A,' S' T <br /> / To T-0-0-06 ,0_0a /P A-r,.- <br /> changes, and/or outcomes of educational efforts? (with respects to V/ �r A rY E P�,s> <br /> promoting the benefits of water resource conservation and water <br /> efficiency through education and outreach activities) <br /> Did the agency make a note of how the"goals" of their proposed project ✓ Pe <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 Pc( c,-8 <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 <br /> and end products with dates; also state the estimated dates when progress <br /> reports will be submitted to OWCDP staff(50% & 75%completion)? <br /> Did the applicant present a project budget overview,breaking down tasks <br /> by labor hours and costs also including all other direct costs such as <br /> travel per diem associated to the tasks? (Preferred in a schedule format) <br /> Did the applicant provide a list of people and/or organizations that will be APP - o‘x A - LISC OF PA -r-rac12,5 <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 mrAL_4470,9e0 <br /> IN-�1�O �22�L o <br /> sources to complete the"project"? In cash, in-kind services, or through <br /> payment of consulting fees or a combination thereof? L",1 °/o <br />