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Name of Applicant: Copper Mountain Consolidated Metropolitan District <br /> Date Received:January 8, 2019 <br /> Grant Amount: $32,000 <br /> HB 05-1254: Evaluation Checklist for Entities <br /> For Applicants: Yes No Comments: <br /> Is the applicant a covered entity? x <br /> Does the applicant have a state approved water conservation plan in accordance with x June 2018 <br /> statutory revision 37-60-126?(HB 04-1365)? <br /> Did the applicant provide a written statement from the entity's governing board, <br /> stating the entity's commitment to the project and the entity's commitment to x <br /> implementing long-term water saving measures and programs(w/authorized <br /> signature)? <br /> Did the applicant provide a cover letter with the entity's:name,contact information, <br /> and a signature of an individual with the authority to commit the resources of the x <br /> entity? <br /> Did the applicant provide a list of people and/or organizations that will be involved in Pg 3 <br /> assisting with the grant project(list of who will be utilizing the grant money)? x <br /> Characterizing Water System: <br /> Did the entity provide their annual retail water demand (Metered Water Use)for the x Pg 4 <br /> past five years(in acre ft.or million gallons)? <br /> Did the entity identify their retail water delivery(Distributed Water)for each of the x Pg 4 <br /> past five years(in acre feet or million gallons)? <br /> (Not required, but preferred), Did the applicant provide information characterizing <br /> past water use by sector,(e.g. residential,commercial,and industrial)and the source x <br /> (e.g.surface water,groundwater,etc). <br /> Did the entity provide current(and if available past)per capita water use for the last x Pg 7 <br /> five years and the basis for this calculation? <br /> Did the entity provide their past,current, and predicted future population served by x Pg 8 <br /> the entity, (and the source of this information)? <br /> Did the entity state the water savings that was accomplished in the past five years x <br /> through water conservation efforts? <br /> Did the entity state water savings goals to be achieved through the implementation of x <br /> the"project"? <br /> Adequacy, Stability,and reliability of the entity's water system x Pg 10 <br /> *to be measured and examined by staff through analysis <br /> Description of Project: <br /> Did the applicant write a paragraph stating the purpose and the primary features of x <br /> the project? <br /> Did the applicant provide a detailed Scope of Work(tasks to be performed with grant x <br /> monies stating how grant money will be used to achieve project goals)? <br /> Did the applicant provide a "project"timeline,stating milestones with dates and end <br /> products with dates;also state the estimated dates when progress reports will be x <br /> submitted to CWCB staff(50%&75%completion)? <br /> Did the applicant present a project budget overview,breaking down tasks by labor <br /> hours and costs also including all other direct costs such as travel per diem associated x <br /> to the tasks?(Preferred in a schedule format) <br /> Does the applicant demonstrate 25%matching funds?Listing all funding sources to <br /> complete the"project"? In cash, in-kind services, or through payment of consulting x <br /> fees or a combination thereof? <br />