California Code of Regulations
Title 14 - Natural Resources
Division 8 - Environmental Affairs Agency
Chapter 1 - Final Application Procedures: Local Government Coastal Management Improvement Program
Exhibit 1 - Local Government Coastal Management Improvement Program (Section 19004)
Secretary of Environmental Affairs Fiscal Application For Grant Funds From The Local Government Coastal Management Improvement Program Preapplication
| 1. | Applicant/Payee: | Name ___________________________ |
| Street Address ___________________________ | ||
| City/ZIP ___________________________ | ||
| 2. | ___________________________Contact Person: Name _________________________________________________________________ Phone Number | |
| 3. | Proposed Grant Period from______________________________ to______________________________ | |
| 4. | Proposed Budget: | ||
| Expenditures: | |||
| Line Item | Dollars | ||
| A. | Salaries and Wages | $___________________________ | |
| B. | Operating Expenses | $___________________________ | |
| C. | Consulting Services | $___________________________ | |
| D. | Construction Expenses | $___________________________ | |
| E. | Fixed Assets | $___________________________ | |
| Total, Proposed Expenditures | $___________________________ | ||
| Funding: | |||
| A. | Matching Funds: | $___________________________ | |
| B. | Grant Funds | $___________________________ | |
| Total, Proposed Funding | $___________________________ | ||
| 5. | Funding Method (check one) _______ Advance _______ Reimbursement | ||
| 6. | Certification: | ||
| I certify to the best of my knowledge and belief, under penalty of perjury, that data in this application are true and correct. | |||
| ___________________________Grantee Signature: | ___________________________Date: | ||
| ___________________________Name and Title: | |||
| 7. | Grant Manager Approval: | ||
| ___________________________Signature: | ___________________________Date: | ||
| 8. | Secretary of Environmental Affairs Approval: | ||
| ___________________________Signature: | ___________________________Date: | ||
| 9. | Chief, Air Resources Board Fiscal Branch Approval: | ||
| ___________________________Signature: | ___________________________Date: | ||
1 Applicant/Payee: Indicate organization the warrant should be made out to and include the appropriate address.
2 Contact Person: Individual who can respond to questions regarding information contained in this application.
3 Proposed Grant Period: The proposed calendar period for this grant.
4 Proposed Budget: Expenditures:
4A Salaries and Wages: Costs include salaries, retirement, workers compensation, employee benefits, group insurance, overtime, etc.
4B Operating Expenses: Identify the total costs for communications, insurance, laboratory supplies, maintenance of equipment, structures, and grounds, memberships, office expenses, publications and legal notices, rents and leases, tools, travel, utilities, and any other expenses necessary for routine office operations.
4C Consulting Services: Identify the total costs for contracted outside services.
4D Construction Expenses: Identify the total costs related to construction activities.
4E Fixed Assets: Expenditures for assets exceeding $500 in value that have a useful life of more than one year. Total, Proposed Expenditures: Total the amounts for Expenditures A-E.
4 Proposed Budget: Funding:
4A Matching Funds: Identify the amount of matching funds the grantee is going to contribute. This amount must be at least 20% of the proposed expenditures pursuant to Section 35042 of the Public Resources Code.
4B Grant Funds: Identify the requested level of grant funds. This amount must be less than or equal to 80% of the proposed expenditures pursuant to Section 35042 of the Public Resources Code. Total, Proposed Funding: Total of the amounts for Funding A-B. This total will match or exceed the total proposed expenditures.
5 Funding Method: Identify which method of payment the grantee desires. See Item 6 of the procedures for definition of methods.
6 Certification: Sign signature line and date it. Type in the name and title.
7 Grant Manager Approval: Self explanatory.
8 Secretary of Environmental Affairs Approval: Self explanatory.
9 Chief, Air Resources Board Fiscal Branch Approval: The Air Resources Board provides fiscal support to the Secretary of Environmental Affairs.
1. New Exhibit 1 filed 7-22-86 as an emergency; effective upon filing (Register 86, No. 31). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-19-86.
2. Repealed by operation of Government Code Section 11346.1(g) (Register 87, No. 2).
3. New exhibit filed 1-8-87; effective upon filing pursuant to Government Code Section 11346.2(d) (Register 87, No. 2).
