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ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM <br />GRANT APPLICATION <br />4. Projected Budget: <br />Direct Program Costs: <br />*Personnel Services $20,021.49 <br />Operating Expenses (prorated for project) $10,435.64 <br />Travel Expenses <br />Supplies/Materials (less than $5,000 per item) <br />Equipment ($5,000 or more per item) $10,000 <br />Professional/Consultant Services $9,054 <br />Indirect Cost (%)(Rate applied to Personnel Services only) $ 3,010.28 <br />TOTAL $52,521.41 <br />"`Salary is based on hourly rate and includes fringe benefits. <br />5. CERTIFICATION <br />I certify under penalty of perjury that the information I have entered on this application is true and complete to the best of my <br />knowledge and that I am an employee of the applicant authorized to submit the application of behalf of the application. I <br />further understand that any false, incomplete, or incorrect statements may result in the disqualification of this application. <br />By signing this application, I waive any and all rights to privacy and confidentiality of the proposal on behalf of the applicant, <br />to the extent provided in this program. <br />fl.-.1.. <br />Applicant Signature <br />vac <br />Michael Bakaldin, Director of Public Works <br />Printed Name /.Title of Applicant <br />6 APSA GRANT APPLICATION -March 2008 <br />