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8G Consent 2021 1206
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8G Consent 2021 1206
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12/2/2021 8:23:43 PM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Agenda
Document Date (6)
12/6/2021
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<br />13 <br /> <br />Project Scope/Cost Estimate Form <br />GRANTEE: PROJECT Name <br /> <br />Project scope (Describe the project in 30 words or less): <br />Project Scope Items - all that apply: <br />Install <br />new <br />Renovate <br />existing <br />Replace <br />existing Recreation Element <br /> Pool, aquatic center, splash pad <br /> Trails or walking paths <br /> Landscaping or irrigation <br /> Group picnic, outdoor classrooms, other gathering spaces <br /> Play equipment, outdoor fitness equipment <br /> Sports fields, sports courts, court lighting <br /> Community center, gym, other indoor facilities <br /> Restroom, concession stand <br /> Other: <br /> Other: <br /> Minor elements which support one or more of the recreation <br />elements checked above: benches, lighting, parking, signage, etc. <br />Total estimated cost for construction: $ <br />PRE-CONSTRUCTION (costs incurred prior to ground-breaking, such as design, <br />permits, bid packages, CEQA); up to 25% of total GRANT amount. $ <br /> <br />Total GRANT amount: $ <br />The GRANTEE understands that all elements listed on this form must be complete and open to the <br />public before the final grant payment will be made. <br />AUTHORIZED REPRESENTATIVE Signature Date <br />Print Name and Title <br /> <br />The APPLICANT understands that this form will be used to establish ELIGIBLE COSTS, and that all of <br />the recreation features and support amenities listed on this form must be completed and open to <br />the public before the final PROJECT payment is processed as specified in the Final Payments <br />section of this guide. <br />177
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