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)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
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:
Instructions for the Local Government Coastal Management
				  Improvement Program Fiscal Application Form
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).