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APPLICANT CHECKLIST For WETLAND PROTECTION PROGRAM PROPOSALS Catalog of Federal Domestic Assistance (CFDA) No. 66.461 Your Wetland Protection Application Package includes an ORIGINAL and TWO COPIES of each of the following: * May not be required. Forms required ONLY if the circumstances described below applies to your application. i- ? Key Contact List ? SF424 -Application for Federal Assistance ? SF424A -Budget Information Form ? * Detailed Narrative/Itemization of Budget Costs -only required if requesting more than 100 000 from EPA (However. a discussion of the budget and how it relates to the objectives, outcomes, $ deliverables is still needed) (Note -Equipment costs of $5.000 or more must always be itemized regardless of total dollar amount requested for the project) (See page B2 of Grant Application for more information on this) ? Work Plan must be in accordance with FY?000 Wetlands Protection Grant Guidance & include the following: 1) a summary of specific objectives and expected outcomes 2) specific output and deliverables _ . 3) discuss how the budget relates to the objectives, and outcomes, and deliverables in the work plan 4) identify target dates and milestones • 5) explain how the activities will be accomplished. ' ? * Contractor Justification - informationrequired only if contracting out 50% or more of the. work ? Quality ASSUranCe RegUlrement Form (contact EPA Project Officer if you have questions when filling out this form) ? Certification Regarding Debarment, Suspension, EPA Form 5700-49 ? * Bundling Letter and the following Certifications signed by an Authorized Representative (Submit if you have not already bundled these certifications to cover the period 1/00 - 12/00) ? SF424B -Assurances ? 4700-4 Preaward Compliance Review Report ? * Survey of Management Systems (States are NOT required to submit this form) ? * Anti-Lobbying Certification -only required if applying for more than. $100,000 ? * SF LLL Disclosure of Lobbying Activities - if applying for more than $100,000 and if applicable ? * Copy of your Current Indirect Cost Negotiation Agreement with a Federal Agency. - Required if indirect costs are included in the budget and are going to be charged against the project. (unless S/T/LG's have an indirect cost ahocaton plan on file that has been approved by cognizant Federal Agency) WETLAND PROTECTION PROGRAM MATCH REQUIREMENT: Matching funds can be provided by entities other than Applicants must contribute at least 25% of *-Total project costs . the S/IYLG agency. Other federal money cannot be To calculate minimum Match: fEPA$/.751-EPA $ =Match used. as the match for this grant program. However, If EPA funds $60.000. Match equals $60,000/.'75 = $80,000 - 60,000 = $20,000. Indian tribes can use funds provided under the Indian * Total Project Costs =EPA $ + Match ($60,000 + $20,000 = $80,000) Self-Determination and Education Act (i.e.. 638 funds) 25% of Total Project Costs = (EPA $ +Match) x.25 (80.000 x .25 = $20,000) to provide the required matching funds. Funds can only be used for the development of, and not for the construction or operational support of, Wetland Programs. Costs must be allowable in accordance with A-87 or A-] 22 as applicable. Additionally, the following costs may not be included under the Wetlands Protection Program: • land acquisition or purchase of easements a • payment of taxes for landowners who have wetlands on their property • honorariums • purchase/lease of office furniture and vehicles (including cars, all-terrain vehicles, boats, motor homes, airplanes) • pay for federal agency staff travel -Mail this Checklist & Original Application and Programmatic/ Work P[an/Quality 1 Copy to: Assurance Questions: U.S. Environmental Protection Agency Contact the EPA Project Officer Grants and Acquisitions Unit 1200 Sixth Avenue, OMP-145 Administrative/Application/Forms Questions: Seattle, WA 98101 Applicants in ID & WA call Christina Miller at (206) 553-6512 -Mail 1 Copy to Project Officer Applicants in AK & OR call Kathy Tsing at (206) 553-4688