Neighborhood Grows Application 2017-2018
For assistance in the application process, refer to this application guide: https://drive.google.com/open?id=1OEMcfN0KPAo0PVu1INvMaPRJ1lYm-OHtIh42zwSYeHc For further assistance, please contact Grant Coordinator Mary Petit at 909-608-7438, cell 941-276-1150, or mary_petit@yahoo.com
Email address *
Name of Grant Applicant (Organization) *
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Project Title *
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Grant amount requested/match *
Applicants Mailing Address *
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City *
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State *
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Zip Code *
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County *
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Organization Phone Number *
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Fax Number
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Website
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Primary Contact Person *
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Phone Number of Primary Contact *
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Secondary Contact Name, Phone Number, & Email *
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Is the Applicant a 501(c)3? *
Year Founded
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ORGANIZATION OVERVIEW: Briefly describe your organization’s mission, goals, programs,and whether your organization has participated in tree plantings. *
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PROJECT SUMMARY: Briefly describe your proposed project, including project goals and expected results. *
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LOCATION INFORMATION - - - List the addresses and zip codes of the cities/neighborhoods served by the project. Projects must be within San Bernardino County and be located “in” or “within ½ mile walking distance” of a top 25% disadvantaged community that is in the CA EnviroScreen 2.0 database. If unsure whether the project location is considered an environmental justice community, please contact Mary Petit. *
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BACKGROUND AND RATIONALE. What is the current situation, condition, or problem to be addressed by the project? *
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COMMUNITY BENEFITS AND PARTICIPATION. Describe your target audience and the communities served by this project. How will this project reach out to your communities? How will your target audience and your communities benefit from this project near term and long term? *
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PARTNER INFORMATION - - - List primary project partners or co-sponsors. *
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DESCRIPTION AND SCOPE OF WORK - - - Describe what you want to do; describe how you plan to do it; describe who will be involved with specific tasks; and describe why this is the most effective way to accomplish your project’s goals. *
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TREE INFORMATION: Species List - - - Provide a list of the proposed trees for this grant project. Include common names, their genus and species, and the approximate number of each species to be used. List the planting stock size for each tree. Trees in #15 (gallon) container size are eligible. Larger sizes will be considered on a case-by-case basis and must be approved by IECG prior to submission of grant application. Include information on all trees that may be a match. (Note: IECG’s Guardian Tree Nursery stock is approved by CAL FIRE for these grants. Contact Mary Petit for more information. Trees that come from nurseries other than IECG’s Guardian Tree Nursery require certification - - - see attached Certification Forms). Average carbon sequestration for the trees selected: ______________(must be equal to or greater than 1.80 MTCO2e). See RFP and contact IECG to obtain the calculations and discuss prior to submitting the application. *
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OTHER PROJECT DELIVERABLES AND BENEFITS: List any additional project deliverables or benefits funded by this grant.
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Budget Narrative
BUDGET INFORMATION:Note: Once approved there can be no increases to the approved budget. Increases to individual expense items must be equally balanced by decreases to other items. These changes are subject to prior approval by IECG depending on the amount of change. Under no circumstances can the total approved budget request be increased (This is a reimbursable grant. No cash advances are permitted) *
Required
Budget Detail - Provide a specific budget for work to be done. The expenses should be based on quotes and/or estimates from contractors and vendors or on actual costs that will be incurred. The line items listed should be specific enough to adequately describe detailed project expenses that make up each of the Categories of Expenses on the Budget Worksheet provided. *
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Contractor and Vendor List - List the contractors and vendors that have provided you with quotes or estimates for this project. *
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Matching Funds – List other funding sources, pro bono and in-kind services that will meet grant matching requirements. Volunteer time at the state of CA current hourly rate of $27.59 is acceptable as a match. Documentation of volunteer time used as a match is required. (Note: Once approved the total amount of matching funds must be met, or exceeded. Substitutions in matches can be made without prior approval.) *
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Project Timeline
PROJECT TIMELINE - - - Provide a project timeline. The Project must be completed within 12 months of the date a fully executed Grant Agreement is issued to the awardee. *
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Three Year Tree Care & Maintenance Plan
Look at Application Guide for details to help write this section.
Grantee to provide a 3-year care and maintenance plan for all trees planted with this grant. *
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Name of Company or Organization Responsible for the Tree Care and Maintenance Plan *
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Owner’s Name *
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Owner's Contact Information *
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A copy of your responses will be emailed to the address you provided.
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