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I certify that all information on this form and the attached document(s), <br />if applicable, is true and correct. <br />Signature of the person with authority to enter into a contractual <br />agreement. 0,""'~..• <br />OMMts�s <br />O <br />1*( <br />'*: <br />t i <br />i • r <br />e$o. ss.:., • g?• <br />.9y.• rI, O�r <br />\tZeR C OUNr E'er <br />Name (print): Bob Solari <br />Signature: <br />Title: Chairman, Indian River County Board of County Commissioners <br />Date: December 15, 2015 <br />ATTEST: <br />Jeffrey R. Smith, Clerk of Court and <br />troller <br />llen, <br />puty Clerk <br />Page 7 of 7 <br />APPROVED AS TO FOR,;' <br />AND L SU F/ <br />WILLIAM 4:. DEQRAAL <br />DEPUTY COUNTY ATTORNEY <br />E. Estimated Applicant's Annual <br />Operation & Maintenance Costs: <br />1 <br />$ 17,000 <br />F. Estimated Service life of <br />components: <br />15 years <br />C-2 <br />Cost Effectiveness (Scoring Criterion #7) (complete <br />For Water Supply and Water Conservation projects, <br />provided at www.floridaswater.com/funding) and appropriate <br />for all that apply) <br />please attach the Cost Effectiveness Calculator (as <br />supporting documentation. For Water <br />please provide appropriate supporting <br />1000 gallons made available <br />1000 gallons conserved <br />Ib reduced per year <br />ratio <br />acre or linear feet shoreline <br />Quality, Flood Protection, and Natural Systems projects, <br />documentation <br />Water Supply: cost per <br />Water Conservation: $1 577 cost per <br />Water Quality (TP or TN)• cost per <br />Flood Protection Benefit/Cost <br />Natural Systems cost per <br />Provide the required attachments: project map, construction schedule/timeline, project cost table or <br />spreadsheet; plus additional information required for your specific project type in accordance with the <br />District's 2016 REDI Community& Innovative Projects Cost -Share (RCIPCS) Funding Program Guidance. <br />I certify that all information on this form and the attached document(s), <br />if applicable, is true and correct. <br />Signature of the person with authority to enter into a contractual <br />agreement. 0,""'~..• <br />OMMts�s <br />O <br />1*( <br />'*: <br />t i <br />i • r <br />e$o. ss.:., • g?• <br />.9y.• rI, O�r <br />\tZeR C OUNr E'er <br />Name (print): Bob Solari <br />Signature: <br />Title: Chairman, Indian River County Board of County Commissioners <br />Date: December 15, 2015 <br />ATTEST: <br />Jeffrey R. Smith, Clerk of Court and <br />troller <br />llen, <br />puty Clerk <br />Page 7 of 7 <br />APPROVED AS TO FOR,;' <br />AND L SU F/ <br />WILLIAM 4:. DEQRAAL <br />DEPUTY COUNTY ATTORNEY <br />