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Page 6 of 7 f. Past Performance (Scoring Criterion ##8)• Identify all District cost -share projects your organization completed within the last three -years, or projects still underway (explain status) funded in part with District support. If a completed or on-going project required a time and / or budget extension provide the original completion date, the actual completion date, reason for requesting additional funding (if applicable), and explain the discrepancy. Please note• applicants will not be penalized if they have not had previous cost -share projects with the District: The County was recently awarded a cost share grant for the West Wabasso Sewer to Septic Project. The Board of County Commissioners approved moving forward with the project on 12/01/15 IRCDUS is in the process of preparing an RFP for the project. I C. PROJECT COST INFORMATION C-1 a. Breakdown of project cost (provide details in separate attachment) Attach a table or spreadsheet with detailed project costs for each task or segment of the project The District will contribute only to the construction costs of the project. Identify any other outside sources of funding including State or Federal appropriations or grant monies, municipal bonds Indicate at the conclusion of the table/spreadsheet, a cost effectiveness evaluation as described below. b. Cost -share request funding table The District's share (C) cannot exceed 50% of the total construction cost (B) except for REDI communities that have submitted a waiver, up to 100% of total construction cost can be reimbursed. A. Total estimated project cost: $ 432,500 (includes capital, construction, land acquisition, planning, permitting & design costs) B. Construction cost: Year 1 (FY2016) Year 2 (FY2017) $ 432,500 $ C. Cost -share amount requested: $ 216,250 D. Applicant's share: $ 216,250 Page 6 of 7