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HAZARD MITIGATION GRANT PROGRAM PRE -AWARD COST REQUEST FORM To request Pre -Award Costs, please complete this form and submit with your HMGP application. All ELIGIBLE pre -award costs are subject to an approved grant award and availability of funding. If funding is not available or the project is not approved, pre -award costs will NOT be reimbursed and will be solely the responsibility of the applicant. If your project is approved and pre -award costs are eligible, the costs share for the reimbursement of these activities up to 75/25 split. Disaster: Hurricane Matthew Name of Applicant: Indian River County Board of County Commissioners Hurricane Matthew HMGP Grant Funding #4283-60 - Countywide Wildfire Project Title: Management Start Date for Pre -Award Activities: Pre -award costs associated with this request incurred prior to the date of declaration are NOT eligible. These costs include: study or research to plan project, engineering, modeling, permitting or environmental study. These costs must be reflected as a line item in the project budget. Construction costs should NOT be included. Construction activities may NOT begin until after a contract has been fully executed with the State for this project. Activity Estimated Cost Estimated Start Date Creation of a Countywide Wildfire Mangement Plan - Contracted to: Environmental Science Associates $38,150 Jan. 30, 2018 In -House County staff services for the development of the Countywide Wildfire Management Plan & Environmental Assessment $11,850 Jan. 30, 2018 Point of Contact Information: Name: Elizabeth Powell Title: Conservation Lands Manager Agency: Indian River County Board of County Commissioners Address: 180127 1h Street, Vero Beach, FL 32960 Phone: 772-226-1873 Authorized Applicant Agent: Name: Elizabeth Powell Signature:: Email: bpowell@ircgov.com Title: Conservation Lands Manager Date: :i