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4P <br />40 <br />• <br />PROPOSAL #RFP/DF-99/00-01 9PENIP7G DATE_AUOUST lg,2:3l P.M. <br />Attachment D <br />FLORIDA <br />URBAN AND COMMUNITY FORESTRY GRANT PROPOSAL FORM <br />199 <br />GENERAL INSTRUCTIONS: Please complete all items pertaining to the <br />Category Grant for which you are applying. The proposal packet must <br />not exceed thirty (30) one sided pages, excluding maps and plans. All <br />attachments must be 8 1/2" X 11", except any attached sketches, plans <br />and maps which must be no larger that; 2' X 3" and folded into 8 1/2" <br />X 11". Eight (8) copies (one copy with original signatures and (7) <br />seven copies) of the proposal packet including the proposal form, the <br />project description and all attachments must be received no later than <br />2:30 p.m. August 18, 1999 at: <br />Department of Agriculture and Ccnsur,er Services <br />Purchasing Office - U&CF - 99 PROPOSAL <br />Mayo Building - Room S -n -F <br />Tallahassee, FL 32399-08CO <br />Telephone (850) 488.7552 <br />If you have any questions, please see Attachment K, "Division of <br />Forestry District/Center Contacts' - <br />PROPOSER INFORMATION (Please Print. or Type) <br />Project Title: CR 512 CORRIDOR IMPROVEMENTS, PHASE III <br />Proposer Name: INDIAN RIVER COUNTY <br />Name and Title of Contact Person: ROBERTS. SKOK <br />Address: 1840 25TH STREET, VERO BEACH, <br />FLORIDA <br />Zip:_ 32960 <br />Phone:( 561) 567-8000 ext. t -)nn <br />Is your organization a Nonprofit corporation pursuant to Chapter 617, <br />Florida Statutes? Yes X No <br />FEID Number 59-6000674 <br />As the duly authorized representative of the Proposer named above, I <br />hereby certify that allF <br />pars o,. t)ie proposal and required grant <br />information have been read and understood and that all information <br />submitted herein is true and correct. <br />Authorized Executive Officer': KENNETH R. <br />Title: CHAI ,_LiOAj�D OF COUNPX CQMMISSION <br />Signature: -- <br />39 <br />Date <br />