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TRUE COPY <br />! , ERTIFICATION ON LAST PAGE <br />—YAN L. BUTLER, CLERK <br />VII. LAW ENFORCEMENT CASE DATE <br />(Include a line for each derelict vessel that you are requesting be removed as a part of this project) <br />4 FWC FWC220N0088127 FL6002JJ C&C 40' $ 8,000.00 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />TOTAL $ 34,500.00 <br />VIII. APPLICATION ATTACHMENTS CHECKLIST <br />For mailed applications, include a copy on electronic media with paper copy or you may email entire application to: <br />DVGrant@MyFWC.com <br />Inc. Required Attachments <br />✓ a. Cover Letter: A brief letter explaining overview of project and responsible parties involved. <br />✓ b. Application: One (1) application with original signature from authorized individual. <br />✓ c. Project Proposal: a detailed description of the project as described in the application instructions. <br />d. Delegation of Authority: Formal documentation to show that the person signing the application has the <br />❑ authority to apply for, administer and commit the governing body or not-for-profit organization to the <br />grant project on behalf of the applicant. <br />e. Detailed Cost Estimate: Cost estimate in the form of a formal bid, written quote from proposed vendor <br />✓ or a detailed cost estimate for the project elements. One (1) tabbed section for each vessel removal <br />requested to include the Derelict Vessel Data Sheet (Attachment "A). <br />FWC/DV-APP (Feb 2020) 4 Rule 68-1.003 <br />VESSEL <br />AGENCY CASE <br />VESSEL <br />VESSEL <br />REMOVAL <br />AGENCY <br />NUMBER <br />REGISTRATION <br />VESSEL MAKE <br />LENGTH <br />QUOTE <br />1 FWC <br />FWC230N0001220 <br />N/A <br />UNKNOWN <br />40' <br />$ 9,800.00 <br />2 FWC <br />FWC230N0045029 <br />FL3139BU <br />Columbia <br />25' <br />$ 4,200.00 <br />3 FWC <br />FWC230N0082598 <br />D0965007 <br />Hyundia <br />48' <br />$ 12,500.00 <br />4 FWC FWC220N0088127 FL6002JJ C&C 40' $ 8,000.00 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />TOTAL $ 34,500.00 <br />VIII. APPLICATION ATTACHMENTS CHECKLIST <br />For mailed applications, include a copy on electronic media with paper copy or you may email entire application to: <br />DVGrant@MyFWC.com <br />Inc. Required Attachments <br />✓ a. Cover Letter: A brief letter explaining overview of project and responsible parties involved. <br />✓ b. Application: One (1) application with original signature from authorized individual. <br />✓ c. Project Proposal: a detailed description of the project as described in the application instructions. <br />d. Delegation of Authority: Formal documentation to show that the person signing the application has the <br />❑ authority to apply for, administer and commit the governing body or not-for-profit organization to the <br />grant project on behalf of the applicant. <br />e. Detailed Cost Estimate: Cost estimate in the form of a formal bid, written quote from proposed vendor <br />✓ or a detailed cost estimate for the project elements. One (1) tabbed section for each vessel removal <br />requested to include the Derelict Vessel Data Sheet (Attachment "A). <br />FWC/DV-APP (Feb 2020) 4 Rule 68-1.003 <br />