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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN 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 />VESSEL <br />AGENCY CASE VESSEL VESSEL REMOVAL <br />AGENCY NUMBER REGISTRATION VESSEL MAKE LENGTH QUOTE <br />FWC FWC250N0047556 FL4721 GA Wellcraft Marine Co 28' $ 4,900.00 <br />1 FWC FWC240N0054327 FL3602LE Century 27' $ 4,725.00 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />TOTAL $ 9,625.00 <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 />Elauthority 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 />