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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION <br />Derelict Vessel Removal Grant Program <br />Instructions for completing the FWC Derelict Vessel Removal Grant Application <br />GENERAL INSTRUCTIONS <br />PLEASE READ THE DERELICT VESSEL REMOVAL GRANT PROGRAM GUIDELINES BEFORE PROCEEDING TO THE <br />APPLICATION <br />• Submit one (1) original of the application with attachments. <br />• Application may be mailed or emailed to FWC for submissions. <br />• Staple application in upper left-hand corner, or clip with one binder clip. Do not place in a spiral binder, three- <br />ring binder, or report cover. <br />• Place a tabbed divider between each attachment. Each vessel within the overall project will be a separate <br />section of the application. A Separate removal quote must be given for each vessel in the project. A single <br />quote for all vessels will not be acceptable. The total project cost must be given in the application. <br />• Make all photocopies of attachments on 8 1/2" x 11" paper. <br />APPLICANT INFORMATION <br />a. Applicant: <br />b. Federal Employer ID. No.: <br />c. Project Manager Name: Title: <br />d. Mailing Address: <br />e. Shipping Address: <br />f. Telephone No. <br />Fax No.: <br />Email: <br />g. District Numbers: <br />II. <br />a. Project Title: <br />b. Project Goal(s) <br />c. Project Cost: <br />PROJECT SUMMARY <br />Enter the name of the governmental entity applying for <br />the grant. <br />Enter the applicant's Federal Employer Identification <br />(FEID) Number. Payment will be sent to the address <br />associated with this FEID number. <br />Enter the name and title of the person in charge of the <br />project. All correspondence will be sent to this person. <br />Enter the mailing address for the Project Manager. All <br />correspondence will be sent to this address. <br />Enter the physical address for the Project Manager (no <br />post office boxes) for delivery of overnight mail. <br />Enter the telephone number, fax number, and email <br />address where the Project Manager may be contacted <br />during regular business hours. <br />Enter the District numbers for the State House and State <br />Senate. <br />Enter total project monetary cost, including only the <br />eligible project elements for grant funding. Enter the <br />total funds requested from this program. <br />Provide a description of the intended goal(s) of the <br />project in relation to removing derelict vessels from <br />waters of the state to enhance the environment and <br />boater safety. <br />Enter total project monetary cost, including only eligible <br />project elements for grant funding. Enter the total funds <br />requested from this program. <br />FWC/DV-APP (Feb 2020) 18 Rule 68-1.003 <br />