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d. Project Type(s): <br />e. Scope of Work/Detailed Project Summary <br />Ia TdiE f1� F. OKiDA <br />INDIAN RIVER COUNTY <br />THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT <br />COPY OF THE ORIGINAL ON FILE IN THIS OFFICE, <br />ly RYAN L.PbGER, CLERK <br />UAT h /�3 <br />Indicate by checking the app opriate box whether this is a <br />Bulk Derelict Vessel Removal Grant application or a Rapid <br />Removal Derelict Vessel Grant Application. <br />Enter project monetary cost, including only the eligible <br />project elements for grant funding. Enter the total funds <br />requested from this program. <br />III. RAPID REMOVAL PROJECT JUSTIFICATION <br />Briefly describe why this project is urgent such that it should not be evaluated and funded under the Bulk Derelict <br />Vessel Removal process. Specifically explain how the vessel is in danger of imminent sinking or breaking apart or is a <br />critical danger to public safety or the environment, such that the vessel should be considered for rapid removal. <br />IV. PROJECT OUTCOMES <br />a. List the number of total derelict vessels that exist in the project's jurisdiction. List percentage of total active <br />derelict vessels that will be removed by completion of this project. (Use the Statewide Derelict Vessel <br />Database as source of total numbers) <br />b. Explain procedures to be used to gauge the effectiveness of the project in order to evaluate contractor's <br />completeness of removal and post environmental damage assessment. <br />V. BUDGET <br />a. Has a detailed cost estimate been developed for Indicate whether a preliminary or final cost estimate has <br />this project? been developed. If yes, attach a copy of the estimate to <br />the application. <br />VI. OTHER SOURCE OF FUNDS (Partnerships) <br />a. Funding Source: Check source of funds: Federal grant, State/Local grant <br />or loan. <br />b. Grant Name: Enter name of grant program. <br />c. Approval Status: Enter status of grant/loan application. If "Intending to <br />Apply," enter date of application deadline. <br />VII. Law Enforcement case date (Include a lien for each derelict vessel that you are requesting be <br />removed as part of this project. <br />a. Agency: Enter the name of the governmental agency that <br />conducted the derelict vessel investigation. <br />b. Agency Case Number: <br />c. Vessel Registration: <br />d. Vessel Make; <br />e. Vessel Length: <br />f. Vessel Removal Quote: <br />VII. APPLICATION ATTACHMENTS <br />Enter the investigating agency's case number pertaining <br />to this vessel's law enforcement investigation. <br />Enter the vessel registration number if one exists. <br />Enter the make of the derelict vessel, if known. <br />Enter the length of the derelict vessel, if known. <br />Enter the removal cost estimate for this specific vessel. <br />(Each vessel must have its own removal cost estimate) <br />Please place a tabbed divider between each attachment. Submit one (1) original (with original signature) by paper <br />copy via mail, or email the entire application and supporting documentation to DVGrant@MyFWC.com <br />Completed applications should include: cover letter, application form, delegation of authority, project proposal, <br />contractor quotes, and required attachments as referenced in the Derelict Vessel Grant guidelines. <br />FWC/DV-APP (Feb 2020) 19 <br />Rule 68-1.003 <br />