2011-10-26 CC Packet - Laserfiche WebLink

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2. How were they selected? • 3. Is the consultant /firm already under contract with your organization? ❑ Yes ❑ No 4. Is this consultant /firm a women or minority owned business? ❑ Yes ❑ No If you are unable to complete this section at the time of application, all contracts must be reviewed for debarment before a CDBG release of funds. Contact Anoka County as soon as possible with the information. Describe the process for collecting beneficiary data, including who will collect it and how the data will be controlled to eliminate duplicated data. Consult the Application Guide for requirements on this section. The budget proposal is in an Excel document available on our Web site; a hard copy of the budget in that form must be submitted with this proposal. 1687 Sorel Street = $128,900 • 7089 Centerville Road = $30,000 Attach the following documents: ❑ Acknowledgement of receipt of Anoka County Section Plan 2010 (available at http: / /ww2.anokacounty.us /v3 cd /doing- business /Section3.aspx - download and read the Section 3 Plan, acknowledgement is last page of Plan) ❑ Section 3 Action Plan (available at http: / /ww2.anokacounty.us /v3 cd /doing- business/Section3Forms.aspx ) 700- .A'%t! t.. ^^mss z " 74 o rs 5 ,7 '101 AC x i) x `F°Ctq: > s. z �r � «� x.aaSr y, The following documents are reauired to be attached to the final application submission. ❑ Resolution of governing body requesting grant or board minutes approving submission of application ❑ Supporting documentation (survey results, census data, etc.) ❑ State and Federal Tax Exemption Determination letter - S01(c)(3) Nonprofit ❑ List of Board of Directors /Council or Trustees ❑ Timeline or schedule of project milestones ❑ Building/area information and photographs • ❑ Appraisals ❑ Phase Level Environmental Report Anoka County CDBG Application 9 60