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Local Parks Maintenance Program
Applicant Authorization and Electronic Signature
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Organization Name (sponsor)
Resolution No. or Document Name
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Project Number and Name
This resolution/authorization authorizes the person(s) identified below (in Section 2) to act as the
authorized representative/agent on behalf of our organization and to legally bind our organization
with respect to the above Project for which we seek grant funding assistance managed through the
Recreation and Conservation Office (Office).
WHEREAS grant assistance is requested by our organization to aid in financing the cost of the
Project referenced above;
NOW, THEREFORE, BE IT RESOLVED that:
1.Our organization has applied for or intends to apply for funding assistance managed by the
Office for the above “Project.”
2.Our organization authorizes the following persons or persons holding specified
titles/positions (and subsequent holders of those titles/positions) to execute the
following documents binding our organization on the above projects:
Grant Document Routing Name of Signatory and TitleofEmail Address
Order Person Authorized to Sign
Grant application (submission
thereof)
Project contact (day-to-day
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administering of the grant and
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communicating with the RCO)
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Agreement/amendment approver
2
Agreement/amendment approver
3
Agreement/amendment approver
4
Agreement/amendment approver
5
2
RCO Grant Agreement signer
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Agreementamendments signer
The above persons are considered an “authorized representative(s)/agent(s)” for purposes of the
documents indicated. Our organization shall comply with a request from the RCO to provide
updated documentation of authorized signers, if needed.
3.Our organization acknowledges and warrants, after conferring with its legal counsel, that its
authorized representative(s)/agent(s) have full legal authority to act and sign on behalf of the
organization for their assigned role/document.
4.Grant assistance is contingent on a signed Agreement. Entering into any Agreement with
the Office is purely voluntary on our part.
5.Our organization understands that grant policies and requirements vary depending on the
grant program applied to, the grant program and source of funding in the Agreement, the
characteristics of the project, and the characteristics of our organization.
6.Any grant assistance received will be used for only direct eligible and allowable costs that are
reasonable and necessary to implement the project(s) referenced above.
7.Our organization acknowledges that the grant will only be used for maintenance of local park
property owned by our organization.
8.This resolution/authorization is deemed to be part of the formal grant application to the Office.
9.Our organization warrants and certifies that this resolution/authorization was properly and
lawfully adopted following the requirements of our organization and applicable laws and
policies and that our organization has full legal authority to commit our organization to the
warranties, certifications, promises, and obligations set forth herein.
This resolution/authorization is signed and approved on behalf of the resolving body of our
organization by the following authorized member(s):
Signed
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Title Date
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On File at:
This Applicant Resolution/Authorization was adopted by our organization during the meeting
held:
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Location: Date:
You may reproduce the above language inyour own format; however, text may not change.
1
Agreement/Amendment Approver: refers to an individual or several individuals who review and approve the
electronic document and contacts RCO if corrections are needed. The approver does not sign the document.
You may add more than one approver but please designate the order for routing purposes.
2
RCO Grant Agreement/Agreement Amendments Signer: refers to the individual who must officially sign the
document with an electronic signature and may be required to enter data such as title, date, agency name, etc.
into fields. The signer of Agreements may differ from the individual who is delegated to sign Amendment
documents, but we can only accept one signature per document.
ATTACHMENT 2
EVERGREEN ROTARY PARK
ACCESSIBLE PLAYGROUND SAFETY SURFACING REPLACEMENT ESTIMATE
ITEM UNITTOTAL
DESCRIPTION
COSTCOST
NO.
1SITE PREP:$12,100.00$12,100.00
REMOVAL AND DISPOSAL (RECYCLED) OF EXISTING TURF (APPROX. 7900 SF)
2MATERIAL COST:$129,937.50$129,937.50
PLAYGROUND GRASS, ENVIROFILL, 2" FOAM PAD
3INSTALLATION OF MATERIALS$36,845.60$36,845.60
4FREIGHT $8,000.00$8,000.00
$186,883.10
WSST (9.2%)$17,193.25
SUBTOTAL$204,076.35
PERMIT $3,000.00
CONTINGENCY (10%)$20,407.63
TOTAL PROJECT COST$227,483.98
Evergreen Rotary Park
Accessible Playground Surfacing