Current Start Complete Adams County Open Space Grant Application - Mini Grant Spring 2023 Grant Cycle DUE DATE: Friday, March 31, 4:30 p.m. Before beginning, applicants are encouraged to review the Adams County Open Space Policy & Procedures (adopted Nov. 29, 2022). The Mini Grant Application should be used for projects requesting $25,000 or less. You must use the following forms for Attachments A and B. Download, complete, and have ready to upload under the Attachments section at the end of this application. Attachment A - Project BudgetAttachment B - Estimated Project TimelineAlso, it is recommended that you compile any of the following attachments, if applicable, before beginning the application.Attachment C - Qualified Jurisdiction SponsorshipAttachment D - Letters of SupportAttachment E -Letters of CommitmentAttachment F - Location Map Case No. ____________________(For internal use) Project Information Applicant Organization Name: Name of Project: Organization/Sponsoring Organization Adams County City of Arvada City of Aurora Town of Bennett Bennett Park and Recreation District City of Brighton City of Commerce City City of Federal Heights Hyland Hills Park and Recreation District City of Northglenn Strasburg Parks and Recreation District City of Thornton City of Westminster None Contact Information Primary Contact Name: Title: Phone: Email: Address: City: State: Zip: The contact name provided above will be used for all official correspondence. In the event the primary contact is not available, please list any additional contacts for this project. Name: Title: Phone: Email: Name: Title: Phone: Email: Budget Summary Grant Request: $ Matching Funds (cash in-kind): $ Total Project Costs: $ % of Total Project Costs: % Property Location Information Project Site Address: Parcel ID# (Required): Include a Location Map and label as Attachment F - Location Map. Location Map should clearly identify the location of the project (including the nearest cross streets) and should provide directions to the project site. One file only.100 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Please provide GPS Coordinates, longitude and latitude. Is this project located within Adams County? Yes No Scope of Project 1. Briefly describe this project (Include explanation of purpose, need, and project components. 2. Describe the goals and objectives of this project. 3. Please list partners and describe how each partner is contributing to the project. Please DO NOT write any dollar amounts below. 4. Project Budget: Please upload Attachment A - Project Budget. Attachment A - Project Budget One file only.100 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. 5. Project Timeline: Please upload Attachment B - Estimated Project Timeline. Attachment B - Project Timeline One file only.100 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. 6. Qualified Jurisdiction Sponsorship: If applying as an organization other than a qualified jurisdiction, please attach a letter of sponsorship from a qualified jurisdiction and label as Attachment C - Letter of Sponsorship. Attachment C - Qualified Jurisdiction One file only.100 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. 7. Please attach at least two (2) letters demonstrating support from the community and label as Attachment D - Letters of Support. Showing support from a variety of sources is encouraged. Please DO NOT include any dollar amounts in the letters. Attachment D - Letter of Support One file only.100 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. 8. Letters of Commitment: All organizations or individuals providing in-kind contributions are required to provide a letter of commitment outlining their contribution(s) as stated in the Project Budget. Please label as Attachment E - Letters of Commitment. Attachment E - Letters of Commitment One file only.100 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Each qualified jurisdiction or sponsored organization applying to the Open Space Program may only submit up to three (3) grants per grant cycle, up to two (2) of which may be full project applications (i.e., not mini grants). If submitting more than one application this grant cycle, please rank the projects by priority: 1st Priority: 2nd Priority: 3rd Priority: By submitting this form, I verify that I have the authority to act on behalf of, acknowledge the receipt of the Adams County Open Space Policies and Procedures, and agree to abide by the same. Applicant Name Title: Date: Factors favorably considered by the OSAB when included in an applicant’s answers to the existing questions on the grant application: Inclusivity of projects for people of all abilities Measured water efficiency Measured energy conservation Facility maintenance Use of recycled material Use of sustainable materials in construction, when possible Use of native/Colorado appropriate species Department Parks, Open Space & Cultural Arts