10-2117 Authorizing Forest Health Improvement Initiative Grant Application for Tree Planting Project

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BID NUMBER: RFP/DF-09/10-47 OPENING DATE: FEBRUARY 12, 2010 @2:00 P.M. ATTACHMENT D FLORIDA FOREST HEALTH IMPROVEMENT INITIATIVE GRANT PROPOSAL FORM 2009-2011 GENERAL INSTRUCTIONS: Please complete all items pertaining to the Category Grant for which you are applying. The proposal packet must not exceed thirty (30) one sided pages, including attachments. All attachments must be 8 1/2" X 11 ", except any attached sketches, plans and maps which must be no larger than ZX T and folded into 8 1/2" X 11 ". Six (6) copies (one copy with original signatures and five copies) of the proposal packet including the proposal form, the project description and all attachments must be received no later than February 12, 2010, at: Department of Agriculture and Consumer Services Purchasing Office - Forest Health Improvement Initiative - 2009-11 PROPOSAL Mayo Building - Room SB -8 Tallahassee, FL 32399-0800 Telephone (850) 617-7181 If you have any questions, please see ATTACHMENT J, "Division of Forestry District/Center Contacts" PROPOSER INFORMATION (Please Print or Type) Project Title: Wirz Trail Section lI Tree Planting Project Proposer Name: City of Casselberry Name and Title of Contact Person: Luis Cruz, Parks and Facilities Manager Address: 95 Triplet Lake Drive, Casselberry, FL Zip: 32707 FEID Number 59-105-6912 Phone:( 407 ) 262-7700 x 1306 US Congressional District Number Is your organization a Nonprofit corporation pursuant to Chapter 617, Florida Statutes? Yes No X FL -024 and FL -007 If the applicant is a city or county government, does your urban forestry program have the following: Professional Staff, in-house or contracted, List qualifications such as ISA certification, forestry degree, etc. David Pell - ISA Certified - In -House City Tree Arborist Citizen Tree Advisory Board or Tree Advocacy Group, describe: Urban Tree Inventory or Management Plan, how current? Tree Advisory Board Management Plan 2008 Tree Ordinance Covering either public or private lands, describe: City-wide Tree Ordinance As the duly authorized representative of the Proposer named above, I hereby certify that all parts of the proposal and required grant information have been read and understood and that all information submitted herein is true and correct. Authorized Executive Officer: Charlene Glancy Title: Mayor {:; r; �. Signature: � t_ t `t� 1��.��._ Date: 27