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Facesheet for Grants and Cooperative Agreements Program - 2009/2010 3/1/2010 Agency: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ General Application Requirements (FINAL) FOR OFFICE USE ONLY: Version # ______ APP # 700533 Agency Information (Carefully read the instructions before completing this form) 1. Agency Information a. Agency Name b. Organizational Unit c. Address American Desert Foundation 16392 Gothard Street, Suite A e. f. City Federal Id Number Huntington Beach 26-2476167 g. Agency fiscal year (begining month and January-01 State CA Zip 92647 DUNS Number day) h. Agency Type (Please check one) City County U.S. Forest Service U.S. Forest Service - Patrol U.S. Bureau of Land Other Federal Agency District Management Federally Recognized Native Educational Institution Nonprofit Organization - American Tribe 501(c)(3) status only State Agency District 2. Project Information a. Project Name General Application Requirements b. Is implementing agency same as Agency (Please select Yes or No) c. d. Implementing Agency Name Amount of Funds Requested Yes No Project Cost Project Request(s) Summary # Project Type Project Title 1 G09-04-04-S01 Education & Safety Grant Request 38,000 Match Total Project Cost 192,000 230,000 __________________________________________________________________________ Version # Page: 1 of 12 3/1/2010 Contact & Certification Information for Grants and Cooperative Agreements Program - 2009/2010 Agency: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ FOR OFFICE USE ONLY: Version # ______ APP # 700533 3. Contact a. Authorized Representative Name William Jones Title Executive Director Mailing Address 16392 Gothard Street, Suite A City Huntington Beach Telephone (562) 965-1378 E-mail Address billjones@joneselectric.com State ca Zip 92647 Fax (714) 843-1166 Zip 92563 b. Project Administrator Name Vicki Cossey Title Grants Administrator Mailing Address 39863 Avenida Miguel Oeste City Murrieta Telephone (951) 757-5274 E-mail Address vcossey@verizon.net State CA Fax __________________________________________________________________________ Version # Page: 2 of 12 Location Map for Grants and Cooperative Agreements Program - 2009/2010 3/1/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Location Map FOR OFFICE USE ONLY: A. Version # ______ APP # 700533 Location Map __________________________________________________________________________ Version # Page: 3 of 12 Equipment Inventory for Grants and Cooperative Agreements Program - 2009/2010 3/1/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Equipment Inventory FOR OFFICE USE ONLY: A. Version # ______ APP # 700533 Equipment Inventory Has your agency purchased any Equipment with OHV Trust Funds within the last five (5) years? (Please select Yes or No) Yes No # Item Description Make Model Model Vehicle Identification Project Year Number (VIN) or Agreement Serial Number Number 1 AED automatic external defibulator Zoll AED plus 2009 x09h420192 G08-04-04S02 1 AED automatic external defibulator Zoll AED plus 2009 X09H420262 G08-04-04S02 1 AED automatic external defibulator Zoll AED plus 2009 X09H420267 G08-04-04S02 __________________________________________________________________________ Version # Page: 4 of 12 3/1/2010 Habitat Management Program (HMP) for Grants and Cooperative Agreements Program - 2009/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Habitat Management Program (HMP) FOR OFFICE USE ONLY: Version # ______ APP # 700533 PART 1 - ITEM 1. DETERMINE THE NEED FOR FULL FULL HABITAT MANAGEMENT PROGRAM (HMP) All Applicants submitting Projects involving Ground Disturbing Activities are subject to HMP requirements. The HMP must cover the combined Project Area of all proposed Projects with Ground Disturbing Activities. Applicants able to certify that none of the proposed activities listed in the Application in areas open to legal OHV Recreation contain any risk factors to special-status species and/or sensitive habitats shall submit only HMP Part 1. Applicants who cannot certify that the proposed activities listed in the Application in areas open to legal OHV Recreation do not contain any risk factors to special-status species and/or sensitive habitats shall submit HMP Parts 1 and 2. 1. Do any of your proposed projects involve Ground Disturbing Activities? (Please select Yes or No) Yes No 2. Can the Applicant certify that none of the proposed Projects with Ground Disturbing Activities in areas open to legal OHV Recreation contain any risk factors to special-status species and/or sensitive habitats? (If you checked ‘Yes’, you are done with HMP) (Please select Yes or No) Yes No Yes No PART 2 - RISK ANALYSIS, MANAGEMENT PROGRAM AND REPORTING PART 2 - Section I. Summary of HMP Changes Has the Applicant previously submitted a HMP Part 2 that is currently in use in the proposed Project Area? (Please select Yes or No) Table 1 - Summary of HMP Changes Changes from Previous Year Section Where Change Occurs PART 2 - Section II - Special Status Species Table 2 - Table of All Special-Status Species and Any Other Species of Local Concern That Were Considered for Inclusion in the HMP Species Listing Status Habitat Potential for Occurrence Addressed by HMP? If not explain why? PART 2 - Section III - Map(s) of Project Area PART 2 - Section IV. - Management/Monitoring Program by Species and Sensitive Habitat PART 2 - Section IV. - Management/Monitoring Program by Species and Sensitive Habitat - Table 3 Table 3 - Data (Including Baseline Data) and Management Program for Species and/or Sensitive Habitats __________________________________________________________________________ Version # Page: 5 of 12 3/1/2010 Habitat Management Program (HMP) for Grants and Cooperative Agreements Program - 2009/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Species/Habitat Known Information Methodology Concerns / Risks / Uncertainties Manageme Manageme Success nt nt Criteria Objective( Action(s) s) PART 2 - Section IV. - Management/Monitoring Program by Species and Sensitive Habitat - Table 4 Table 4: Summary of HMP Monitoring Program Species/Habitat Change Detection Methodology Effectiveness Monitoring Methodology, Including Triggers Identify Any Applicable Validation Monitoring (Focused Studies) PART 2 - Section IV. - Management/Monitoring Program by Species and Sensitive Habitat - Table 5 Table 5. Management Review and Response; Adaptive Management Monitoring Methodology How Monitoring Information Will Inform Management How Data Will Be Analyzed Management Response to Identified Triggers Who Will Plan Management Response PART 2 - Section V. - Previous Year’s Monitoring Results and Management Actions Based on Monitoring Results PART 2 - Section V. - Previous Year’s Monitoring Results and Management Actions Based on Monitoring Results Table 6 Table 6: Previous Year’s Monitoring Results Monitoring Accomplishments Results Were Objectives and Success Criteria Achieved? PART 2 - Section V. - Previous Year’s Monitoring Results and Management Actions Based on Monitoring Results Table 7 Table 7: Management Actions Based on Monitoring Results Management Actions Species/ Habitat Date Completed Changes Needed to HMP or Planned mm/dd/yyyy PART 2 - Section V. - Previous Year’s Monitoring Results and Management Actions Based on Monitoring Results Table 8 Table 8 Management Actions Taken in Response to HMP-related Public Concerns Concern Raised by Public Actions Taken to Address the Concern __________________________________________________________________________ Version # Page: 6 of 12 3/1/2010 Habitat Management Program (HMP) for Grants and Cooperative Agreements Program - 2009/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ __________________________________________________________________________ Version # Page: 7 of 12 Soil Conservation for Grants and Cooperative Agreements Program - 2009/2010 3/1/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Soil Conservation FOR OFFICE USE ONLY: A. APP # 700533 Soil Conservation a. B. Version # ______ Do any of your proposed projects involve Ground Disturbing Activities? (Please select Yes or No) Yes No Soil Conservation Plan __________________________________________________________________________ Version # Page: 8 of 12 Public Review Process for Grants and Cooperative Agreements Program - 2009/2010 3/1/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Public Review Process FOR OFFICE USE ONLY: A. Version # ______ APP # 700533 Public Notification Efforts Check all that apply: (Please select applicable values) Notice to interested Parties/Groups (Enter date in mm/dd/yyyy format) [03/06/2010] Published on Applicant's Website (Enter date in mm/dd/yyyy format) [03/02/2010] Published in Newspaper News Release Issued Public Meeting(s) Hearing(s) Held B. Public Comments The ADF received comments from the American Sand Association (ASA), The United Desert Gateway (UDG) and Ed Stovin (CORVA). Division comments questioned some aspects of the grant where safety and education elements were combined into the same grant. The ASA and UDG were supportive. Ed Stovin supported the ADF grant, but questioned the inclusion of the BLM radios, asking why the BLM did not request a grant for radios themselves. C. Application Development as a result of Public Comments a. Were changes mades to the Application as a result of public comments? (Please select Yes or No) b. Describe how public comments affected the Application Yes No Comments from Division were concerned that the BLM radios requested in our grant were not related to the education designation of our grant. Mr. Stovin's (CORVA) comment questioned why BLM did not request a grant themselves for the radios. Considering these comments we decided to remove the safety aspects, including the radios, from this grant application. This will include both requests and matching funds in the grant application. We are now presenting a purely educational grant request. __________________________________________________________________________ Version # Page: 9 of 12 Certifications for Grants and Cooperative Agreements Program - 2009/2010 3/1/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Certifications FOR OFFICE USE ONLY: 1. Version # ______ APP # 700533 Applicant Certifications A. General Conditions A. The Applicant hereby certifies, under the penalty of perjury, compliance with the following terms and conditions: 1. If the Project involves a Ground Disturbing Activity, the Applicant agrees to monitor the condition of soils and wildlife in the Project Area each year in order to determine whether the soil conservation standard adopted pursuant to Public Resource Code (PRC), Section 5090.35 and the HMP prepared pursuant to Section 5090.53(a) are being met. 2. If the Project involves a Ground Disturbing Activity, the Applicant agrees that, whenever the soil conservation standard adopted pursuant to PRC Section 5090.35 is not being met in any portion of a Project Area, the recipient shall close temporarily that noncompliant portion, to repair and prevent accelerated erosion, until the same soil conservation standard adopted pursuant to PRC Section 5090.35 is met. 3. If the Project involves a Ground Disturbing Activity, the Applicant agrees that, whenever the HMP prepared pursuant to PRC Section 5090.53(a) is not being met in any portion of a Project Area, the recipient shall close temporarily that noncompliant portion until the same HMP prepared pursuant to PRC Section 5090.53(a) is met. 4. The Applicant agrees to enforce the registration of off-highway motor vehicles and the other provisions of Division 16.5 (commencing with Section 38000) of the Vehicle Code and to enforce the other applicable laws regarding the operation of off-highway motor vehicles. 5. The Applicant agrees to cooperate with appropriate law enforcement entities to provide proper law enforcement at and around the Facility. 6. The Applicant’s Project is in accordance with local or federal plans and the strategic plan for OHV Recreation prepared by the OHMVR Division. B. Programmatic Conditions B. The Applicant must describe the following programmatic conditions: 1. Identify the potential for the facility to reduce illegal and unauthorized OHV Recreation activities in the surrounding areas: The ATV Safety Institute (ASI) training curriculum includes the importance of knowing and respecting the laws and regulations and environmental responsibility. 2. Describe how the Applicant is meeting the operations and maintenance needs of any existing OHV Recreation Facility under its jurisdiction: No facilities are under ADF's jurisdiction. C. Fee Collection Describe how fees collected pursuant to Section 38230 of the Vehicle Code (in-lieu funds) are utilized and whether the fees complement the Applicant's proposed Project: D. Compliance with PRC 5090.50(b)(1)(C) Projects within the O&M category that affect lands identified as inventoried roadless areas by the U.S. Forest Service, are compliant with PRC 5090.50(b)(1)(C). (Please select Yes or No) Yes No __________________________________________________________________________ Version # Page: 10 of 12 Certifications for Grants and Cooperative Agreements Program - 2009/2010 3/1/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ 2. Governing Body Resolution __________________________________________________________________________ Version # Page: 11 of 12 3/1/2010 Certification - Non Profits / Education for Grants and Cooperative Agreements Program - 2009/2010 Applicant: American Desert Foundation Application: General Application Requirements (FINAL) __________________________________________________________________________ Certification - Non Profits / Education FOR OFFICE USE ONLY: 1. Written Agreement with Land Manager 2. Verification of Nonprofit 501(c)(3) Status Attachments: Version # ______ APP # 700533 IRS Determination Letter __________________________________________________________________________ Version # Page: 12 of 12