February, 2008
CALIFORNIA ENVIRONMENTAL PROTECTION AGENCY
Integrated Waste Management Board (CIWMB)
USED OIL RESEARCH, TESTING, AND DEMONSTRATION GRANT
PROGRAM
6TH Cycle – FISCAL YEAR (FY) 2007/2008
APPLICATION PACKAGE
Required Documents
The following is a listing of the narratives and forms that are required as part of the Used Oil
Research, Testing, and Demonstration Grant Program Application Package. Double-check your
application and make sure everything on the checklist (last page of the Application Package) is
included and arranged in the order prescribed. Forms are also available on the CIWMB Forms
website.
•
•
•
•
•
•
•
•
•
•
•
•
Application form
Environmental Justice Certification
Resolution and/or Letter of Authorization (LOA) or Letter of Intent
Environmentally Preferable Purchases and Practices Policy
Environmentally Preferable Policy, Purchases, & Practices Evaluation form
EPPP Policy Notification (if applicable)
Evidence of Non-profit Status (if applicable)
Letter of Declaration of Nonprofit Status
Letter of Good Standing
Project Narrative (not to exceed 11 pages)
Work Plan form
Budget form
Business-related Forms
Reliable Contractor Declaration form
General Checklist of Business Permits, Licenses and Filings form
(not required if public entity)
Letters of Support
Failure to include these documents with your application will cause a reduction in points for
Completeness during the scoring process. Resolutions and EPPP Policy Notification documents
may be submitted after the application deadline; however, documents must be received by the
CIWMB Financial Assistance Division no later than 4/10/2008. Failure to meet this deadline
will result in the disqualification of the application from consideration for award.
Application Format and Submittal
•
•
•
•
•
Copies: One application with original signature (blue ink preferred), and three copies
Paper: 8½ X 11, double-sided, single spaced, printed on 100% post consumer fiber, and
numbered consecutively
Stapled, not bound: upper left-hand corner
Font: Comparable to 12 pt. Times New Roman
Address to the appropriate mailing address of the CIWMB
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GRANT APPLICATION FORM
CIWMB 243-URD (New 2/08)
USED OIL RESEARCH, TESTING, AND DEMONSTRATION GRANT PROGRAM (6TH Cycle)
Complete and submit all sections.
APPLICANT / ORGANIZATION INFORMATION
APPLICANT / ORGANIZATION NAME (MUST MATCH RESOLUTION):
PARTICIPATING JURISDICTIONS (FOR REGIONAL PROGRAMS ONLY):
REQUESTED GRANT AMOUNT:
MAILING ADDRESS:
PROJECT ADDRESS:
CITY:
CITY:
COUNTY:
ZIP CODE:
COUNTY:
ZIP CODE:
SIGNATURE AUTHORITY NAME:
AUTHORIZED DESIGNEE NAME:
(AS AUTHORIZED IN RESOLUTIO)
(IF APPLICABLE, AS AUTHORIZED IN LETTER OF
AUTHORIZATION-LOA)
TITLE:
TITLE:
TITLE:
TELEPHONE NUMBER:
TELEPHONE NUMBER:
TELEPHONE NUMBER:
FAX NUMBER:
FAX NUMBER:
FAX NUMBER:
EMAIL ADDRESS:
EMAIL ADDRESS:
EMAIL ADDRESS:
PRIMARY CONTACT NAME:
INDICATE WHICH TYPE OF ENTITY YOU ARE (CHECK ONLY ONE):
CITY
COUNTY
CITY & COUNTY
QUALIFYING INDIAN TRIBE
OTHER (LIST TYPE)
LEGISLATIVE DISTRICT NUMBERS (TO FIND YOUR DISTRICT,
USE MAILING ADDRESS ABOVE AND GO TO www.ciwmb.ca.gov/Profiles/Juris/)
ASSEMBLY:
SENATE:
FEDERAL TAX IDENTIFICATION NUMBER:
PROJECT DESCRIPTION
Provide a brief description of the project below (3-5 sentences):
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
2
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GRANT APPLICATION FORM
CIWMB 243-URD (New 2/08)
ENVIRONMENTAL JUSTICE CERTIFICATION
CIWMB Grantees must in the performance of the Grant Agreement conduct their programs, policies, and
activities that substantially affect human health or the environment in a manner that ensures the fair treatment
of people of all races, cultures, and income levels, including minority populations and low-income populations
of the State. (Govt. Code §65040.12(e) and Public Resources Code §71110(a))
Must check box
We acknowledge that our organization will comply with these principles of Environmental
Justice.
RESOLUTION REQUIREMENT
Submit either an approved Resolution, valid up to 5 years, with your application or the following
acknowledgement (If applicable, submit a current Letter of Authorization (LOA) for signature designee)
Must check one
For entities with governing bodies:
We acknowledge that an approved Resolution and, if applicable, LOA designating
additional authorized signatory is enclosed in the application.
For entities without governing bodies:
We acknowledge that a letter bearing entity’s letterhead, signed by person with authority
to contractually bind entity, authorizing application and designating signature authority is
enclosed in the application.
We acknowledge that our approved Resolution must be received by the CIWMB no later
than 4/10/2008. We further acknowledge that if our Resolution is received after this date,
our application will be disqualified.
Note: See Application Guidelines for Resolution and Letter of Authorization (LOA) information and examples
ENVIRONMENTALLY PREFERABLE PURCHASES AND PRACTICES POLICY
Acknowledgement that your organization has an Environmentally Preferable Purchases and Practices Policy
Must check one
Yes, our organization has an Environmentally Preferable Purchases and Practices Policy.
Date adopted:
No, our organization does not have an Environmentally Preferable Purchases and Practices
Policy. We acknowledge that our organization must adopt one and send notification (see
Application Guidelines for Notification) to the CIWMB of such adoption by 4/10/2008, or
our application will be disqualified.
Note: See Application Guidelines for Environmentally Preferable Purchases and Practices Policy example and Notification
APPLICATION CERTIFICATION
Certification: I declare, under penalty of perjury under the laws of the State of California, that I have read all information
in the Application Guidelines and Instructions and that all information submitted for the CIWMB’s consideration for award
of grant funds is true and accurate to the best of my knowledge.
X
Signature Authority - as authorized in Resolution; or Authorized Designee - as
authorized in submitted Letter of Authorization
Date
Print Name
Print Title
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
3
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GRANT APPLICATION FORM
CIWMB 243-URD (New 2/08)
ENVIRONMENTALLY PREFERABLE POLICY, PURCHASES, & PRACTICES EVALUATION
Environmentally Preferable Purchases and Practices Policy
Must check one
No, our organization has not adopted a policy.
Yes, our organization has adopted a policy.
If yes, date adopted:
Environmentally Preferable Purchases
Check the recycled-content or other environmentally preferable products you have purchased within the past year.
Re-refined oil - lubricating oils for
motors and engines
Steel - fencing, power tools,
automobiles, furniture
Water based cleaning solutions for
printers and equipment
Latex paint, graffiti abatement,
interior and exterior paint
Tire-derived - flooring, mats,
playground and track surfaces
Less toxic chemicals, pesticides, and
cleaners
Retread tires -passenger, truck, bus,
trailer, equipment tires
Solvents - for cleaning heavy
equipment, printers, and parts
Low/no VOC (volatile organic
compound) products
Glass - windows, fiberglass
insulation, beakers
Paper – copy paper, brochures,
flyers, educational materials
Low energy use – lights, appliances, and
equipment
Paper products (janitorial supplies),
boxes, ceiling titles
Compost/mulch – landscaping
materials, erosion control
Water efficient products
Plastic - lumber, carpet, signs,
promotional items
Less polluting equipment, vehicle,
and machinery
Other, please list:
Environmentally Preferable Practices
Check the environmentally preferable practices you have performed within the past year that result in resource conservation and/or
efficiency.
Integrated pest management
Renewable energy
Water-efficiency
Grasscycling
Energy efficiency
Other, please list:
Composting/mulching
Sustainable construction
Operations and maintenance,
xeriscaping, natural fertilizers
Demolition debris recycling
Environmentally Preferable Policy, Purchases, & Practices Evaluation
Please evaluate your organizations current policy, purchases and practices and describe how they will be improved in the coming year.
Attach additional sheets if necessary.
Improvements, list here:
Challenges, list here:
Note: See Application Guidelines for Environmentally Preferable Purchases and Practices Policy example
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
4
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GRANT APPLICATION FORM
CIWMB 243-URD (New 2/08)
EPPP POLICY – SECONDARY DEADLINE NOTIFICATION
Applicants, who do not have an EPPP Policy in place when they submit their Application, may certify in their
Application that they will adopt one and will send the Notification (below) to the CIWMB. CIWMB must receive
the Notification by 4/10/2008 or the Application will be disqualified.
IMPORTANT! Notification sent by U.S. Postal Service or a commercial delivery service should be sent in a
manner that allows for tracking by the sender and that provides for verification of delivery. Failure to do so is
at the risk of the applicant and if delivery is delayed or the Notification is lost by the Post Office or delivery
service, the burden is on the applicant to demonstrate timely delivery and receipt by the CIWMB of
Notification.
APPLICANT INFORMATION
GRANT PROGRAM NAME:
APPLICANT / ORGANIZATION NAME:
PRIMARY CONTACT NAME:
TITLE:
TELEPHONE NUMBER:
FAX NUMBER:
EMAIL ADDRESS:
Check box
Yes, our organization has an Environmentally Preferable Purchases and Practices Policy.
DATE ADOPTED:
BY: (E.G., GOVERNING BODY NAME, EXECUTIVE OFFICER, ETC.)
Certification: I declare, under penalty of perjury, under the laws of the State of California, that the above information is true
and accurate to the best of my knowledge.
X
Signature Authority - as authorized in Resolution; or Authorized Designee - as
authorized in submitted Letter of Authorization
Date
Print Name
Print Title
Submit notification to:
California Integrated Waste Management Board
Used Oil Grant Program – EPPP Policy
Financial Assistance Division, MS9
1001 “I” Street
P.O. Box 4025
Sacramento, CA 95812-4025
(916) 341-5062 - phone
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
5
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GRANT APPLICATION FORM
CIWMB 243-URD (New 2/08)
WORK PLAN
List the goals, objectives, tasks/activities, sub-tasks, staff/contractor, and timeframes necessary to complete your project. The Work Plan tasks/activities should
match the tasks/activities identified in the Budget.
GOAL
OBJECTIVE
TASK #
TASK/ACTIVITY DESCRIPTION
RESPONSIBLE
PERSON
(contractor or staff,
include name & title)
EVALUATION
METHOD
(survey, workshop,
etc.)
TIMEFRAME
BUDGET CATEGORY
(month/yearmonth/year)
Note: See Application Guidelines for Work Plan example
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
6
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GRANT APPLICATION FORM
CIWMB 243-URD (New 2/08)
BUDGET
List costs for each task/activity or sub-task identified in your Work Plan. The personnel calculation or cost is
the hourly rate multiplied by hours worked. Round Budget amounts to the nearest whole dollar. Include
copies of bids/estimates for all major items and indicate those items on the Budget with an asterisk.
Task #
Category/Description
Permanent Collection Facility:
Amount
(include amounts)
Non-Personnel Costs:
Personnel:
______________
(include category
total)
Temporary or Mobile Collection:
(include amounts)
Non-Personnel Costs:
Personnel:
______________
(include category
total)
Residential Collection:
(include amounts)
Non-Personnel Costs:
Personnel:
Publicity & Education:
______________
(include category
total)
(include amounts)
Non-Personnel Costs:
Personnel:
Personnel: (Program Planning, Management, and
Administration)
Other:
Indirect Costs:
(Not to exceed 10% of grant award total for the OG and R&D Grant
and not to exceed 20% for the NP Grant)
Budget Total
______________
(include category
total)
(include amounts)
______________
(include category
total)
(include amounts)
______________
(include category
total)
(include amounts)
______________
(include category
total)
(include Budget
total)
_____________
Note: See Application Guidelines for Budget example
This document may be reproduced, enlarged, and customized as necessary. Personnel calculation: rate X hours = cost
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
7
STATE OF CALIFORNIA
CIWMB 168-(Revised 1/08)
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
Reliable Contractor Declaration
This form must be completed and submitted to the California Integrated Waste Management Board (CIWMB) prior
to authorizing a contractor(s) to commence work. Failure to provide this documentation in a timely manner may
result in nonpayment of funds to the contractor(s).
This form is intended to help the CIWMB’s Grantees comply with the Unreliable List requirement of their Terms and
Conditions.
The Unreliable List provision requires the following:
Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to the CIWMB a declaration
signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed
in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the
contractor(s). Please see the reverse of this page for a listing of events, or refer to www.ciwmb.ca.gov/Regulations/Title14/.
Please return the completed form(s) to:
California Integrated Waste Management Board
Used Oil Research, Testing and Demonstration Grant Program
Attn: Angela Parker
P.O. Box 4025
Sacramento, CA 95812-4025
========================================================================================
Grantee Information (Please Print)
Grantee Name:
Primary Contact:
========================================================================================
Contractor Information (Please Print)
Contractor Name:
Mailing Address:
Authorized Contractor Representative:
As the authorized representative of the above identified contractor, I declare under penalty of perjury under the laws
of the State of California that within the preceding three (3) years, none of the events listed in Section 17050 of Title
14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified
contractor.
Signature: _________________________________________________________________
Date:
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
8
STATE OF CALIFORNIA
CIWMB 168-(Revised 1/08)
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
Title 14 CCR, Division 7, Chapter 1
Article 5. Unreliable Contractors, Subcontractors, Borrowers and Grantees
Section 17050. Grounds for Placement on Unreliable List
The following are grounds for a finding that a contractor, any subcontractor that provides services for a board agreement, grantee or
borrower is unreliable and should be placed on the board’s Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable
List"). The presence of one of these grounds shall not automatically result in placement on the Unreliable List. A finding must be made by
the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance
with section 17055 et seq.
(a) Disallowance of any and/or all claim(s) to the board due to fraudulent claims or reporting; or
(b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et.
seq; or
(c) Default on a board loan, as evidenced by written notice from board staff provided to the borrower of the default; or
(d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by the board; or
(e) Filing voluntary or involuntary bankruptcy, where there is a finding based on substantial evidence, that the bankruptcy interfered
with the board contract, subcontract, grant or loan; or
(f) Breach of the terms and conditions of a previous board contract, any subcontract for a board agreement, grant, or loan, resulting
in termination of the board contract, subcontract, grant or loan by the board or prime contractor; or
(g) Placement on the board’s chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner
or operator of a solid waste facility; or
(h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an
entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in
violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any board
contract, subcontract, grant or loan; or
(i) The person or entity is on the list of unreliable persons or entities, or similar list, of any other federal or California state agency;
or
(j) The person or entity has violated an Order issued in accordance with section 18304; or,
(k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but
does not have a waste tire facility permit; or,
(l) The person or entity has transported waste tires without a waste tire hauler registration; or,
(m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or
revoked; or,
(n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds
by the Board to remediate, clean, or abate a nuisance at the site; or
(o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable
List:
(1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its
placement on the Unreliable List;
(2) The person held the position of officer director, manager, partner, trustee, or any other management position with
significant control (Principal Manager) in an entity on the Unreliable List at the time of the activity that resulted in its
placement on the Unreliable List;
(3) The entity includes a Principal Manager who:
1. Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its
placement on the Unreliable List; or,
2. Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its
placement on the Unreliable List;
(4) The entity has a person who owns 20% or more of the entity, if that person:
1. Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its
placement on the Unreliable List; or,
2. Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its
placement on the Unreliable List.
(5) The entity has another entity which owns 20% or more of the entity, if that other entity:
1. Is on the Unreliable List; or,
2. Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its
placement on the Unreliable List.
(6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the
Unreliable List subsequent to its placement on the Unreliable List.
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
9
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GENERAL CHECKLIST OF BUSINESS PERMITS, LICENSES AND FILINGS
CIWMB 669-(Revised 9/07)
GRANT APPLICANT/GRANTEE NAME
GRANT NAME AND CYCLE
GRANT NUMBER, IF APPLICABLE
DATE SUBMITTED/UPDATED
Mark (9 or X) appropriate box on each line below. All lines must be completed.
Note: This list is not all-inclusive. Grant Applicant/Grantee must list other critical permits/licenses/filings not identified
below.
Grant Applicant/Grantee currently holds this valid permit/license/filing
Grant Applicant/Grantee will modify and/or obtain this permit/license/filing
This permit/license/filing is not applicable for this grant project or business
LOCAL PERMITS, LICENSES & FILINGS
REGULATOR OR ISSUER
Authority to Construct/Permit to Operate
Air Quality Management District
Building Construction Permit
City or County
Business License
City or County
Fictitious Business Name Filing
County
Land Use Permit/Zoning Clearance/Conditional Use Permit
City or County
Permit By Rule (PBR) for Permanent HHW Facilities or Temporary
Collection Events
Waste Hauler Permit
City, County or Cal/EPA-DTSC
City or County
STATE PERMITS, LICENSES & FILINGS
Antifreeze, Battery, Oil & Paint (ABOP) Notification
CUPA or Cal/EPA-DTSC
Corporate, Company or Partnership Filings
Ca. Secretary of State
Hazardous Waste Haulers Permit
Cal/EPA – DTSC
Industrial Activities Storm Water General Permit
Cal/EPA – SWRCB
Non-Profit Organization 501 (C) (3)
Ca. Secretary of State
Prop. 65 Safe Drinking Water & Toxic Enforcement Act
Cal/EPA – OEHHA
Solid Waste Facilities Permit
Cal/EPA – CIWMB
State EPA Identification Number
Cal/EPA – DTSC
Waste and Used Tire Hauler Registration
Cal/EPA – CIWMB
Waste Discharge Requirements
Cal/EPA – SWRCB
Waste Tire Facilities Permit
Cal/EPA – CIWMB
FEDERAL PERMITS, LICENSES & FILINGS
US EPA – Identification Number
US EPA
US EPA – NPDES and/or NSR Permits
US EPA
OTHER PERMITS, LICENSES & FILINGS
DO NOT submit copies of the permits/licenses/filings with this form. Please retain all permits/licenses/filings in grant file
for audit purposes.
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
10
STATE OF CALIFORNIA
CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD
GENERAL CHECKLIST OF BUSINESS PERMITS, LICENSES AND FILINGS
CIWMB 669-(Revised 9/07)
Comments/Notes:
Mark (9 or X) appropriate box below.
PRIVATE ENTITY CERTIFICATION: I declare under penalty of perjury under the laws of the State
of California that the proposed grantee: 1) is in good standing and qualified to do business in the State;
and 2) has or will comply with all applicable state, federal, and local laws, ordinances, regulations, license
and permit requirements necessary for the proper performance of this grant; and 3) where compliance has
not been met, I have attached a letter describing what has been done to achieve full compliance.
PUBLIC ENTITY CERTIFICATION: I declare under penalty of perjury under the laws of the State of
California that the proposed grantee: 1) has or will comply with all applicable state, federal, and local
laws, ordinances, regulations, license and permit requirements necessary for the proper performance of
this grant; and 2) where compliance has not been met, have attached a letter describing what has been
done to achieve full compliance.
on
Executed at:
Date
City and State
X
Signature Authority / Authorized Designee
Date
(as authorized in Resolution or Letter of Authority-LOA)
Print Name
Print Title
Note: Falsification under penalty of perjury may result in criminal and civil penalties. In addition, pursuant to the terms of
the grant agreement, any misrepresentations in the above certification shall constitute a breach of contract that could
result in non-payment of grant funds to the grantee; relinquishment by the grantee of funds previously paid;
termination of the grant; and/or placing the grantee on the Board’s Unreliable Contractors List.
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
11
APPLICATION CHECKLIST
USED OIL RESEARCH, TESTING, AND DEMONSTRATION GRANT PROGRAM (6TH CYCLE)
This application checklist is provided for your convenience and is not intended to be all inclusive. Prior to
submitting your application, check the Q&A website for additional information. You are responsible for
completing and submitting all required documentation.
Grant Application Form (CIWMB 243-URD)
All applicable information and documents are provided; applicable boxes are checked.
Application Certification is signed by the:
1) Signature Authority as authorized in Resolution , or
2) Authorized Designee.
Authorized Designee may sign only if the Letter of Authorization has been submitted to the CIWMB.
Environmental Justice Certification
Box is checked.
Evidence of Non- Profit Status
Letters of Declaration of Nonprofit Status and Good Standing included
Resolution Requirement—See Required Documents Section for Resolution, and Letter of Authorization (LOA) information
Approved Resolution is included with Application; box is checked, or
If applicable, approved Resolution not submitted with Application but will be submitted to the CIWMB
for receipt by 4/10/2008; box is checked.
If applicable, Letter of Authorization (LOA) is included with Application.
A LOA is not required to be submitted with the Application; however, it must be submitted prior to
Designee’s exercise of his/her authority.
Environmentally Preferable Purchases and Practices Policy Evaluation—See Required Documents for example
Appropriate boxes are completed on the EPPP Evaluation.
EPPP Policy Notification (pending Policy being adopted). Must be submitted by 4/10/2008.
Project Narrative —See Section III: Grant Application Narrative Guidelines for detailed guidelines and information
Narrative does not exceed 11 pages (not including letters of support)
Work Plan —See Section III: Grant Application Narrative Guidelines for information and VI. Required Documents for example
Appropriate boxes are completed on the Work Plan.
Budget— See Section III: Grant Application Narrative Guidelines for information and VI. Required Documents for example
Appropriate boxes are completed on the Budget.
Business Related Forms
Reliable Contractor Declaration form included (if applicable)
General Checklist of Business Permits, Licenses and Filings form included (if applicable)
Application Format & Submittal
Copies: One application with original signature (blue ink preferred), and three copies
Paper: 8½ X 11, double-sided, single spaced, printed on 100% post consumer fiber, and numbered
consecutively
Stapled, not bound: upper left-hand corner
Font: Comparable to 12 pt. Times New Roman
Addressed to the appropriate mailing address of the CIWMB
Used Oil Research, Testing, and Demonstration Grant Program 6th Cycle (FY 2007/08)
12
