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HomeMy WebLinkAboutC02-067 Colorado Waste Tire Grant Program - landfillt rYS- COLORADO WASTE TIRE GRANT PROGRAM Form DLG -B: Recycling Incentives Reimbursement Application (Rev. 3 -01) Entity Applying for Funds Eagle County Health and Human Services (Contractor) Type of Applicant: _ Municipality X Cc — City/County _ State Agency _ Sr Federal Identification Number: 84- 6000.76 Address (where checks will be sent) P.O. Box 660, 500 Broa City Eagle State Colorado Zip 8162 Name of Primary Contact Person Kathleen Forinash Directo. Phone 970 328 - 884_0_ Fax Description of recycled tire product(s) being considered for WU �� C l �Q 1 clean recycled Colorado Tires. Playflex does not deteriorate nor doe <�� sawdust wood chips or bark. Description of public project in which the recycled tire product(s) will be used- This product will be used to provide ground covering for the playgrounds of one pre - school and the play ground for a low income housing program run by Eagle County. Location(s) they will be used: Saint Mary's Preschool and Riverview Apartments Estimated unit cost of recycled tire product(s): $370.00 Plus shipping. Shipping is about $40.00 per ton Estimated total cost of your purchase: $8525.00 Estimated number of waste tires you will use when you purchase this product: 2140 Is there a comparable product not made of waste tire material that this recycled tire product is replacing? X Yes _ No If yes, please describe: Gravel and sand If yes, what is the cost of the non -tire product this recycled tire product is replacing? $850.00 Project Start Date: March 1, 2002 Estimated End Date: February 1, 2004 Please note: This is a grant reimbursement program. Applicants will be notified about the amount of funds the Department of Local Affairs will award to your project, an amount that cannot exceed 75% of the total cost of actual purchase price. Applicants must purchase the materials in accordance with standard bidding procedures (or provide aole- source documentation) for a public project and submit original copies of the invoice(s) to the Department of Local Affairs. The Department of Local Affairs will reimburse your entity for the costs approved. In addition, recipients of these grant funds will be required to submit a report providing information regarding how the funds were used, how much waste tire material was used, the use to which they were put, and the total cost of the project together with the invoice for reimbursement. NOTICE TO APPLICANT: The Contractor's submission of this application constitutes an offer, acceptance of which shall result in a binding contract effective upon acceptance of the application and award of the grant. The terms of this contract include; the applicant's Colorado Waste Tire Program Recycling Incentives Reimbursement Application; the Award Letter; and, the Colorado Waste Tire Grant Program Application Guidelines (including the General Provisions dated February 1998 and the Colorado Special Provisions, dated July 1997) which are incorporated hereby by reference. Acceptance By signing below, I certify that my agency has followed all application requirements for these funds and that I have the authority to enter into this contract as a representative of the applicant. Contractor (entity applying for grant funds): Eagle County Government Address (if different from address listed earlier): City '�� s1► !'s!► Position (Title) cs "ems (If Corporation) ;r Attest (Seal) Loa By State Zip Email: Date 84- 6000762 Federal ID Number Clerk Mail Completed Application to: Colorado Waste Tire Program Department of Local Affairs 1313 Sherman Street, Room 521 Denver, CO 80203