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ADA GRANT APPLICATION TOOL DISTRICT INFORMATION District Student Enrollment – FTE___________ Total Budgeted 2017 18 Revenue ___________ 2017-18 Expenditures___________ GENERAL FUND BALANCES – Approximate Restricted/Committed/Assigned ___________ Unrestricted___________ Bond and Levy Information From 2008 to present have your run any maintenance and operation levies? Y/N If yes to above from 2008 to the present date, provide the number of: Double M&O Levy Failures_____________ Unsuccessful bond attempts____________ Unsuccessful capital Levy Attempts ___________ 2016-17 Amount of excess levy approved by voters _____ CAPITAL LEVY COLLECTION Anticipated Capital Levy Collection for: 2017-18_________ 2018-19_________ FINANCIAL NEED – NARRATIVE Describe how the District’s current and past financial limitations have prevented the District from addressing the equal access concerns that the District proposes to address in this grant application (150 words max.) PROJECT INFORMATION Grant Information After providing the following information for the school entered below, the applicant will have the option of adding other schools to the project. Adding a school in this category does not constitute a new grant application; instead it indicates that the proposed project and project budget will take place at more than one location within the applicant

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Page 1: €¦  · Web viewADA GRANT APPLICATION TOOL. DISTRICT INFORMATION. District Student Enrollment – FTE_____ Total Budgeted. 2017 18 Revenue _____ 2017-18 Expenditures_____

ADA GRANT APPLICATION TOOL

DISTRICT INFORMATION

District Student Enrollment – FTE___________

Total Budgeted

2017 18 Revenue ___________

2017-18 Expenditures___________

GENERAL FUND BALANCES – Approximate

Restricted/Committed/Assigned ___________

Unrestricted___________

Bond and Levy Information

From 2008 to present have your run any maintenance and operation levies? Y/N

If yes to above from 2008 to the present date, provide the number of:

Double M&O Levy Failures_____________

Unsuccessful bond attempts____________

Unsuccessful capital Levy Attempts ___________

2016-17 Amount of excess levy approved by voters _____

CAPITAL LEVY COLLECTION

Anticipated Capital Levy Collection for:

2017-18_________

2018-19_________

FINANCIAL NEED – NARRATIVE

Describe how the District’s current and past financial limitations have prevented the District from addressing the equal access concerns that the District proposes to address in this grant application(150 words max.) PROJECT INFORMATION

Grant Information

After providing the following information for the school entered below, the applicant will have the option of adding other schools to the project. Adding a school in this category does not constitute a new grant application; instead it indicates that the proposed project and project budget will take place at more than one location within the applicant district. Total grant budget for all proposed projects at all schools may not exceed $100,000.School Name __________________________School Address _________________________

Page 2: €¦  · Web viewADA GRANT APPLICATION TOOL. DISTRICT INFORMATION. District Student Enrollment – FTE_____ Total Budgeted. 2017 18 Revenue _____ 2017-18 Expenditures_____

EXISTING CONDITION(s)

This part of the application refers to all conditions to be addressed at this school. Describe existing equal access condition (or conditions) that needs to be addressed, including any deficiencies with respect to the Americans with Disabilities Act (ADA) compliance and/or the Individuals with Disabilities Education Act (IDEA) requirements. Be specific about deficiencies and their impact on equal access to educational opportunities. Your narrative might include answers to questions similar to the following: Why and when was the condition identified? Is there a record of repeated concerns related to this condition? What is the urgency of this condition and why is this condition significant to the school? Is the condition listed in an ADA self-evaluation/transition plan? What was the process used to identify and prioritize the condition(s) to be addressed in this proposal? Was an ADA-compliance survey done, and if so, what was the method used? Make sure to note if the condition has a safety-related impact (i.e.: non-existing or non-ADA compliant handrails at stairs and ramps with slopes between 1:20 and 1:12). Optional: Provide uploads (see uploads page) to illustrate/clarify condition(s). Please do not use names of schools, personnel or other identifying information. (200 words max.)

THIS CONDITION HAS BEEN A CONCERN FOR:

Less than a year ___

One to five years ___

More than 5 years ___

PROJECT PROPOSAL

Describe the proposed project intended to address the existing equal access condition(s) at this school as described above. Provide a list the positive impacts and outcomes of this project, particularly with respect to how access to educational opportunities will be improved for students with disabilities. Make sure to refer to General Information and Assurances page for discussion of the types of projects that will qualify. Optional: Provide uploads to illustrate and/or clarify proposal. Please do not use names of schools, personnel or other identifying information.(300 words max.)

TIMELINE

Enter the following approximate timeline to describe the major deliverables of the project:

Complete Design ____________

Bid Project (if Applicable) ______

Complete Construction_________

BUDGET INFORMATION

Select the appropriate title of person/type of company that produced this project budget. School Staff, Arch/Engr, Contractor, Project Manager/Owner’s Rep, Other consultant or government agency – List

______________________________________________

Fill in your budget using the appropriate categories (Intended to help you develop a more detailed and accurate estimate of costs.)

Include construction and installation costs, architectural and engineering fees, construction/project management fees, equipment costs, permits, taxes, contingencies. RCW 39.12 Washington State prevailing wages rules will apply. Grant is not permitted to cover indirect costs such as District staff hours and District admin expenses. The amount you request cannot be increased. Costs below to include all

Page 3: €¦  · Web viewADA GRANT APPLICATION TOOL. DISTRICT INFORMATION. District Student Enrollment – FTE_____ Total Budgeted. 2017 18 Revenue _____ 2017-18 Expenditures_____

applicable taxes. Uploaded detailed construction cost estimate (using Uniformat or similar categories) is not required but may improve scoring of grant if provided.

Construction Costs___________

Architect/Engineering Fees___________

Consultant Fees other A/E____________

Permits/Fees (county-city inspections) and Inspections/Tests (Required by IBC)_____________

Installation Costs_____________

Equipment Costs_____________

Construction management_____________

NOTE:  Equal Access Grant cannot exceed $100,000 for proposed projects at all schools included in the grant application; districts are responsible for all costs above the granted amount.

Local Share: ___________

NOTE:  If applicable, the amount above the $100,000 threshold

ABILITY TO IMPLEMENT PROJECTProvide information demonstrating that this is a well-planned and budgeted project that your District can accomplish. Address the following: Who/what was involved in the planning and decision-making process? Did people with disabilities and/or experience working with people with disabilities provide input? Does the District have the experience to implement a project of the proposed scope and complexity? Provide examples of past capital improvement projects similar in scope that the District, working with consultants and contractors as appropriate, has successfully completed.(150 words max.)

REMEMBER:  PRESS SAVE BUTTON AND ALLOW TIME TO SAVE. IF YOU ARE GOING TO ADD ANOTHER PROJECT PRESS NEW.

UPLOADS FOR THIS SCHOOL DISTRICTOptional:  Provide labeled photographs of the existing condition to be addressed in the project; drawings/illustrations, if any, of the proposed project; catalog cuts of proposed products to be installed; detailed cost estimates; and any other documents to support your application. Provide description of any conditions or proposed solutions illustrated in photographs and drawings/illustrations. Include your district name in all file names.