Attachment A - WMA.pdf

PDF 267 KB Posted

Attached to
DEP-BWR-NOI-FY27 Water Management Act Grant ANNOUNCEMENT ONLY
Solicitation number
BD-27-1045-BWR00-BWR01-132533
Issued by
Massachusetts

About this file

This is a Water Management Act SFY2027 Grant Program Application form issued by the Commonwealth of Massachusetts Department of Environmental Protection (DEP) as part of a Request for Responses (RFR) soliciting grant proposals from eligible entities. The application seeks projects providing planning assistance, including drought planning and resiliency initiatives, select firm yield studies, PFAS planning, rate studies, and implementation assistance such as demand management, minimization, and mitigation activities for new withdrawal impacts in local communities. The form requires applicants to provide entity name, project partners, project title, major basin designation, and project type classification (Planning, Demand/Drought Management, or Mitigation). Applicants must document project phase completion status across four categories—Assessment and Planning, Design, Permitting, and Construction—with completion percentages ranging from 0% to 100%. The form also requires applicants to identify Department of Water Protection (DWP) permit review status and provide applicable permit numbers.

The application form does not specify explicit response dates, due dates, site visits, or bidders' conferences within the provided attachment. Pricing terms, set-asides, incumbent contractor information, and specific funding amounts are not detailed in this application template. The program represents a grant opportunity rather than a traditional procurement contract, indicating that funding will be provided by the Commonwealth of Massachusetts through the DEP for eligible water management projects. Applicants must demonstrate project readiness by documenting completion percentages across multiple phases and providing short descriptions of proposed work to support evaluation of grant eligibility and project merit.

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File Type Posted
FY27_BWR_WMA_RFR_a11y.docx DOCX document
Attachment C - Commonwealth W9.pdf PDF
ATTACH~2.PDF PDF

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Text version

A-1

ATTACHMENT A

Water Management Act

SFY2027 Grant Program Application

Section 1: Project Information Entity Name:

Project Partners (if applicable):

Project Title:

Major Basin:

Project Type: ☐ Planning ☐ Demand/Drought Management ☐ Mitigation

Project Phase: Completion Status:

☐Assessment and Planning ☐0% ☐30% ☐50% ☐ 90% ☐ 100% ☐Design ☐0% ☐30% ☐50% ☐ 90% ☐ 100% ☐Permitting ☐0% ☐30% ☐50% ☐ 90% ☐ 100% ☐ Construction ☐0% ☐30% ☐50% ☐ 90% ☐ 100%

DWP Permit Review Status:

☐Completed ☐In Process ☐Not Stated ☐Not required DWP Permit #:

Short description of the work (<5 sentences):

Requested Funds:

Matching Funds & Source:

Applicant Signature:

Electronic or manual signatures are acceptable on this form.

By checking this box the applicant confirms that they are authorized to submit this grant application on behalf of the specified entity listed above.

A-2

Section 2: Ability to Perform Proposed Project Ability to Use Funds

By checking this box the Applicant certifies that its entity is in Good Standing with the Commonwealth of Massachusetts.

By checking this box the Applicant agrees it is able to enter into the contract within thirty (30) days of the Grant Award and perform the project and meet all requirements of this state grant.

Ability to Perform Project By checking this box the Applicant acknowledges and agrees that its entity will be able to complete the project, as described in this application, by June 30, 2027.

Section 3: Applicant Information Chief Executive of Applicant Organization Name: Title:

Phone Number: Email Address:

Project Lead Name: Title:

Phone Number: Email Address:

Grant Manager

Entity Name:

Grant Manager Name: Title:

Phone Number: Email Address:

Project Engineer (If applicable)

Entity Name:

Project Manager Name: Title:

Phone Number: Email Address:

Other Project Staff (If applicable)

Entity Name:

Project Manager Name: Title:

Phone Number: Email Address:

A-3

Other Project Staff (If applicable)

Entity Name:

Project Manager Name: Title:

Phone Number: Email Address:

Other Project Staff (If applicable)

Entity Name:

Project Manager Name: Title:

Phone Number: Email Address:

If awarded, who should be notified?

Name(s):

Preferred Method of Contact: Email Phone

Planning: Off
DemandDrought Management: Off
Mitigation: Off
Completion Status: Off
Design: Off
0_2: Off
30_2: Off
50_2: Off
90_2: Off
100_2: Off
Permitting: Off
0_3: Off
30_3: Off
50_3: Off
90_3: Off
100_3: Off
DWP Permit Review Status: Off
Completed: Off
In Process: Off
Not Stated: Off
Not required: Off
Entity Name:
Project Partners:
Project Title:
Major Basin:
DWP Permit Number:
Short Description of Work:
Requested Funds:
Matching Funds & Source:
Name_1:
Phone_1:
Email_1:
Title_1:
Name_2:
Phone_2:
Title_2:
Email_2:
Entity Name_3:
Name_3:
Phone_3:
Title_3:
Email_3:
Entity Name_4:
Title_4:
Email_4:
Name_4:
Phone_4:
Entity Name_5:
Name_5:
Title_5:
Phone_5:
Email_5:
Entity Name 6:
Name_6:
Phone_6:
Title_7:
Email_7:
Entity Name_7:
Name_7:
Title_8:
Email_8:
Notify:
Preferred Method of Contact: Off
Good Standing: Off
30 Day Contract: Off
Complete Work: Off
Authorization: Off

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