Attachment D - Applicant Validation of Funding Partners.docx

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3D Elevation Program (3DEP)
Opportunity number
G18AS00078
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Attachment D - Applicant Validation of Funding Partners

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US Geological Survey Broad Agency Announcement for 3D Elevation Program (3DEP)

140G0118R0037 / G18AS00078

Validation of Proposed Funding Partners

Required for Proposal Submission

Applicant Information
First Name:
Last Name:

Organization:

Project Title:
Proposed Funding Partner Information
First Name:
Last Name:

Organization:

This form acknowledges that our organization is a full and willing partner in the project referenced above. If accepted for award, our agency has proposed a good faith contribution of $_____ ____ towards the acquisition costs of this project.

☐ In addition to the acquisition cost, applicants utilizing the GPSC contracts will be subject to a 5% assessment on the value of their contribution. This assessment covers the cost of contract management. The total cost of the project will include the acquisition cost plus the assessment.

Acknowledgement required; please read and check box

As stated in the proposal this contribution is:
☐
Guaranteed

☐ Pending, with a final funding decision expected on (Use: MMM YYYY)

Signature of Funding Partner_____________________________________________________________ Date _________________________________________________________________________________

140G0118R0037 FY18 / 19 BAA Solicitation Attachment D Page 1

G18AS00078

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