Attachment D - Funding Partners.dotx

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Attached to
3D Elevation Program (3DEP)
Opportunity number
G19AS00124
Issued by

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Attachment D - Funding Partners

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

140G0119R0029 / G19AS00124

Validation of Proposed Funding Partners

Required for Proposal Submission

Applicant Information
First Name:
Last Name:

Organization:

Project Title:

Hit TAB to complete input Complete Only ONE Statement based on Contract Mechanism

Proposed Funding Partner Information
First Name:
Last Name:

Organization:

Financial Assistance Awards
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.
Geospatial Products and Services (GPSC)
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 total cost of this project. The applicant recognizes that $________ ____ will be applied to the acquisition costs and 5% $______ _ _will be applied to cover the cost of DOI and USGS assessments.
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 _________________________________________________________________________________

140G0119R0029 FY19 / 20 BAA Solicitation Attachment D Page 1

G19AS00124

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