Attachment D - Funding Partners.pdf

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Attached to
Broad Agency Announcement (BAA) for 3D Elevation Program (3DEP)
Opportunity number
G22AS00013
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US Geological Survey Broad Agency Announcement for 3D Elevation Program (3DEP)

DOIGFBO210044/G22AS00013

DOIGFBO210044 FY22 BAA Solicitation Attachment D Page 1

G22AS00013

Attachment D 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:

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 organization 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 organization 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 6% $______ _ _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 _________________________________________________________________________________

Complete

Only ONE

Statement based on

Award

Mechanism

Hit TAB to complete input

First Name:
Last Name:
Organization:
Project Title:
First Name_2:
Last Name_2:
Organization_2:
Guaranteed: Off
Pending with a final funding decision expected on:
Date:
FA Contribution:
GPSC Contribution:
GPSCAssessment:
GPSC Acquisition:
Pending: Off

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