PKG00255911-instructions.pdf

"[CLICK AND INSERT APPLICATION TITLE HERE]"

A 2020 AGRICULTURE INNOVATION CENTER GRANT APPLICATION

Submitted by:

"[CLICK AND INSERT APPLICANT NAME HERE]"

"[CLICK AND INSERT APPLICANT STREET ADDRESS]"

"[CLICK AND INSERT CITY, STATE, ZIPCODE HERE]"

"[CLICK AND INSERT DATE HERE]"

Table of Contents Executive Summary

Goals of the Project

Work Plan

Budget Justification

Scoring Criteria

Ability to Deliver

Successful Track Record

Work Plan/Budget

Qualifications of Key Personnel

Local Support

Future Support

Appendix A: Forms and Certifications

SF-424, Application for Federal Assistance

SF-424A, Budget

SF-424B, Assurances

AD-3030, Representation Regarding Felony Convictions and Tax Delinquency Status for Corporate Applicants

Certification Regarding Federal Judgments

Certification on Lobbying

Appendix B: Applicant Eligibility

Appendix C: Verification of Matching Funds

Appendix D: Governance Structure of the Center

Appendix E: Board of Directors

Appendix F: Existing Capability to Provide Services

Appendix G: Support of the Agricultural Community

Appendix H: Strategic Coordination and Alliances

Executive Summary

Goals of the Project

Work Plan

Budget Justification

Scoring Criteria

Ability to Deliver

Successful Track Record

Work Plan/Budget

Qualifications of Key Personnel

Local Support

Future Support

Appendix A: Forms and Certifications

SF-424, Application for Federal Assistance

SF-424A, Budget Information—Non-Construction Programs

SF-424B, Assurances—Non-Construction Programs

AD-3030, Representation Regarding Felony Convictions and Tax Delinquency Status for Corporate Applicants

Certification Regarding Federal Judgments

(Applicant) certifies that the United States has not obtained an unsatisfied judgment against its property, is not delinquent on the payment of Federal income taxes, or any Federal debit, and will not use grant funds to pay any judgments obtained by the United States.

Certification on Lobbying

Certification for Contracts, Grants, Loans, and Cooperative Agreements

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Name of Applicant:

Name of Authorized Representative:

Signature of Authorized Representative Date

Appendix B: Applicant Eligibility

Appendix C: Verification of Matching Funds

For the purposes of carrying out the Work Plan identified in our application for the Agriculture Innovation Center Program, I verify the following information:

Legal Name of Applicant:

Proposed Start Date: Proposed End Date:

Total Project Cost: $ Matching Funds: $

As applicable, identify all sources, amounts, and uses of matching funds that your organization currently has available and committed to AIC project expenditures during the period of performance. If funds are being provided by a third party, attach a letter signed by the authorized representative of the organization that identifies the amount, use of funds, and time period of availability.

Source of Funds Amount Use of Funds

☐ Our Board of Directors has formally resolved/confirmed the matching funds amount to be contributed by this organization on [DATE].

☐ I/We do not need a resolution because it is not required by our governing body.

Name of Authorized Representative

Signature of Authorized Representative Date

Appendix D: Governance Structure of the Center

Appendix E: Board of Directors

Appendix F: Existing Capability to Provide Services

Appendix G: Support of the Agricultural Community

Appendix H: Strategic Coordination and Alliances