SmallGrantsProposalOutline.docx.docx

Proposal Outline – Do NOT submit a separate cover/transmittal letter with the proposal. After you have read the additional instructions (in pink), please delete them from your proposal.

2018 SMALL GRANTS PROPOSAL APPLICATION

I. PROJECT OFFICER’S PAGE

What is the proposal title?

What is the date you are submitting the proposal?

Amount of NAWCA funding request:

What are the geographical landmarks for the proposal?

1. State(s):

2. County(ies): In alphabetical order

3. Congressional District(s):

4. JV(s):

5. BCR(s):

6. Project Location zip code(s):

7. Coastal or Non-Coastal Project Site:

Project Officer Information:

1. Name:

2. Title:

3. Organization: Full, legal name of Applicant Organization

4. Applicant Organization Address: City, State, Zip+4

5. Project Officer Address: City, State, Zip+4

6. Telephone number:

7. Email address:

8. Additional contacts: Name, phone number, and email

9. DUNS Number:

How many more proposals are planned for the same proposal area?

Will any of the NAWCA funds requested as part of this proposal be received or spent by the U.S. Fish and Wildlife Service or another Federal agency? Yes/No If yes, which agency(ies) will receive these funds and what is the fund amount:

Agency_______________________ Amount______________ (add additional lines as necessary and include accounting code if possible)

Does this proposal include acquisition activities that will add to the National Wildlife Refuge System (NWRS)? Yes/No If yes, please indicate which NWRS program the acquisition(s) will be added to: National Wildlife Refuge (NWR) and which one(s), Waterfowl Production Area (WPA) and which one(s), or Small Wetland Acquisition Program (SWAP).

Are carbon sequestration credits involved in your proposal? Yes/No If yes, please highlight and provide details in the appropriate financial plan narrative/work plan section. Include information about whether the credits will generate program income (Described in Grant Administration Standards).

Will any portion of any tract or activities associated with any tract be used to satisfy wetland or habitat mitigation requirements under Clean Water Act, Rivers and Harbors Act, Fish and Wildlife Coordination Act, Water Resources Development Act, ecological service credits or other related statutes now or in the future? Yes/No If yes, please highlight and provide details in the appropriate financial plan narrative/work plan section.

Have you confirmed that all partners, key personnel, and contractors are eligible to participate in Federal grants? Yes/No

To ensure that the proposal complies with available guidelines and that partners are aware of their responsibilities, the Project Officer certifies to the following statement: I have read the 2018 Small Grant proposal instructions, eligibility information, and applicable U.S. grant administration policies and informed partners or partners have read the material themselves. To the best of my knowledge, this proposal is eligible and complies with all NAWCA, North American Wetlands Conservation Council, and Federal grant guidelines and the information submitted herein is true and correct. The work in this proposal consists of allowable and eligible work and costs associated with long-term wetlands and migratory bird habitat conservation.

Audit reports. If the applicant organization expended more than $750,000 of federal funds during the last calendar year, please include a copy of your most recent of SF-FAC that was submitted to the Federal Audit Clearinghouse. If your organization did not expend more than $750,000 of federal funds last year, please certify that the Single Audit (formerly A-133) was not required.

Required Overlap/Duplication Statement: Applicants must provide a statement that addresses any potential overlap between the proposed project and any other active anticipated projects in terms of activities, costs, or time commitment of key personnel. If any overlap exists, applicants must provide a description of the overlap in their application. Applicants must also state if the proposal submitted for consideration under the program is/is not in any way duplicative of any proposal that was/will be submitted for funding consideration to any other potential funding source (Federal or non-Federal). If such a circumstance exists, applicants must detail when the other duplicative proposal(s) were submitted, to whom (entity name and program), and when funding decisions are expected to be announced. If at any time a proposal is awarded funds that would be duplicative of the funding requested from the Service, applicants must notify the Service point of contact for this funding opportunity immediately.

Do you have any comments about, or suggestions for, the NAWCA program? You may provide comments with this proposal, or send them at any time by email to: nawca_smallgrant@fws.gov

II. PROPOSAL SUMMARY

Proposal Title, State(s)

COUNTY(IES), STATE(S), CONGRESSIONAL DISTRICT(S): In alphabetical order

MATCHING PARTNERS: $Total Match List all partners that will provide match, beginning with the grantee organization

NON-MATCHING PARTNERS $Total Non-match List all non-match partners and contributions in the same format as the matching partners Grantee/Partner: $

BRIEF SUMMARY OF PROPOSED ACCOMPLISHMENTS:

III. PROPOSAL FINANCIAL PLAN TABLE (remove activity types and costs not associated with the proposal)

MATCH $

NEW

MATCH $

TOTAL GRANT + MATCH $

G. TOTAL ACQUIRED

(Sum of A,B,C,D,E,F)

L. GRAND TOTAL DIRECT

(Sum of G and H,I,J,K)

GRAND TOTAL

(Sum of L and M)

MACH $

ABBREVIATED

PARTNER NAME

OLD

MATCH $

NEW

MATCH $

TOTAL

GRANT +

MATCH $

IV. WORK PLAN AND TIMETABLE

A. Project Description and Scope of Work Address all of the following:

1. Project need:

2. Purpose, goals, and objectives:

3. Identify, by tract, work to be done and by whom:

4. Holder of NAWCA conservation interest(s) by tract:

5. Identify, by tract, the grantor/seller of conservation interests:

6. For acquisition projects, please address if mineral and water rights are severed or included. If severed, please explain:

7. For restoration/enhancement projects, please address if mineral and water rights are severed or include. If severed, please explain:

8. For acquired properties, please identify any existing leases and describe any allowed/prohibited activities resulting from these leases?

9. Please list project equipment required to complete project activities and identify if they will be purchased or leased:

10. Expected results and how they will be monitored through the full duration of the benefit period:

B. Timetable

Pre-Grant Period Activities

Project Period Activities

V. SMALL GRANTS EVALUATION QUESTIONS

A. Waterfowl

B. Wetland Types (remove activity types not associated with the proposal)

Note: Types subsidiary to types listed below have the same status.

DATA

PUB, E2US

PML,

PRB, E2AB

SECTION A

Fee

Easement

Lease

ACQUIRED TOTAL

RESTORED

ENHANCED

ESTABLISHED

TYPE TOTALS

STATUS TOTALS

GRAND TOTALS

SECTION B

Tract (funding)

Tract (funding)

Tract (funding)

C. Nongame and Other Wetland-Associated Migratory Birds

D. Endangered Species and Species of Greatest Conservation Concern (SGCN)

E. Partnerships

F. Climate Change and Long-Term Conservation (remove activity types not associated with the proposal)

ACTIVITY

ACRES BY LONGEVITY OF BENEFITS

* Includes water control structures made of material other than wood.

** Includes wood water control structures and pumps.

TOTAL

ACRES

SECTION A

Fee

Easement

Lease

TOTAL ACQUIRED

RESTORED

ENHANCED

ESTABLISHED

TOTAL

SECTION B

Tract (Funding)

Tract (Funding)

Tract (Funding)

G. Public Access

H. Special Considerations

VI. TRACT TABLE

Holder

Tract

Tract

Tract

Total Acres

#Open

VII. PARTNER CONTRIBUTION STATEMENTS

NAWCA SMALL GRANT PARTNER CONTRIBUTION STATEMENT

What is the title of the proposal that you are contributing to?

What is the name of your organization (private landowners/individuals indicate “Private”)?

When will you make the contribution?

What is the value of your contribution and how did you determine the value? Does the contribution have a non-Federal origin? If this is based on a fund-raising event or other future action, if that future action fails, will you still provide the contribution amount?

What long-term migratory bird and wetlands conservation work will the contribution cover?

Does the proposal correctly describe your contribution, especially the amount?

If applicable to the proposal, is your organization competent to hold title to, and manage, land acquired with grant funds and are you willing to apply a Notice of Grant Agreement or other recordable document to the property?

Please confirm that your contribution has not been used to meet any other Federal programs match or cost share requirements.

Do you have any additional comments?

Signature:

Your Name (printed), Title, and Affiliation:

Date Signed:

VIII. MAP(S) OF PROJECT AREA

Provide at least 1 map. See Proposal Instructions for more details.

IX. STANDARD FORM-424 AND SF-424D

(Does not apply to U.S. Fish and Wildlife Service and other Federal Agency applicants) Provide both SF-424 (https://apply07.grants.gov/apply/forms/sample/SF424_2_1-V2.1.pdf) and SF-424D Assurances for Construction (https://apply07.grants.gov/apply/forms/sample/SF424D-V1.1.pdf) forms.

ATTACHMENTS:

PROPOSAL EASEMENTS, LEASES, AND DEEDS

INDIRECT COST RATE AGREEMENT, if applicable

DISCLOSURE OF LOBBYING ACTIVITIES FORM (SF-LLL), if applicable

OMB CIRCULAR A-133 SINGLE AUDIT REPORTING STATEMENT, if applicable

GIS SHAPEFILE (.zip file sent via email)