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Item C23BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: May 16, 2007 Division: Engineering Bulk Item: Yes X No Department: Facilities Development Staff Contact Person/Phone #: Maria Graziano 292-4468 AGENDA ITEM WORDING: Approval to apply for and accept grant from the Florida Department of State Historic Preservation Special Category for the Tavernier Old School. ITEM BACKGROUND: The State of Florida has announced availability of funds for Special Category grants for major restoration of historic preservation projects with grant assistance needs in excess of $50,000. Copies of the funding announcement, application, etc. are attached. The match requirement is one hundred percent (100%). If awarded, the funding period will be July 1, 2008 through June 30, 2010. PREVIOUS RELEVANT BOCC ACTION: Designation of "Historical and Cultural Landmark" at July, 2000 meeting. Approval of construction project as part of capital plan. Approval at March 2007 meeting to apply for state grant-in-aid assistance of $50,000 maximum. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval TOTAL COST: 700,000.00 COST TO COUNTY: 350,000.00 BUDGETED: Yes X No SOURCE OF FUNDS: infrastructure sales tax REVENUE PRODUCING: Yes _ No X AMOUNT PER MONTH Year APPROVED BY: County Atty — OMB/Purchasing Risk Management DOCUMENTATION: Included X Not Required DISPOSITION: Revised 11/06 AGENDA ITEM # OUNTY jonNROE KEY WESTDA 33040 (305)294-4641 Engineering Division 1100 Simonton St., Room 2-216 Key West, Florida 33040 305-292-4426 Memorandum From: David S. Koppel, P.E., County Engineer Date: May 1, 2007 Re: Agenda Item —May 16, 2007 BOCC Meeting State Historic Preservation Special Category Grant for the Tavernier Old School. AGENDA ITEM WORDING: Approval to apply for and accept grant from the Florida Department of State Historic Preservation Special Category for the Tavemier Old School. ITEM BACKGROUND: The State of Florida has announced availability of funds for Special Category grants for major restoration of historic preservation projects with grant assistance needs in excess of $50,000. Copies of the funding announcement, application, etc. are attached. The match requirement is one hundred percent (100%). If awarded, the funding period will be July 1, 2008 through June 30, 2010. Copies of the funding announcement, application, etc. are attached. The match requirement is one hundred percent (100%). If awarded, the funding period will be July 1, 2008 through June 30, 2010. PREVIOUS RELEVANT BOCC ACTION: Designation of "Historical and Cultural Landmark" at July, 2000 meeting. Approval of construction project as part of capital plan. Approval at March 2007 meeting to apply for state grant-in-aid assistance of $50,000 maximum. STAFF RECOMMENDATIONS: Approval FLORIDA DEPARTMENT OF STATE Kurt S. Browning Secretary of State DIVISION OF HISTORICAL RESOURCES April 1, 2007 Dear Friends of Preservation: Beginning April 1, 2007, the Department of State is soliciting applications for Special Category grants. Please note that minor changes have been made to the application and that new photo requirements are present. All applications used should be downloaded or requested in paper form after April 1, 2007. These legislative grants are available for major historic preservation and historical museum projects with grant assistance needs in excess of $50,000. SPECIAL CATEGORY GRANTS PROGRAM There are many historic structures in the state that require significant grant assistance for restoration or rehabilitation. Often, they represent properties of outstanding historical or architectural significance to the state or to particular regions or communities. Their restoration or rehabilitation and return to active service, perhaps with a different function than they originally had, not only preserves historical values, but also enables them to benefit many people as community centers, theaters, museums, government offices, classrooms, and other places of public use. There are also major archaeological sites that could yield valuable data, if excavated. These grants are also available to Florida history museums. Florida history must be the primary subject of such projects, and costs must be directly in aid of a tangible product related to Florida history. In an effort to draw attention to the needs of such historic sites and properties, as well as Florida history museums, and help them gain needed financial assistance, the Department of State offers a special application process for major restoration or rehabilitation projects, major archaeological excavation projects, and major history museum exhibitions. WHO IS ELIGIBLE TO APPLY By law, departments or agencies of the state (including state universities); units of county, municipal, or other local government; not -for -profit corporations, institutions and organizations, and other non-profit entities are eligible to submit applications and compete for funds. For historical museum projects, applicants must be a governmental or non-profit Florida history museum. A Florida history museum is an institution established permanently in Florida, promoting and encouraging the knowledge and appreciation of Florida history through the collection, presentation, exhibition, and interpretation of artifacts and other historical items related to Florida history. The mission of the museum must relate directly to the history of Florida. 500 S. Bronough Street • Tallahassee, FL 32399-0250 • http://www.flheritage.com O Director's Office O Archaeological Research ® Historic Preservation O Historical Museums (850) 245-6300 - FAX: 245-6436 (850) 245-6444 - FAX: 245-6436 (850) 245-6333 - FAX: 245-6437 (850) 245-6400 - FAX: 245-6433 0 Southeast Regional Office O Northeast Regional Office O Central Florida Regional Office (954) 467-4990 - FAX: 4674991 (904) 825-5045 - FAX: 825-5044 (813) 272-3843 - FAX: 272-2340 Special Category Solicitation April 1, 2007 Page 2 PROJECTS ELIGIBLE FOR FUNDING Acquisition & Development projects and Museum Exhibit projects requiring more than $50,000 are eligible for Special Category grants. Acquisition & Development projects include acquisition, preservation, protection, restoration, rehabilitation, and stabilization of historical and archaeological sites, and the excavation of archaeological sites. Churches and church -related organizations are eligible to apply for Special Category grants. However, eligible development activities involving religious structures are limited to exterior activities and only those interior activities that are essential to the preservation of structural integrity. Although technically eligible, funding requests for acquisition of historic properties are generally discouraged. Acquisition is considered an initial demonstration of local commitment to a project. Therefore, it is considered more appropriate that acquisition be accomplished with local resources. Recommendation for a state grant to assist acquisition projects may be made in rare circumstances to protect a historic property of exceptional significance. Museum Exhibit projects involve development and presentation of exhibitions and educational materials on the history of the human occupation of Florida through use of artifacts, graphics, audiovisual elements, text panels and educational materials. Projects must result in a tangible project related to Florida history. Property for which an applicant is requesting Special Category grant assistance does not need to be listed in the National Register of Historic Places. However, if a property is not listed in the National Register, the applicant must provide comparable historical data so that its historic significance can be fully evaluated. Such historical information for properties that are designated under a local historic preservation ordinance may be contained in a Local Designation Report. For other properties, this information may be contained in a historic sites survey report or other documentation. For those properties where this information is not available, the applicant may include historical research as one of the proposed grant work items. A portion of grant funding (up to $2,000) may be used to pay for this activity. It is not necessary to supply this information for historical museum exhibition projects, unless the museum is located in a historic structure. In recent years, requests for Special Category grant assistance have increased substantially. To ensure that grant funding reaches more projects throughout the state, we are recommending that the majority of requests be in the range of $50,000 to $350,000. There may be situations where a larger amount is appropriate; however, in most cases the Division of Historical Resources will ask the Florida Historical Commission to recommend projects within this range. LOCAL MATCH AND SUPPORT Local match must be well documented in Attachment B of the application. This documentation will be reviewed in detail by Division staff. Preference will be given to those projects in which the applicant documents a commitment to contribute to the total cost of the project resources equal to or greater than the amount of grant assistance requested. In all cases, the applicant must document a minimum matching contribution of $50,000 toward the total cost in the form of cash, in -kind services, donated services, or Special Category Solicitation April 1, 2007 Page 3 donated materials. This local cost share must relate directly to the building or site for which grant funds are being requested and not to other buildings or sites in a complex of historic buildings or archaeological sites. Applicants should be aware that, should their project be selected for funding, the local cost share stipulated in the application must be expended on the project and documented. Any promised local cost share that is not spent may result in reduction of the grant award by a like amount. It is also important that an applicant document support for the project for which funding is requested. Letters of support, endorsements, resolutions, and other documentation evidencing local, regional or statewide support for the project must be included with the application. APPLICATION DEADLINE Applications will be accepted through May 31, 2007. To be considered for funding, applications must be delivered to the Division of Historical Resources before 5:00 p.m. May 31, 2007, or be clearly postmarked or show evidence of submission to an express mail service on or before May 31, 2007. APPLICATION REVIEW AND PROJECT SELECTION Eligible applications will be evaluated on a competitive basis by the Florida Historical Commission in a public meeting scheduled for September 24-27, 2007 in Tallahassee. The Commission will review applications pursuant to criteria in 1A-35.007, Rules of the Department of State, and recommend those applications that should be forwarded to the 2008 Legislature for funding consideration in State Fiscal Year 2009. A level of funding (full or partial) will be suggested for each recommended project. In accordance with the Government Performance and Accountability Act of 1994, the Division of Historical Resources is mandated to increase the number of historic and archaeological properties protected or preserved for public use. As a result, projects may not be recommended for the full amount requested; rather the Commission may recommend an amount intended as a significant contribution to the project. The Commission will also rank, in priority, those projects that it recommends. The Commission will take into consideration which applicants appear best able to utilize funding within 24 months beginning on July 1, 2008 and ending on June 30, 2010. In this reference, applicants should be careful not to request more funds than they could reasonably be expected to spend, or have under contract within a 24-month period. It is important to keep in mind that, for large projects, as many as 5 or 6 months may be required to develop satisfactory plans and specifications before actual work could begin. Plans, specifications, and all contracts must be submitted to the Bureau of Historic Preservation for review and approval in advance of construction. The Florida Historical Commission will recommend to the Secretary of State the projects that should be forwarded to the Legislature to be considered for funding. This recommendation will not result in any immediate grant award. The award and level of funding for each Special Category project will be subject to specific legislative appropriation. For projects receiving 2008 legislative funding, funds will become available after July 1, 2008, the beginning of the 2009 State Fiscal Year. The funds will need to be fully obligated by June 30, 2010. Any unexpended balance of grant funds not under terms of a binding contract or general construction contract will revert to the state at the end of the 24-month period on June 30, 2010. Special Category Solicitation April 1, 2007 Page 4 ADMINISTRATIVE REQUIREMENTS To receive grant funds, grantees will be required to sign a grant award agreement containing specific administrative responsibilities. Grantees will also be required to execute a protective covenant that must be recorded with the property deed by the Clerk of Circuit Court in the county where the property is located. This covenant will require that, in exchange for state grant funds, the grantee will not undertake modifications to the property (other than routine repairs and maintenance) for a period of 10 years without review and approval of plans and specifications by the Department's Bureau of Historic Preservation. Additional information regarding these covenants is available from the Bureau on request. It is expected that all proposals for restoration or rehabilitation work will follow the SecretM oof Interior's Standards for Rehabilitation and all proposals for archaeological excavation will follow the Secretary of Interior's Standards for Archaeological Documentation. ADDITIONAL INFORMATION If you have any questions regarding proposed projects or the application form, please call staff of the Bureau of Historic Preservation at 1-800-847-7278 (PAST) or (850) 245-6333. Questions regarding architectural projects should be directed to Phillip Wisley or David Ferro. Other questions regarding the Special Category grants program should be directed to any member of the Historic Preservation Grants staff. On behalf of Secretary of State Kurt S. Browning, thank you for your interest in preserving Florida's historical resources. I look forward to hearing from you soon. Sincerely, Frederick P. Gaske, Director Division of Historical Resources Special Category Solicitation April 1, 2007 Page 5 The application and instructions are available on the World Wide Web at: http://www.flheritage.conVgrants TO REQUEST AN APPLICATION BY MAIL, COMPLETE THE FORM BELOW AND RETURN IT TO THE BUREAU OF HISTORIC PRESERVATION. ---------------------------------------------------------------------------------------------------------------------------- PLEASE TYPE OR PRINT LEGIBLY. MAIL TO: Preservation Services Section/Grants Bureau of Historic Preservation R.A. Gray Building 500 South Bronough Street Tallahassee, FL 32399-0250 I would like a Special Category application form sent to me at the following address: 10 ORGANIZA STREET ADDRESS OR P. O. CITY, STATE, AND ZIP DAYTIME PHONE NUMBER HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 2 Application Instructions Project Title: The title should reflect the name of the property, area, museum or exhibit, or the type of project proposed (for example, Widow's-Walk House Rehabilitation, South Mill Neighborhood Survey, South Side Museum, etc.). 2. Applicant: Enter the full name of the applicant organization. Please note that there can be only one applicant per application. 3 & 4 FOR SMALL MATCHING GRANT APPLICATIONS., Amount Requested and Match: Enter the amount of grant funds being requested and the amount of match. Please note that the match must be equal to or exceed the amount of grant funds being requested. Furthermore, the amounts listed here must equal the totals listed for Grant Funds and Matching Funds under Question 29, Project Budget. Detailed documentation of the applicant's match must be addressed in Question 30, and confirmation of the match must be included as Attachment B. Waiver or Reduction of Match Requirements: Applicants located in counties or communities that have been designated as a rural community in accordance with Section. 288.0656 and 288.06561, Florida Statutes, may request a waiver of matching requirements for small matching grants. Please attach a letter requesting the waiver to the original application. FOR SPECIAL CATEGORY APPLICATIONS. Amount Requested and Local Cost Share: Enter the amount of grant funds being requested and the amount of local cost share. As explained below, preference will be given to those projects in which the applicant documents a commitment to contribute to the total cost of the project resources equal to or greater than the amount of grant assistance requested. IN ALL CASES, THE APPLICANT MUST DOCUMENT A MINIMUM MATCHING CONTRIBUTION OF $50,000 TOWARD THE TOTAL COST OF THE PROJECT. This matching contribution may be in the form of cash, in -kind services, donated services, or donated materials. To document the Local Cost Share, the applicant must clearly describe and confirm the following contributions to the project: a. The local resources which have directly contributed to the evaluation, preservation, stabilization or restoration of the property (for archaeological sites, use contributions for evaluation, excavation and analysis of recovered material; for historical museums, use contributions for the development of the exhibition or program) during the five (5) year period preceding the date of application. These resources may include cash expenditures, in -kind services, the value of volunteer labor or donated materials and services, and, if applicable, the donated or purchase price value of the property. The contribution of the donated or purchase price value of property to local cost share shall be limited to the appraised value of the structure (complete summary appraisal prepared by a Florida State Certified General Real Estate Appraiser) and its footprint (the portion of the site beneath it). In order for the purchase price value to be allowed as local cost share, the applicant must be able to demonstrate full ownership. A purchased property, which is encumbered by a mortgage, may not be used as local cost share. The value of a donated lease may not be used as any portion of the local cost share. For archaeological sites, the contribution must be limited to the appraised value of the area within the site boundaries, as determined by a professional archaeologist. Expenditures for routine maintenance (i.e. painting, cleaning, etc.) are not allowable contributions to Local Cost Share. HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 3 b. The local resources available for the project during the period for which funding is requested (funds, in -kind services, pledges of volunteer labor, and donated materials and services). The sum of the contributions described in a and b constitutes the Local Cost Share for the project. Please note that, for staff review purposes, a local cost share comprising less than 50% of the grant amount requested is considered low; at least 50% but less than 100% is considered medium; and 100% or more is considered high. For cities with a population of 10,000 or less and for counties with a population of 75,000 or less, or those counties which have at least three of the economic distress factors listed in Section 288.06561, Florida Statutes, any Local Cost Share from $50,000 to half of the amount of the grant request will be considered medium; any Local Cost Share of $50,000 or more that is greater than half the amount of the grant request will be considered high. In all cases, one copy of the documentation substantiating the Local Cost Share shall be included in the application submission as Attachment B. Documentation of available Local Cost Share must include written commitments from the organizations, agencies or private donor sources identified in your response to this question. Public and private donor commitments contingent upon the award of a grant are acceptable. >. Project Type: Check only one project type. If your organization is seeking funding for more than one type of project, be sure that a separate application is completed for each project. If you plan to seek funding for more than one type of project, contact appropriate grant personnel. 5a) Check this if you are applying for: major historic building restoration/rehabilitation, archaeological excavation and research, or museum exhibit project where the request of grant funds exceeds $50,000 and a minimum Local Cost Share of $50,000 is documented. This type of project is known as Special Category, and is funded by an appropriation of State General Revenue funds. The funding being requested should not exceed $350,000. 5b) Check this if your project is a restoration/rehabilitation of a historic building, restoration planning work, archaeological excavation project, or acquisition of a historic building or archaeological site. A match equal to the requested amount is required. The requested amount may not exceed $50,000. 5c) Check this if your project is the identification and evaluation of historic and/or archaeological resources, production of architectural design guidelines, preparation of National Register nominations, or preservation ordinances. 5d) Check this if your project is a historic preservation -focused educational brochure or booklet; audio-visual product; folklife documentation or oral history project; or is heritage education related. Historic preservation includes any historic or prehistoric site, district, building, object of historical, architectural, or archaeological value, and folklife resources. 5e) Check this if the applicant is a Certified Local Government and the entity is applying for a Survey and Planning or Community Education project. 5f) Check this if your project is funding for the one-time grant for Main Street communities newly designated by the Secretary of State, or if your entity is applying for funds to conduct Main Street program services. 5g) Check this if the application is in reference to a special project that was announced by the Division of Historical Resources for which the matching requirements have been waived. HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 4 Communities eligible for the waiver of match requirements for a small matching grant per 5.288.06561, F.S. should not check this; they must check the applicable type of project and attach the match waiver request to the application. 5h) Check this if the application is for matching funds for the purchase of an approved State Historic Marker. 6. Project Description: In the space provided, describe the project for which funding is requested. Indicate how you intend to use the funds requested, describing each of the major work items involved and what the end product will be. For Historic Preservation projects, also briefly describe the historic significance of the property or properties for which grant funding is being requested. 7. Photograph: Please attach a 3x5 photograph showing the principal view of the project site or a photo that conveys the purpose of the project on the space provided. Photographs may be black and white or color (glossy prints are preferred). Additional photographs of existing conditions of the project are required as Attachments D and E (see Item 34, Attachment Checklist). Project Information: Please provide location of the project or museum. For remote locations, provide the USGS 7.5 Minute Quadrangle Name and the Section, Township, and Range coordinates in this section. Indicate the county where the project is located. Indicate the population of the community and county where the project is located as determined by the most recent edition of "Florida Estimates of Population." This information is available at your public library. Applicant Information: Enter the applicant's organization name and mailing address, type of applicant (either non-profit or governmental agency), and the name and title of the organization's chief officer in the spaces provided. Not -for -profit organizations must enter their Federal Employer Identification Number in the space provided. State agencies and state universities should enter the appropriate SAMAS Number. Enter the ending date of the applicant organization's fiscal year. Please provide the applicant organization's primary contact person's name, address, daytime phone number, and FAX number in space provided. Enter the primary contact person's email address, if available, and the organization's website address, if available. Note that the primary contact is usually the individual who will be administering the project and will be available to answer questions from Division of Historical Resources staff regarding the proposed project and application. 10. Project Area Representation: Please provide the information requested regarding state legislative and congressional representation for the project location. Be careful to provide accurate and current information. 11. Applicant's Grant History: Indicate whether or not your organization has received prior grant assistance from the Florida Department of State. If yes, provide the year, Division that awarded the grant, title of the project, and amount of award for grants received previous to the date of this application. Attach an additional sheet if necessary. 12. Historical Designation: Indicate the type of historical designation currently held by the project site. For properties that have been listed in the National Register or are contributing sites within a HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 5 National Register District, please provide the date that the property or district was listed. Please leave this question blank if it does not apply to your project. 13. Local Protection: Indicate the level of local protection currently afforded the project site. Please leave this question blank if it does not apply to your project. 14. Threats to the Project: Provide a brief explanation of immediate threats to the site or area such as proposed demolition, extensive structural damage, on -going site disturbance for archaeological sites, planned re -zoning, etc. Please leave this question blank if it does not apply to your project. 15. Completed Project Activities: Provide a summary of the project related activities that have been completed at the time of the application submittal. Such activities may include architectural studies or plans, preservation planning activities, archaeological research accomplished such as research design or previous excavation or site assessment work, or museum exhibit research and design. If available, one set of completed architectural proiect schematics or construction documents are to be included as Attachment F to the OriEinal Application. 16. Major Elements and Responsible Entities: Describe the major elements of the project and indicate the entities (i.e. consultant, in-house, volunteers) responsible for each element. Include in your description an estimate of amount of time needed to accomplish each project task. Please note that small matching grants will have up to 12 months in which to complete the project, and Special Category grants will have up to 24 months. 17. Cost of Maintenance: Provide the anticipated annual cost of maintenance of the historic property or archaeological site, or the annual cost of the upkeep of the museum exhibit upon completion of the project, and the source of the funding. 18. Educational Benefits: Indicate how the project will enhance public awareness of historic preservation, Florida history or heritage to the local community and the state at large. 19. Annual Visitation: Indicate the estimated or anticipated number of visitors per year. 20. Benefit to minorities and the disabled: Describe any direct benefit the project will have on a specific ethnic or minority group or the disabled. 21. Direct Economic Impact: Provide an explanation of the direct benefits this project will have on the local economy. Include any information regarding number of jobs it will provide, if known. 22. Acquisition & Development/Special Category Projects or Projects Which are Site Specific: Please provide the information requested for Acquisition and Development/Special Category projects. It is very important that this question be answered for all restoration and rehabilitation projects, including architectural planning projects, and archaeological sites: a) Please attach a copy of the Florida Master Site File Form for the property as Attachment G. b) For historic structures, provide the date(s) of original construction, c) The dates and description of major alterations to the structure, d) The original use of the structure, e) Its current use and, f) The proposed use(s) after completion of the project. g) For archaeological sites, provide the site's cultural affiliation and the dates of use or occupation. h) Provide a statement of significance for the property or site. HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 6 23. Acquisition of Historic Properties: Enter the full purchase price of the historic property and the appraised value of the property. Please note that the maximum grant share for a Historic Property Acquisition project shall not exceed 50% of the value of the property as determined by a complete summary appraisal prepared by a Florida State Certified General Real Estate Appraiser; the average of two appraisals, if two were obtained; or the average of the closest two appraisals, if more than two were obtained; or 50% of the purchase amount, whichever is less. Only the purchase of the historic building or archaeological site is eligible for grant funding All closing costs are the responsibility of the applicant organization The acquisition of a historic property shall be confined to the purchase of the historic structure(s) and that area of land that the building(s) footprint occupies. The acquisition of additional acreage is not eligible for Historic Preservation grants funding. For archaeological sites, the land to be purchased must be demonstrated by professional archaeological survey to contain the archaeological site that is the subject of the acquisition. The following documents must be attached to the application as Attachment H: a) A copy of the complete summary appraisal prepared by a Florida State Certified General Real Estate Appraiser. Two appraisals, as specified above, are required if the first appraisal exceeds $500,000.00; b) A copy of an ownership and encumbrance search; and c) A copy of an executed option or purchase agreement. d) A copy of the certified land survey and (if applicable) a copy of the archaeological survey report justifying the archaeological site acquisition project. 24) Survey and Planning Projects Grants: Enter the types of historical resources to be surveyed. a) Provide the title and publication date of any previous surveys in the survey project area. b) Provide an estimate of the number of Florida Master Site Forms that will be produced by the survey for newly recorded sites and updates of previously recorded sites. c) Enter the acreage of the area to be surveyed. d) For National Register Nominations, indicate the number of anticipated individual nominations and/or district nominations. e) Indicate whether or not a multiple property cover nomination will be produced. 25) Community Education Projects: Please provide the information requested for Community Education projects. a) Describe how audio-visual productions, book(s) pamphlets, or brochures will be marketed or distributed. b) Enter the estimated minutes or pages of the final product. c) Enter how many copies of the final product will be produced. d) Enter whether or not the product will be sold. If the items are to be sold, enter the estimated per item charge. e) For educational materials, respond to the question regarding local school system involvement. If the answer is "yes", describe their participation to date and anticipated participation in the proj ect. f) Indicate whether or not the project will be integrated into the Florida Heritage Education Program. HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 7 g) If you are applying for matching funding for a Florida Historic Marker, please be sure to include copies of your marker application, Form No. HR3E171294, and verification of the review and approval of the marker by the Florida Historic Marker Council as Attachment I. Marker projects, which have not been reviewed and approved by the Florida Historic Marker Council, are not eligible for matching grant assistance. 26.- 28. Museum Exhibit Projects (Special Category Museum Projects): Answer questions 26 — 28 if your organization is seeking funding in excess of $50,000 for the development and construction of a museum exhibit on Florida History. Attach the completed museum exhibition designs with appropriate sketches as Attachment J. 29. Project Budget: Please list the project work items, indicate the amount of grant funds, and the amount of match (for small matching grants) or local cost share (for Special Category grants) that will be applied to each item, and enter the sum of the two amounts in the corresponding sub -total column. Please enter the total of each column in the space provided. Please note that the total of the grant funds and the match or local cost share should be equal to the Amount of Grant Funds Requested and Match/Local Cost Share Amount entered in Question 3 on the application cover sheet. 30. Matching and Local Cost Share Funds: Matching and Local Cost Share funds may include in - kind services directly involved in project work, the value of volunteer services and donated materials, as well as cash funds. In -kind services may include salary and benefits but not overhead costs or profit. Volunteer services should be valued at a minimum wage unless the donor is performing services in which he or she is regularly employed at a higher prevailing wage. Donated material must be valued at the actual cost. Public funds must be identified by source, that is: appropriated funds, Community Development Block Grant funds, etc. Major private donations, such as from foundations, should be separately identified; otherwise private donations may be listed in lump sum. For small matching grant projects, expenditures made prior to the grant period (that is, prior to the effective date of a fully executed Grant Award Agreement) are not allowable for purposes of match. For Special Category grant projects, expenditures made during the preceding 5 year period are allowable for Local Cost Share purposes; see the instructions for question 3 for an explanation of the computation of Local Cost Share. Note: In listing the items to be paid with grant funds, matching funds or local cost share, please remember: Grant funds cannot be used to reimburse an applicant organization for work undertaken or completed prior to the effective date of a formal Grant Award Agreement. For Small Matching Grants, all the costs, both grant and match funded, must be incurred during the grant period. Costs incurred prior to the grant period and after the grant period has expired will not be eligible for payment with grant funds nor eligible to be credited as part of the grantee's matching share. Eligible Acquisition and Development activities involving religious (non -secular) structures are limited to exterior activities and only those interior activities that are essential to the preservation of basic structural integrity. In general, if an item or activity is not considered an allowable grant funded expense, it will not be allowed as part of the applicant's matching or local cost share. Examples of costs that are not allowable: HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 8 • Cost associated with the preparation of the grant application. • Any costs associated with fund-raising activities. • Costs which do not directly relate to the historic preservation project such as parking improvements, landscaping, and routine maintenance services. • Food and beverage expenses other than authorized travel expenses. • Purchasing of capital equipment such as vehicles, tape recorders, cameras, computers, and video cameras. Where appropriate, such items may be rented or leased during the grant period using either grant or matching funds. • Administrative costs which are not directly related to the grant assisted project or represent in excess of 10% of the grant funds requested. 31. Applicant Certification: The question must be filled out and signed by the duly authorized representative of the applicant organization. Please note the original of the application is the copy that bears the authorized person's original signature for this and all other applicable Certifications. 32. Owner Concurrence: If the applicant does not own the property which is the subject of the grant assisted project, the owner of record must sign the following statement indicating concurrence with the proposed project and this application for grant assistance. 33. Agreement to Execute Restrictive Covenant (SPECIAL CATEGORY & ACQUISITION PROJECTS ONLY): For projects involving historic properties and those involving archaeological sites which will be maintained subsequent to the completion of the project, the owner, long-term lessee or other responsible party must sign the following statement indicating agreement to execute a 10 year restrictive covenant to run with the property deed, should a grant award be made. 34. ATTACHMENT CHECKLIST: Please review this listing and provide the applicable information. Please indicate which labeled attachments have been included in the application. Attachment A: Civil Rights Assurance of Compliance form: This form has been provided and must be executed by the authorized person for all applications. Attachment B: Documentation of Confirmed Match or Local Cost Share: This attachment must contain documentation of the match or local cost share listed in Question 29. Documentation should be organized in the same order that it has been listed in Question 30 and should include: • For Commitments of Cash Resources: A letter from the head or executive director of the applicant organization stating that the funds have been reserved and committed to the project. For local governments, a copy of the City Commission or Board of County Commissioners Resolution committing the funds may be attached. • For Commitments of In -Kind Services Donated Services or Materials: A detailed explanation of services or materials to be provided including a justification of the value assigned to the services or materials, an explanation of how those services will be used to fulfill the objectives of the project, and the numbers of work hours being pledged must be HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 9 included. A signed statement from the individual or entity making the commitment must verify each commitment. Note that the per hour value for donated services must be calculated at the Federal Minimum Wage of $5.15 per hour unless a higher rate can be justified based on education, skills or training possessed by the donor. For example, a professional carpenter may donate time for carpentry services at their normal rate, or document the amount of their normal fee they are donating to the project. Documentation must be submitted for all commitments of in -kind services, donated or volunteer services or donated materials. • Match or Local Cost Share that is not adequately documented will be disallowed and the amount represented will be deducted from the applicant's matching or local cost share. Attachment C: Letters of Support, Endorsement, or Resolutions: In this attachment you should provide letters of support from your Legislative Delegation, community leaders, and local citizens. The purpose of the attachment is to show support for expenditure of public funds for your project. Individual letters are preferred. Form letters are discouraged and typically do not evidence genuine local support for the proposed project. The number of letters submitted should not overwhelm the application in terms of volume. In most cases, 10 to 20 letters of support are sufficient for an applicant to make the case of broad community or regional support for the project. Letters should be addressed to the Director, Division of Historical Resources, c/o Bureau of Historic Preservation, Grants and Education Section, 500 South Bronough Street, Tallahassee, FL, 32399-0250. Please note that letters of support received by this office, independent from the application or after the application cycle deadline, will be filed with the original version of the application which is retained by the Bureau of Historic Preservation. Such letters will not be transmitted to the reviewing body or collated into the application copies, but will be available to the reviewing body during its meeting. Attachment D: Photographs showing existing conditions of the property or site: Applicants may use this attachment to show details of the project being proposed. The photos may be color or black and white copies, but in all cases should be clear enough for reviewers to see the details. Poor quality photocopies should not be submitted. Attachment E: A photograph showing the principal view of the subject property or an image that conveys the purpose of the project. This image will be shown in the public meeting when the Grant Review Panel or Florida Historical Commission is reviewing your project. This image may be submitted in an electronic format. Attachment F: If completed, architectural project schematics or construction documents (ONE SET ONLY) (ACQUISITION AND DEVELOPMENT and SPECIAL CATEGORY PROJECTS): If your restoration/rehabilitation project has had architectural documents prepared, attach one set as Attachment F to the original application. Attachment G: Copy of Florida Master Site File Form: All site -specific projects must attach a copy of this form. If your historic building or archaeological site has not been recorded in the Florida Master Site File and you need assistance in recording your project site, you may contact the Florida Master Site File at (850) 245-6440, or your can visit the Florida Master Site File web site at http://dhr.dos.state.fl.us/msf/ to learn more about the site file functions and download site file forms for recording your site. Attachment H: For Acquisition projects only: an independent appraisal (two appraisals are required if the value of the first appraisal exceeds $500,000), an ownership and encumbrance search, an executed option or purchase agreement, property survey, and a copy of a HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 10 professional archaeological survey if the property is being proposed for purchase as a significant archaeological site. This attachment only applies to projects that are seeking funds to acquire historic or archaeological properties. Attachment I: For historic marker projects only: Florida Historic Marker Application Form No. HR3E171294 and verification of review and approval by the Florida Historic Marker Council: This attachment only applies to entities seeking matching funds to assist in the purchase of a Florida Historic Marker. Questions regarding the Historic Marker Program should be directed to the Marker Coordinator, (850) 245-6333. Additional information on the Division of Historical Resources Marker Program can be accessed at: http://dhr.dos.state.fl.uslbhp/markers/. Attachment J: If completed, museum exhibition designs with appropriate sketches (MAJOR MUSEUM EXHIBIT PROJECTS ONLY): This attachment applies to those entities seeking a Museum exhibit grant to be funded from General Revenue Appropriations (Special Category). Attachment K: For non-profit organizations only, documentation of non-profit status: This attachment applies to all non-profit organizations seeking funding. Information on entities registered with the Florida Department of State's Division of Corporations can be viewed at: http://www.sunbiz.org/corpweb/inquiry/cormenu.html. Attachment L: Optional Attachments: Applicants may use this attachment to add materials that support the application that have not been specifically requested by the Division of Historical Resources. An optional attachment may consist of examples of previous work or information about the site such an informational brochure. TO WHICH AREAS OF THE APPLICATION SHOULD APPLICANTS RESPOND? Questions 1 through 11: ALL APPLICANTS Question 12: Acquisition and Development Projects or any project that is site specific, including Special Category. Question 13: Acquisition and Development Projects or any project that is site specific, including Special Category. Question 14: ALL APPLICANTS except Museum Exhibit and Historic Marker projects. Question 15: ALL APPLICANTS except Historic Marker projects. Question 16 ALL APPLICANTS except Historic Marker projects. Question 17: Acquisition and Development Projects or any project that is site specific, including Special Category. Question 18: ALL APPLICANTS HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION INSTRUCTIONS Page 11 Question 19: ALL APPLICANTS if Applicable. Most Community Education, or Survey and Planning projects will not be able to respond to this question. Question 20: ALL APPLICANTS except Historic Marker projects. Question 21: ALL APPLICANTS except Historic Marker projects Question 22: Acquisition and Development Projects or any project that is site specific, including Special Category. Question 23: Projects which propose using grant funds to purchase a historic building or archaeological site must respond to this question and provide all the additional information as Attachment H. Question 24: Survey and Planning Grants only or Certified Local Government Applicants seeking funding to conduct Survey and Planning Activities. Question 25: Community Education Grants only or Certified Local Government Applicants seeking funding to conduct Community Education Activities. Historic Marker applicants must attach the Historic Marker Form No. HR3E171294 and verification of review and approval of the marker as Attachment I. Question 26 through 28: Museum Exhibit Grants seeking Special Category Funding Only. Question 29: ALL APPLICANTS Question 30: ALL APPLICANTS Question 31 ALL APPLICANTS Question 32: Applicants seeking Acquisition and Development funding including Special Category for a property or site which the applicant organization does not own must have this completely filled out and signed by the owner or duly authorized representative of the owner. Question 33: Only those applicants seeking Special Category Funding for building restoration or rehabilitation and those seeking funds for the acquisition of historic buildings or archaeological sites respond to this area of the application. END APPLICATION INSTRUCTIONS HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION 1) PROJECT TITLE: 2) APPLICANT ORGANIZATION: 3) AMOUNT of GRANT FUNDS REQUESTED: $ 4) MATCH/LOCAL COST SHARE AMOUNT: $ 5) PROJECT TYPE (CHECK ONE PLEASE) a) ❑ MAJOR ACQUISITION & DEVELOPMENT or MUSEUM EXHIBIT GRANT to be FUNDED FROM GENERAL REVENUE APPROPRIATION (SPECIAL CATEGORIC b) ❑ ACQUISITION & DEVELOPMENT C) ❑ SURVEY & PLANNING d) ❑ COMMUNITY EDUCATION e) ❑ CERTIFIED LOCAL GOVERNMENT f) ❑ MAIN STREET g) ❑ NON -MATCHING h) ❑HISTORIC MARKER 6) In the space provided below, briefly describe the project and the property or properties for which funding is requested: 7) Attach a 3x5 photograph of the principal view of the property Florida Department Of State Division of Historical Resources Form HR3E0410705 (Effective July 2005) HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION 8) PROJECT LOCATION INFORMATION: STREET ADDRESS and CITY: COUNTY WHERE PROJECT IS LOCATED; COMMUNITY POPULATION• 9) APPLICANT INFORMATION: ORGANIZATION NAME: ADDRESS: CITY: COUNTY POPULATION: STATE: ZIP: TYPE OF APPLICANT: ❑ NON-PROFIT ORGANIZATION NAME AND TITLE OF ORGANIZATION'S CHIEF OFFICER: PAGE ❑ GOVERNMENTAL AGENCY; APPLICANT'S FEDERAL EMPLOYER IDENTIFICATION NO: SAMAS NO.: (STATE AGENCIES ONLY) ENDING DATE OF APPLICANT ORGANIZATIONS FISCAL YEAR: DESIGNATED PROJECT CONTACT: ADDRESS: CITY: STATE- ZIP. DAYTIME TELEPHONE NO: �) = EXT. FAX NUMBER:.(_) _- EMAIL ADDRESS: ORGANIZATIONS WEBSITE ADDRESS: 10) Florida Legislative and U. S. Congress Information State House Of Representatives District Number And Name Of Representative For Project Location. DISTRICT NUMBER(S): REPRESENTATIVE - State Senate District Number And State Senator For The Project Location: DISTRICT NUMBER(S): SENATOR: Congressional District Number And Name Of U.S. Congressional Representative For The Project Location DISTRICT NUMBER(S): CONGRESSMAN: HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION PAGE 11) APPLICANT'S GRANT HISTORY: Has the applicant received previous grant assistance from the Department of State? If yes, specify the year, the project name, the Division that awarded the grant and the amount of the award. YEAR DIVISION PROJECT NAME AWARD 12) INDICATE EACH TYPE OF HISTORICAL DESIGNATION CURRENTLY HELD BY THE PROJECT SITE: ❑ Individual National Register Listing Date Listed: ❑ National Register District - Contributing Site Date of District Listing: ❑ Determined Eligible or Potentially Eligible (per Florida Master Site File) ❑ Individual Local Designation ❑ Local District Designation - Contributing Site ❑ None Of The Above 13) INDICATE THE LEVEL(S) OF LOCAL PROTECTION CURRENTLY AFFORDED THE SITE/AREA: ❑ Local Ordinance ❑ Local Ordinance Design Review ❑ Preservation Or Conservation Easement ❑ Protective Covenant ❑ Maintenance Agreement Other: (Specify) 14) Provide a brief explanation of Immediate Threats to the site or area such as proposed demolition, extensive structural damage, on -going site disturbance for archaeological sites, planned re -zoning, etc. 15) Describe the Project Activities completed to date: HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION PAGE 16) Describe the major elements of the project and indicate the entities (i.e. Consultant, in-house, volunteers) responsible for each element. Include in your description the estimated amount of time to accomplish each task (Note: Grants awarded from the Division Historical Resources Operating Trust Fund will have 12 months in which to complete the project. Grants awarded from an appropriation of State General Revenue Funds will have 24 months). 17) What is the anticipated annual Cost Of Maintenance of the Historic Property, Archaeological Site, or Museum Exhibit upon completion of the project; and what is the source of the funding? 18) Provide a brief description of the Educational Benefits this project will have on the local community and the state. 19) What is the estimated Annual Visitation for the project site? HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION PAGE 20) Provide a brief explanation indicating the direct impact of this project on minorities and the disabled. Include any alterations to the site that will make the site more accessible to the public. 21) Provide a brief explanation of the Direct Economic Impact this project will have on the surrounding community. Include any information regarding number of jobs it will provide, if known. 22) SITE SIGNIFICANCE (FOR ALL ACQUISITION & DEVELOPMENT/SPECIAL CATEGORY PROJECTS or PROJECTS WHICH ARE SITE SPECIFIC): a) For Historic Structures and Archaeological Sites, Enter the Florida Master Site File Number: (Attach copy of the Site He Form as Attachment G) b) For Historic Structures, Date of the Original Construction: c) For Historic Structures, Date(s) and Description of Major Alterations: d) Original Use of Historic Structure: e) Current Use of Historic Structure: f) Proposed Use of Historic Structure: g) For Archaeological Sites, Provide the Cultural Affiliation of the Site and Dates of Use or Occupation: h) Provide a statement of significance for the property/site: HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION 23) Acquisition of Historic Properties Full Purchase Price of the Historic Property: Appraised Value of the Property: PAGE The maximum grant share for Historic Property Acquisition project shall not exceed 50% of the value of the property as determined by the appraisal; the average of two appraisals, if two were obtained; or the average of the closest two appraisals, if more than two were obtained; or 50% of the purchase amount, whichever is less. Please refer to the Application Instructions for additional documents required for an acquisition project to be included as Attachment H 24) SURVEY & PLANNING GRANTS: For Surveys, indicate the types of historical resources to be surveyed. a) Provide the title and publication date of any previous surveys in the survey project area. b) Provide an Estimate of How Many Florida Master Site File Forms will be produced: Newly Recorded Sites: Florida Master Site File Updates (Note: Surveys that record or update more than 35 site locations must produce paper Florida Master Site File forms and also submit the site file data in the electronic data entry program SmartForm provided by the Florida Master Site File.) c) Enter the Acreage of the area to be surveyed: d) For National Register Nominations, indicate the number of anticipated: Individual Nominations: District Nominations: e) Will a multiple property cover nomination be produced? ❑ Yes ❑ No 25) FOR ALL COMMUNITY EDUCATION PROJECTS: a.) For Audio -Visual Productions Books Pamphlets Walking Tour Brochures, etc., Explain how the product will be Marketed and/or Distributed: b.) How many minutes/pages is the product? c) How many copies of the product will be produced? HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION PAGE I d) If the printed/media materials are proposed for distribution, will there be a per item charge? ❑ Yes ❑ No. If Yes, provide the estimated charge. e) For Educational Materials, is the local school system actively involved in your project? ❑ Yes ❑ No. If Yes, describe their participation to date and anticipated participation in this project. f) Do you intend to integrate your project into the Florida Heritage Education Program? ❑ Yes ❑ No. g) HISTORIC MARKERS For Historic Markers, include Form No. HR3E171294 from the Bureau of Historic Preservation as Attachment I. 26) FOR ALL MUSEUM EXHIBITS PROJECTS (Special Category Museum Proiects)• a.) In the space below, describe the Florida History museum exhibit for which funding is requested. b) Provide an estimated of the square footage of the museum exhibit being proposed: 27) Justification of Historical Theme: Explain why this exhibit is important to Florida History HISTORICAL RESOURCES GRANTS -IN -,AID APPLICATION PAGE 28) Detailed Description of exhibit work: Describe each of the following major elements of the exhibit in sufficient detail to demonstrate how the exhibit will be implemented and what methods will be used to achieve your goals. Include research, artifact selection, text/script, design, fabrication, installation, educational programming, promotion and maintenance. Attach completed museum exhibition designs with appropriate sketches as Attachment J. HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION 29) PROJECT BUDGET PAGE BUDGET ITEMS GRANT MATCHING FUNDS or SUB -TOTAL FUNDS LOCAL COST SHARE $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 $ $ $ 0.00 0.00 $ $ $ 0.00 0.00 $ $ $ 0.00 $ $ $ 0.00 0.00 $ $ $ 0.00 $ $ $ 0.00 TOTALS $ $ $ 0.00 0.00 0.00 HISTORICAL, RESOURCES GRANTS-IN-AID APPLICATION PAGE 10 30) Matching and Local Cost Share Funds: List the sources and amounts of confirmed matching funds. (For items involving personnel, indicate the number of hours to be spent on project activities with their per/hour value and the project activities to be performed.) For matching grant projects, funds must not be expended before execution of a Grant Award Agreement. For Special Category grant projects, clearly indicate 1) the resources contributed to the project during the preceding five (5) year period and 2) the resources available for the project during the period for which funding is requested. HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION PAGE I 1 CERTIFICATIONS 31) Applicant certification: This certification must be signed by the duly authorized representative of the applicant organization or agency before the application will be considered for funding assistance. I certify that the information contained in this application is true and correct to the best of my knowledge, and that I am the duly authorized representative of the applicant. Name (type or print) Agency or organization Signature Date 32) Owner concurrence: If the applicant does not own the property, the owner of record must sign the following statement indicating concurrence with the proposed project and this application for grant assistance. I, the undersigned, am the owner of the property identified under item 8) Project Information on Page Two of this application and hereby acknowledge my support for and full concurrence with this application. Name (print or type Signature Address City Daytime telephone _ State FAX Number Date Zip 33) Agreement to Execute Restrictive Covenant (SPECIAL CATEGORY & ACQUISITION PROJECTS ONLY): For projects involving historic properties and those involving archaeological sites which will be maintained subsequent to the completion of the project, the owner, long-term lessee or other responsible party must sign the following statement indicating agreement to execute a 10 year restrictive covenant to run with the property deed, should a grant award be made. I, the undersigned, am the duly authorized representative of the _ owner, _ long-term lessee, or _ je other organization or agency having responsibility for maintenance of the property identified under item 8) Proct Information on Page Two of this application subsequent to completion of the project for which funding is requested. I hereby indicate agreement to execute a restrictive covenant through which the organization or agency I represent will commit to maintenance of the referenced property in accordance with good preservation practice and the applicable standards and guidelines of the Secretary of the Interior for a period of ten years. I further agree that the organization or agency will not make any modifications to the property (other than routine repairs and maintenance) without review of the plans and specifications by the Bureau of Historic Preservation and that every effort will be made to design any modifications in a manner consistent with the applicable standards and guidelines of the Secretary of the Interior. Name (print or type) Signature Address City Daytime telephone _ Title State Zip FAX Number HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION PAGE 12 ATTACHMENT CHECKLIST 34) The following supporting documents are attached to this application: ❑ Attachment A: Civil Rights Assurance of Compliance form . ❑ Attachment B: Documentation of Confirmed Match or Local Cost Share ❑ Attachment C: Letters of Support, Endorsement, or Resolutions. ❑ Attachment D: Photographs describing the existing condition of the property or site. ❑ Attachment E: A photograph showing the principal view of the subject property or an image that conveys the purpose of the project. It will be shown in the public meeting when the Grant Review Panel or Florida Historical Commission reviews your project. May be submitted in an electronic format. ❑ Attachment F: If completed, architectural project schematics or construction documents (ONE SET ONLY) (ACQUISITION AND DEVELOPMENT and SPECIAL CATEGORY PROJECTS). ❑ Attachment G: Copy of Florida Master Site File Form. ❑ Attachment H: For Acquisition projects only: A complete summary appraisal prepared by a Florida State Certified General Real Estate Appraiser (two appraisals are required if the value of the first appraisal exceeds $500,000), an ownership and encumbrance search, an executed option or purchase agreement, property survey, and (if applicable) a copy of a professional archaeological survey if the property is being proposed for purchase as a significant archaeological site. ❑ Attachment I: For historic marker projects only: Florida Historic Marker Application Form No. HR3E171294 and verification of review and approval by the Florida Marker Council ❑ Attachment J: If completed, museum exhibition designs with appropriate sketches (MUSEUM EXHIBIT PROJECTS ONLY). ❑ Attachment K: For non-profit organizations only: documentation of non-profit status. ❑ Attachment L: Optional Attachments HISTORICAL RESOURCES GRANTS-IN-AID APPLICATION ATTACHMENT A U.S. DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICE CIVIL RIGHTS ASSURANCE OF COMPLIANCE PAGE 13 (hereinafter called "Applicant -Recipient") hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (P.L. 88-352) and all requirements imposed by or pursuant to the Department of the Interior Regulations (43 CFR 17) issued pursuant to that title, to the end that, in accordance with Title VI of the Act and the Regulations, no person in the United States shall, on the grounds of race, color, or national origin be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant -Recipient receives financial assistance from the Florida Department of State and hereby gives assurance that it will immediately take any measures to effectuate this agreement. The Applicant -Recipient also agrees to comply with Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975 and all requirements imposed by or pursuant to the Department of the Interior Regulations (43 CFR 17) issued pursuant to these titles, to the end that, no person in the United States shall, on the grounds of disability or age be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant -Recipient receives financial assistance from the National Park Service and hereby gives assurance that it will immediately take any measures to effectuate this agreement. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant -Recipient by the Florida Department of State, this assurance obligates the Applicant -Recipient, or in the case of any transfer of such property, any transferee for the period during which the real property or structure is used for a purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance obligates the Applicant -Recipient for the period during which it retains ownership or possession of the property. In all other cases, this assurance obligates the Applicant -Recipient for the period during which the Federal financial assistance is extended to it by the Florida Department of State. This assurance is given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property discounts or other Federal financial assistance extended after the date hereof to the Applicant -Recipient by the bureau or office, including installment payments after such date on account of arrangements for Federal financial assistance which were approved before such date. The Applicant -Recipient recognizes and agrees that such Federal financial assistance will be extended in reliance on the representations and agreements made in this assurance, and that the United States shall reserve the right to seek judicial enforcement of this assurance. This assurance is binding on the Applicant - Recipient, its successors, transferees, and assignees, and the person or persons whose signature appear below are authorized to sign this assurance on behalf of the Applicant -Recipient. Dated APPLICANT -RECIPIENT'S MAILING ADDRESS Applicant -Recipient By (President, Chairman of Board or Comparable authorized Official)