DocuSign Envelope ID: F2624AE0-B3D1-4A18-9D87-45E09989CFC7 1002
State of California - The Resources Agency
DEPARTMENT OF PARKS AND RECREATION
Project Application Form
PROJECT NAME REQUESTED GRANT AMOUNT
PHASE II RENOVATIONS OF GRIFFIN PARK $ 2,000,000
PROJECT SITE NAME and PHYSICAL ADDRESS where LAND TENURE (D all that apply) PROJECT is located (including zip code)
(Use latitude and longitude if there is no street address) X Owned in fee simple by APPLICANT
GRIFFIN PARK
Available (or will be available) under
420 SOMERSET CIRCLE, CORONA, CA 92879 a _year lease or easement
NEAREST CROSS STREET GRIFFIN WAY AND BRITTANY DRIVE
COUNTY OF PROJECT LOCATION RIVERSIDE COUNTY
APPLICANT NAME AND MAILING ADDRESS
CITY OF CORONA
400 SOUTH VICENTIA AVE., STE. 225, CORONA, CA 92882
AUTHORIZED REPRESENTATIVE AS SHOWN IN RESOLUTION
JACOB ELLIS, CITY MANAGER [email protected] 951- 279-3710 Name (typed or printed) and Title Email address Phone
GRANT CONTACT - For administration of grant (if different from AUTHORIZED REPRESENTATIVE) Moses Cortez, Facilities, Parks, and Trails Manager
[email protected] 951-739-4957
Name (typed or printed) and Title Email address Phone
GRANT SCOPE: I represent and warrant that this APPLICATION PACKET describes the intended use of the requested GRANT to complete the items listed in the attached Project Scope/Cost Estimate Form. I declare under penalty of perjury, under the laws of the State of California, that the information contained in this APPLICATION BACKT, including required attachments, is accurate.
Jacob Ellis 1/9/2023
Signature OPAF98RiZED REPRESENTATIVE as shown in Resolution Date Jacob Ellis
Print Name
City Manager
Title