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State of California – The Natural Resources Agency
DEPARTMENT OF PARKS AND RECREATION
Development Project Scope/Cost Estimate Form
GRANTEE: PROJECT Name
Development project scope (Describe the project in 30 words or less):
Project Scope Items all that apply:
Install
new
Renovate
existing
Replace
existing Recreation Element
Pool, aquatic center, splash pad
Trails or walking paths
Landscaping or irrigation
Group picnic, outdoor classrooms, other gathering spaces Play equipment, outdoor fitness equipment
Sports fields, sports courts, court lighting
Community center, gym, other indoor facilities
Restroom, concession stand
Other:
Other:
Minor elements which support one or more of the recreation elements checked above: benches, lighting, parking, signage, etc.
PRE-CONSTRUCTION (costs incurred prior to ground-breaking, such as design, permits, bid packages, CEQA); up to 25% of total PROJECT cost. $ Construction $
Total PROJECT cost $
Subtract GRANTEE match if not in severely disadvantaged community (20% of total PROJECT cost, see page 13)
Less match
-$
Total GRANT amount requested $
The GRANTEE understands that all elements listed on this form must be complete and open to the public before the final grant payment will be made.
AUTHORIZED REPRESENTATIVE Signature Date
Print Name and Title
19