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1、GRANTASSISTANCEPROGRAM(GAP)2013–2014GRANTFORMSEDMUNDG.BROWNJR.,GovernorStateofCaliforniaJACOBA.APPELSMITH,DirectorDepartmentofAlcoholicBeverageControlJanuary,2013GRANTFORMSIncludes:·ProposalCoverSheet·ScopeofWork·BudgetDetail·OtherFundingSources·ResolutionofG
2、overningBody(Sample)ResolutionnotneededwithRFPpackage.Thiswillberequestedfromagenciesawardedagrant.StateofCaliforniaDepartmentofAlcoholicBeverageControlGrantAssistanceProgramPROPOSALCOVERSHEET(TOBECOMPLETEDBYAPPLICANTAGENCY)1.NameofApplicantAgency:2.Descripti
3、onofApplicantAgency:Provideyourcityorcountyandabriefsummaryofdepartmentsize,staffing,andstructure.3.NumberofLicensesinProjectArea:4.PopulationofServiceArea:5.ProjectDescription:Providealistofyourprojectsgoalsandobjectivesandbrieflysummarize.6.FundsRequested:7
4、.ProjectPeriod:July1,2013–June30,20148.AcceptanceofConditions:Bysubmittingthisproposal,theapplicantsignifiesacceptanceoftheresponsibilitytocomplywithallrequirementsstatedintheRequestforProposals.TheapplicantunderstandsthatABCisnotobligatedtofundtheprojectunti
5、ltheapplicantsubmitscorrectlycompleteddocumentsrequiredforthecontract.A.ProjectDirector(personhavingday-to-dayresponsibilityfortheproject)B.ChiefofPoliceorSheriff(authorizingofficial)Name:Address:Phone:Fax:E.MailAddress:Signature:Name:Address:Phone:Fax:E.Mail
6、Address:Signature:Title:Title:C.FiscalorAccountingOfficialD.ABCUSEONLYName:Address:Phone:Fax:E.MailAddress:Signature:Title:SCOPEOFWORKMaximumof4pagesforscopeofworkFontsizenosmallerthan12pitch,standardformat1.Summarya.AgencyDescription–Describeyouragency,inclu
7、dingsize,structure,staffing,demographicsofjurisdiction,andnumberofABClicensedlocations.b.FundingRequested–Dollaramountrequested.c.GoalsandObjectives–Listthegoalsandobjectivesofyourproject.d.NumberofABCLicensedLocations–Listthenumberofon-saleandoff-salelicense
8、sinyourjurisdiction.2.ProblemStatement-Describetheissuesorproblemstobeaddressedwithgrantfunds.a.Clearlyidentifytheareatobeserved,anyspecificproblemlocations,anyspecificcommunityconcerns,a
