Fillable California Department of Forestry and Fire Protection (CALFIRE) (California)

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California Department of Forestry and Fire Protection (CALFIRE) (California)

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California Department of Forestry and Fire Protection (CALFIRE)
California Climate Investments
Fire Prevention Program Grant Application
Fiscal Year 2021-22 Funding Opportunity
Please request a Project Tracking # for each separate application by following the instructions in
the 2021-22 California Climate Investments (CCI) Grant Guidelines on the Fire Prevention Grants
Web Page. Submit the application and all supporting materials to the SharePoint folder assigned
to your tracking number no later than 3:00pm PT on February 9, 2022. Up to $120 million is
being allocated to CAL FIRE’s Fire Prevention Grants Program in Fiscal Year 2021-2022 from the
CCI Greenhouse Gas Reduction Fund (GGRF) and General Fund.
Please note: Items marked in red are required.
1. Project Tracking #:
2. Organization Type: If Other, please specify:
If Non-Profit, are you a registered 501(c)(3)?
Yes
No
3. Sponsoring Organization:
Last Name:
Zip Code:
State:
Secondary Phone Number:
Fax Number:
Project Manager Title:
First Name:
Address Line 1:
Address Line 2:
City:
Phone Number:
Email Address:
Project Name/Title:
County:
CAL FIRE Unit/Contract County:
(Please use this 3-letter Unit Identifier for file naming. See item 14.)
CalMAPPER ID:
(If you have an existing CalMAPPER ID related to the project please supply it in the appropriate
box. If you do not have an existing CalMapper ID, it is NOT required.)
Tracking #:
Project Name:
Page 1 of 5
21-FP-UUU-XXXX
21-FP-UUU-XXXX
4. For which primary activity is funding being requested?
5. Project Completion Date:
6. Timber Harvest Plans: For fuel reduction projects, is there a timber harvesting document on any
portion of the proposed project area for which a “Notice of Completion” has not been filed with
CAL FIRE?
If checked, provide the THP identification number and describe the relationship to the project
in the attached Scope of Work document.
THP ID Number:
7. Community at Risk: Is the project associated with a community that is listed as a Community at
Risk? See the list of Communities at Risk on the Office of the State Fire Marshal web page.
Yes
No
Number of Communities in the project area:
8. Disadvantaged/Low Income Community: Is the project associated with a low-income
community that is listed as a Community at Risk? See the information on
Priority Population Investments on the California Air Resources Board web page.
Yes
No
If Yes, select all that applies:
Disadvantaged
Low Income
Both
Buff
er Zone
If your project is expected to be completed earlier than March 15, 2026, please include a date
here. Otherwise, leave blank. Please use MM/DD/YYYY format.
Tracking #:
Project Name:
Page 2 of 5
21-FP-UUU-XXXX
9. Federal Responsibility Area: Does your project/activity include work on Federal Lands that
10. Project Area Statistics: For all projects, provide an estimate of the Project Influence Zone (PIZ)
acres and the Treatment Influence Zone (TIZ) acres.
PIZ - The Project influence Zone (PIZ) is the broad geographic area encompassing the
neighborhoods or communities that the grant proposal is designed to protect with fuel
reductions, public education, or planning activities. This can be the sum of all treatment
areas or could include a buffer area around the planning/public education target. Please
keep the PIZ from encompassing an overly large area, unless benefits are clearly defined
in the Scope-of-Work.
TIZ - Treatments are areas within a PIZ, where on-the-ground activities are accomplished (e.g.
hazard fuel reductions, shaded fuel breaks, masticating, etc.). There can be multiple
discrete Treatment areas associated with a PIZ. Some projects (e.g. Planning &
Public Education) may NOT have treatment areas.
Project Influence Zone (PIZ)
Treatment Influence Zone (TIZ)
LRA
FRA
SRA
might require a National Environmental Policy Act (NEPA) document, or use a framework similar to
Good Neighbor Authority?
Good Neighbor Authority
National Environmental Policy Act
If Yes, please select all that apply:
Yes
No
Does your project/activity include work on Tribal Lands:
If yes, how many acres?
Yes
No
Tracking #:
Project Name:
Page 3 of 5
21-FP-UUU-XXXX
11.Project Budget: Please include a discussion of the project budget in the Scope of Work and
enter the total Amount of award requested below.
Amount
Grant Funding Requested ($)
Budget Item
12. CEQA Compliance: Describe how compliance with the California Environmental Quality Act
(CEQA) will be achieved in the Scope of Work. Is there an existing (CEQA) document that
addresses this project or can be used to meet CEQA requirements?
Please indicate the CEQA document type (For planning, education and other projects that are
exempt from CEQA, select “Not Applicable”):
13. Have you applied for or received any other CAL FIRE Grants for this project?
No
Yes
If yes, please identify the other CAL FIRE grant program and how the additional grant will be or is
being applied to this project.
Document Identification Number:
Tracking #:
Project Name:
Page 4 of 5
21-FP-UUU-XXXX
________________________________________________________ ________________
________________________________________________________ ________________
14.Application Submission:
Note to Applicant: If you modify the language contained in any part of this document, other than
to fill in the blanks or to provide requested information, your application will be rejected.
Use the table below as a tool to make sure you have all documents ready prior to submitting the
application.
Replace “XXXX” in the file name with the project's ID Number. Replace “UUU” in the file name
with the 3-letter identifier for the Unit where the project is located. Unit identifiers are listed in the
instructions for this application form.
Attachments
Application Form (.pdf)
Scope of Work (.doc)
Project Budget (.xls)
Project Map (.pdf)
Articles of Incorporation (.pdf) -
Applies to Non-Profits only
File Name
I certify that the above and attached information is true and correct:
Original Signature Required: Grantee’s Authorized Representative Date Signed
Printed Name Title
Executed on: ________________ at ___________________________________________
Date City
Please fill out this form completely. Be sure to save a copy of this form and all attachments for your
records. Submit the application and all supporting materials to the SharePoint folder assigned to
your tracking number no later than 3:00pm PT on February 9, 2022. Please submit the documents
as early as possible to avoid unanticipated issues. Applications submitted or modified in the
SharePoint folder after this date will be considered late. Access to SharePoint after the due date
may be revoked.
Mapping Create a Geo Point & Poly
gon web link
Tracking #:
Project Name:
Page 5 of 5
21-FP-UUU-XXXX-Application.pdf
21-FP-UUU-XXXX-SOW.doc
21-FP-UUU-XXXX-Budget.xls
21-FP-UUU-XXXX-MAP.pdf
21-FP-UUU-XXXX-AOI.pdf
21-FP-UUU-XXXX
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California Department of Forestry and Fire Protection (CALFIRE) (California)

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Completed 15 January 2022

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