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2020 Hurricane Michael National Park Service Subgrants Application 1
Florida Division of Historical Resources
Hurricane Michael National Park Service Subgrants
Application
Deadline: August 31, 2020
Program Overview:
The Division of Historical Resources is soliciting applications for historic preservation projects providing
relief to damages resulting from Hurricane Michael. These funds are made available to State Historic
Preservation Offices in affected states
and territories, as part of the Hurricanes Florence and Michael and
Typhoon Yutu (FYM) Emergency Supplemental Historic Preservation Fund (ESHPF) grant program
administered by the National Park Service (CFDA: 15.957), Federal Grant Number P20AP00013.
Award Amount and Match Requirements.
Maximum award amount: $500,000
Match requirement: There is no match requirement.
Eligible Projects. The allowable costs for this grant program are specific to damage directly related to
Hurricane Michael, incident period October 7 - October 19, 2018, and include the following activities:
• Recov
ery and repair of historic properties in areas that received a major disaster declaration pursuant
to the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.).
• Survey and Inventory of historic resources to determine eligibility, degree of damage and provide
preparedness for future disasters (must meet NPS spatial data standards); or Phase I archaeological
survey to determine degree of damage and Phase II testing to determine National Register eligibility
of sites damaged by Hurricane Michael.
• Projects must substantially mitigate threat and include steps to mitigate future damage.
• Regardless of project type, the following requirements must be met to receive this funding:
o Eligible properties include historic districts, buildings, sites, structures and objects listed or
eligible for listing in the National Register of Historic Places.
o Eligible, but not listed, properties that receive funding must complete and submit a
nomination to the National Register as part of the project.
o Listed properties that receive funding must complete and submit an amendment to the
current National Register listing.
o All work must meet the Secretary of the Interior’s Standards and Guidelines for Archeology
and Historic Preservation.
o Eligible properties must be within the following counties: Bay, Calhoun, Franklin, Gadsden,
Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Okaloosa, Taylor, Wakulla,
Walton, and Washington.
Eligible
Ap
plicants.
• Non-profit O
rganizations
• Other
Local Governments
• State Agencies
Application Submission. Applications are available for download at the Division’s 2020 Hurricane
Michael National Park Service Subgrants webpage, www.flheritage.com/grants/michael. Applications
must be submitted in hard copy and be received in-person by 5:00 p.m. on Monday, August 31, 2020, or
must be postmarked by 11:59 p.m. on Monday, August 31, 2020. Six paper copies of the application and
all required application Support Materials (one original and five duplicates) must be delivered to the
Division at: Division of Historical Resources, Director’s Office, 3
rd
Floor, R. A. Gray Building, 500 South
Bronough Street, Tallahassee, Florida 32399-0250. Incomplete applications and applications
postmarked to our office after the deadline will not be considered.
Application Review. Division staff will conduct a technical review to determine project eligibility. Eligible
applications will be reviewed in order of receipt by a five-member 2020 Hurricane Michael Subgrants
Selection Committee appointed by the Florida Secretary of State. Applications selected for funding approval
will be submitted to the National Park Service for final review. Following final review and approval by the
National Park Service, all applicants will be notified in writing of the award decisions.
Please see the formal grant solicitation notice, available at www.flheritage.com/grants/michael.
• Municipal and
County Governments
• State Universities, Community Colleges, and
P
rivate Universities
2020 Hurricane Michael National Park Service Subgrants Application 2
1. Applicant Information
a) Organization Name:
b) Address:
c) City:
d) State:
e) Zip:
f) Phone Number:
g) Applicant DUNS Number
(can be obtained at www.dnb.com):
*
DUNS number must match organization name
h) Applicant Organization’s Federal Employer Identification Number:
2. Organization Type (Check one)
Non-profit
Municipal Government
State Agency
State University
County Government
Other Local Government
State Community College
Private University
(not for profit)
3. Project Title and Location
Information
The title should reflect the name of the property, site, or area, and the goals of the proposed project.
Location information should be the primary location where the project will be carried out. (For
example, Smith House Rehabilitation, South Mill Archaeological Survey, etc.)
a) Project Title:
b) Name of Property
(if applicable):
c) Address:
d) City:
e) Zip:
f) County:
Florida Division of Historical Resources
Hurricane Michael National Park Service Subgrants
Application
2020 Hurricane Michael National Park Service Subgrants Application 3
4.2 Authorized Official
Provi
de the name and contact information for the person authorized to sign contracts on
behalf of the organization. This is often an Executive Director, President, board member, city
manager, county administrator, etc.
a) Authorized Official’s Name:
b) Address:
c) City:
d) State:
e) Zip:
f) Daytime Telephone No:
g) Ext:
h) Email Address:
4. Project Contacts
4.1 Designated Project
Contact
The Project Contact is the applicant organization's primary contact for the application review
process. In addition to being available to answer questions from Division staff regarding the
proposed project and application, the Project Contact is usually the individual who will be
administering the project, if it is funded.
a) Project Contact’s Name:
b) Address:
c) City:
d) State:
e) Zip:
f) Daytime Telephone No:
g) Ext:
h) Email Address:
2020 Hurricane Michael National Park Service Subgrants Application 4
5.2 Has the applicant received previous grant assistance from entities other than the
Depa
rtment of State within the past five (5)
years? If so, please specify the year of the award,
the project name, the entity that awarded the grant, the amount of the award, and the
current
status.
Year
Project Name Granting Entity Amount Open/Closed
5. Applicant Grant Experience and History
5.1 Has the applicant received grant assistance from the Department of State in the past five
(5) years? If yes, specify the year, the grant number, the project name, the Division that
awarded the grant, the amount of the award and its current status. Attach an additional sheet if
necessary.
Year Grant
No.
Project Name DOS Division Amount Open/Closed
2020 Hurricane Michael National Park Service Subgrants Application 5
6. Applicant staffing and hours
Select the option that best describes your organization.
Organization is open at least 40 hours per week and has at least one paid staff
member in a management position
Organization has some paid staff but they are not full-time
Organization is open part-time and has volunteer staff
7. Project Type (Check One)
Select the project type for which grant funds are requested. The allowable costs for this grant
program are specific to damage directly related to Hurricane Michael.
Development Project
Recovery and repair of historic properties in areas that received a major disaster
declaration pursuant to the Robert T. Stafford Disaster Relief and Emergency
Assistance Act (42 U.S.C. 5121 et seq.).
The causal relationship between the
damage and Hurricane Michael must be documented and submitted with this
application.
Survey Project
Survey and Inventory of historic properties to determine degree of damage and
provide preparedness for future disasters (must meet NPS spatial data standards);
or Phase I archaeological survey to determine degree of damage and Phase II
testing to determine National Register eligibility of sites damaged by Hurricane
Michael.
8. Proposed Project T
eam
List those persons within the applicant organization who will be directly involved with the
administration of the grant. This will include the Project Contact listed in Question 4 and
all other individuals who will have a role in the completion of the grant project. List below
the individuals’
names, roles or titles within the applicant organization, percentage of work
time dedicated to grant administration, and anticipated duties. Curriculum vitae of proposed
project team members must be included as an attachment.
Name
Role or Title Percentage of
Time
Duties
2020 Hurricane Michael National Park Service Subgrants Application 6
9. Historical Designation
National Register listing or eligibility is required to receive funding under this program. Indicate
the type of historical designation currently held by the historic resource. For properties or sites
that have been listed in the National Register or are contributing properties or sites within a
National Register District, provide the date that the property, site or district was listed. Should
you have questions regarding the National Register status of a property or site, contact the
Division's National Register Staff at 1.800.847.7278 or 850.245.6300.
9.1. Type of Historical Designation
Individual National Register Listing(s)
National Register District - Contributing Resource(s)
Not listed on the National Register (must complete
PSIQ form, see section 9.3)
Listed as a National Historic Landmark
9.2. Historical Designation Details
If
listed, provide the name of the property, site or district (as it is listed in the National
Register) and the date of listing. If additional space is needed, attach an extended list with
this application.
Property Name
Date Listed
9.3 Preliminary Site Information Questionnaire (PSIQ)
For all development projects, if property is not currently listed on the National Register, a
PSIQ form (Attachment C) must be submitted with this application for Division staff to
evaluate. Properties that are determined ineligible for the National Register by staff will not
meet the requirements for this subgrant.
2020 Hurricane Michael National Park Service Subgrants Application 7
10. Hurricane Michael Damage Documentation
Discuss the damage sustained to the property by Hurricane Michael. Include information on
immediate endangerment to the property, existing damage caused by Hurricane Michael, and/or
potential future damage due to the same threats that caused damage from Hurricane Michael
(e.g., flooding). For survey projects, please describe the current state of knowledge of potential
damage to the historic district or archaeological area. Causal relationship of damage caused by
Hurricane Michael must be demonstrated in all development projects and included as an
attachment (e.g. before and after photos, property assessment records, information related to
city, county, state, or federal damage assessments, etc.).
2020 Hurricane Michael National Park Service Subgrants Application 8
11. Scope of Work
In the space provided, briefly describe the scope of work for the project for which funding is
requested. Indicate how you intend to use the grant award requested, describing each of the
major work items involved, emphasizing the project’s primary objectives and intended results.
A National Register nomination or amendment to current National Register listing must
be included in the Scope of Work and Budget.
Regardless of project type, the following requirements must be met to receive subgrant funding:
o Eligible properties include historic districts, buildings, sites, structures and objects listed or
eligible for listing in the National Register of Historic Places.
o Eligible, but not listed, properties that receive funding must complete and submit a
nomination to the National Register as part of the project.
o Listed properties that receive funding must complete and submit an amendment to the
current National Register listing.
o All work must meet the Secretary of the Interior’s Standards and Guidelines for Archeology
and Historic Preservation.
2020 Hurricane Michael National Park Service Subgrants Application 9
12. Tentative Project Timeline
Please specify the start and end month and year below; indicate all major elements of the project
for which funding assistance is requested, the anticipated time required to complete each
element, and the planned sequence of these activities. This is an estimated schedule; finalization
will take place if your project is awarded a grant. Projects should be completed within 24
months.
2020 Hurricane Michael National Park Service Subgrants Application 10
13. Major Elements and Responsible Entities
Describe the major elements of the project and indicate the type of entity (e.g., consultant,
in-house personnel, volunteers, etc.) responsible for each element.
Major Project Elements Entity Type Responsible
a.
b.
c.
d.
e.
f.
g.
h.
i.
14. Project Budget
List work items necessary to carry out the proposed scope of work and the associated estimated
expenses and how they will be paid (i.e., from grant funds or voluntary match or both). Only
include expenses that are specifically related to the project.
For additional information on non-allowable costs for all grants awarded by the Division of
Historical resources, please refer to Section VIII. “Non-Allowable Expenses” of the Special
Category Grants Guidelines.
• All grant expenditures must be incurred during the grant period. No costs incurred before or
after the grant period has expired will be eligible for payment with grant funds.
• Work inconsistent with the Secretary of the Interior’s Standards and Guidelines for
Archeology and Historic Preservation and non-allowables will not receive funding.
• Should you have questions regarding the eligibility of a specific activity for grant funding,
please contact the Division staff at DHRMichaelGrant@dos.myflorida.com.
14.1 Amount Requested and Voluntary Match
The budget should include the total cost of all work items necessary to accomplish the
proposed project. The amounts listed in a) and b) below must equal the totals listed for Grant
Funds and Voluntary Match Value under Question 14.2, Project Budget.
• Maximum award amount: $500,000
Match requirement: There is no match requirement.
a) Amount of Grant Funding Requested: $
b) Voluntary Match Amount: $
c) Total Project Budget: $
2020 Hurricane Michael National Park Service Subgrants Application 11
14.2 Project Budget Table
Work
Item
#
Grant Funds
Voluntary
Match Value
Voluntary
Match Type
Sub-Total
1.
$
$
$
2.
$
$
$
3.
$
$
$
4.
$
$
$
5.
$
$
$
6.
$
$
$
7.
$
$
$
8.
$
$
$
9.
$
$
$
10.
$
$
$
Total
$
$
$
$
Note: Totals must be the same as the corresponding total under 14.1.
Cash/In-kind
National Register Nomination
or
Amendment
0
0
0
0
0
2020 Hurricane Michael National Park Service Subgrants Application 12
14.3 Additional Budget Information/Clarification
Use this space to provide additional detail or information about the proposal budget as it
relates to the scope of work described above. For example, where the relationship between
items in the budget and the objectives of the proposed project may not be obvious, provide
clarification regarding the necessity for or contribution of those work items to the successful
completion of the project.
15. Completed Project Activities.
Provide a summary of the project-related activities completed at the time of application
submittal. Information submitted should include an activity description, date completed, and
cost/value. Activities may include architectural studies or plans, or archaeological research
accomplished such as research design or site assessment work. Should they have already been
completed, your printed architectural project schematics or construction documents must be
included as with this application. You cannot be reimbursed for any work that is completed
before the grant period begins.
2020 Hurricane Michael National Park Service Subgrants Application 13
16. Property Ownership
Enter name of the Property Owner and choose the appropriate owner type. If applicant is not the
owner of the property, the applicant must secure Property Owner concurrence. The applicant
shall provide a letter from the Property Owner that documents that the applicant has the
permission of the Property Owner of record to conduct the proposed project on the owner’s
property and that the Property Owner is in concurrence with this application for grant funding.
This letter must be included as an Attachment to this application.
16.1. Does your organization own the property?
Yes
No
16.2. If no, who is the property owner?
16.3 Type of Ownership
Non-profit Organization
Private Individual or For-Profit Entity
Note: Properties owned by private individuals or for-profit entities are not eligible for
grant funding.
Governmental Entity
16.4 Does your project involve a federally owned or managed property?
Yes
No
17. Project Area Population and Representation
17.1 Please provide the following information requested regarding state legislative and
congressional representation for the project location. View www.usa.gov/Contact/Elected.shtml
to
find this data.
a) State House of Representatives District Number and Name of Representative for Project Location
1) District Number(s):
2) Representative:
b) State Senate District Number and State Senator for the Project Location
1) District Number(s):
2) Senator:
c) Congressional District Number and Name of U.S. Congressional Representative for the Project
Location
1) District Number(s):
2) Congressman:
2020 Hurricane Michael National Park Service Subgrants Application 14
2020 Hurricane Michael Subgrant
Grant Application Checklist
Indicate in the boxes below each item included in your submission:
1. Application
One original application with one set of original required and optional attachments
Five
additional copies of the application, checklist, and attachments
2. Required Attachments
Attachment A- Applicant Certification Form
Attachment B- Curricula Vitae of Proposed Project Team Members
Attachment C- Completed PSIQ Form (if applicable)
Attachment D- Completed NEPA Checklist
Attachment E- Hurricane Michael Damage Documentation
Attachment F- Statement of Overlap
Attachment G- Documentation of Non-Profit Status (if applicable)
Attachment H- Substitute W-9 Form
Attachment I- Photographs
Attachment J- Owner Concurrence Letter (if applicable)
3. Optional Attachments (Attachment K)
Documentation of Confirmed Voluntary Match
Architectural Drawings (if available)
Archaeological Supporting Documents (if available)
Other
To complete this application, you must complete the application che
cklist and submit the
corresponding attachments as described in the checklist. One designated original application,
checklist, and set of attachments with original signatures, and five additional copies of the
application, checklist, and attachments, must also be submitted. See the Application Checklist
for instructions.
2020 Hurricane Michael National Park Service Subgrants Application 15
Attachment A
Applicant Certification Form
This form is required of all applicants.
Applications submitted without this certification sheet will be ineligible for review.
This certification must be signed by the duly authorized representative of the applicant
organization or agency.
I have read and understand the above application checklist and have included all
attachments in the appropriate format.
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. I certify
that the damage this project will address was a direct effect of Hurricane Michael.
Title of Project:
Name of Authorized Organization or Agency Representative (type or print):
Title of Authorized Representative:
Organization or agency:
Signature: _____________________________________________________________
Date: ____________________________
2020 Hurricane Michael National Park Service Subgrants Application 16
Attachment B
Curricula Vitae of Proposed Project Team Members
Curricula vitae for those persons who will be directly involved with the administration of the
grant or will have a role in the completion of the grant project. For archaeological projects,
curricula vitae for principal investigator and other key personnel, if known, must also be
provided. If principal investigator has not yet been selected, a list of tasks or projected
responsibilities must be submitted in place of the curriculum vitae.
2020 Hurricane Michael National Park Service Subgrants Application 17
Attachment C
Preliminary Site Information Questionnaire (PSIQ) Form (if applicable)
For all development projects, if property is not currently listed on the National Register, a
PSIQ form must be submitted with this application for Division staff to evaluate. Properties
that are determined ineligible for the National Register by staff will not meet the
requirements for this subgrant. PSIQ forms and instructions can be found at
https://dos.myflorida.com/historical/preservation/national-register/
2020 Hurricane Michael National Park Service Subgrants Application 18
Attachment D
National Environmental Policy Act (NEPA) Compliance Checklist
Please answer the following questions to assist Division staff with ensuring that requirements for
compliance with NEPA are met. Answering Yes or More Data Needed to a question will not
automatically remove your project from consideration, but additional documentation may be required if
your project is selected for a grant. If all of the questions have not been answered, your project will be
removed from consideration.
A. Resource Effects to Consider
Consider the context, duration and intensity of effects on resources.
Are any measurable imp
acts possible on the following physical, natural or cultural resources?
1. Geological resources – soils, streambeds, etc. Yes No More Data Needed
2. Air quality Yes No More Data Needed
3. Soundscapes Yes No More Data Needed
4. Water quality or quantity Yes No More Data Needed
5. Streamflow characteristics Yes No More Data Needed
6. Marine or estuarine resources Yes No More Data Needed
7. Floodplains or wetlands Yes No More Data Needed
8. Land use, including occupancy, income,
type of use Yes No More Data Needed
9. Rare or unusual vegetation, old growth timber,
riparian Yes No More Data Needed
10. Species of special concern (plant/animal/state or
Federal listed or proposed for listing) or habitat Yes No More Data Needed
11. Unique ecosystems, biosphere reserves,
World Heritage Yes No More Data Needed
12. Unique or important wildlife or wildlife habitat Yes No More Data Needed
13. Unique or important fish or fish habitat Yes No More Data Needed
14. Introduction/promotion of non-native species Yes No More Data Needed
15. Recreation resources, including supply, demand,
visitation, activities, etc. Yes No More Data Needed
16. Socioeconomics, including employment,
occupation, income changes, tax base, etc. Yes No More Data Needed
17. Minority and low-income populations,
ethnography, size, migration patterns, etc. Yes No More Data Needed
18. Energy resources Yes No More Data Needed
19. Other agency, or tribal, land use plans Yes No More Data Needed
20. Resource, including energy, conservation
potential Yes No More Data Needed
2020 Hurricane Michael National Park Service Subgrants Application 19
B. Mandatory Criteria: If implemented, would the proposal? (EO=Executive Order)
1. Have material adverse effects on public health or safety
Yes No More Data Needed
2. Have adverse effects on historic or cultural resources; park, recreation, or refuge lands;
wilderness areas; wild or scenic rivers; national natural landmarks; sole or principal drinking
water aquifers; prime farmlands; wetlands; floodplains; or ecologically significant or critical
areas, including those listed on the National Register or
Natural Landmarks?
Yes No More Data Needed
3. Have highly controversial environmental effects? Yes No More Data Needed
4. Have highly uncertain and potentially negative environmental effects or involve unique or
unknown environmental risks?
Yes No More Data Needed
5. Establish a precedent for future action or represent a decision in principle about future actions
with potentially significant environmental effects?
Yes No More Data Needed
6. Be directly related to other actions with individually insignificant, but cumulatively significant,
environmental effects?
Yes No More Data Needed
7. Have adverse effects on properties listed or eligible for listing on the National Register of Historic
Places?
Yes No More Data Needed
8. Have adverse effects on species listed or proposed to be listed on the List of Endangered or
Threatened Species, or have adverse effects on designated Critical Habitat for these species?
Yes No More Data Needed
9. Violate a federal law, or a state, local, or tribal law or requirement imposed for the protection of
the environment?
Yes No More Data Needed
10. Have a disproportionate, significant adverse effect on low income or minority populations (EO
12898)?
Yes No More Data Needed
11. Limit access to and ceremonial use of Indian sacred sites by Indian religious practitioners or
adversely affect the physical integrity of such sacred sites (EO 130007)?
Yes No More Data Needed
12. Contribute to the introduction, continued existence, or spread of federally listed noxious weeds
(Federal Noxious Weed Control Act). Contribute to the introduction, continued existence, or spread
of non- native invasive species or actions that may promote the introduction, growth or expansion
of the range of nonnative invasive species (EO 13112)?
Yes No More Data Needed
2020 Hurricane Michael National Park Service Subgrants Application 20
Attachment E
Hurricane Michael Damage
Documentation
Causal relationship of damage caused by Hurricane Michael must be demonstrated in all
development projects (and survey projects if available) and included as an attachment (e.g.
aerial photographs; Google street view; property assessment records; information related to
city, county, state, or federal damage assessments; written and certified statements from
property owners if no other documentation exists).
2020 Hurricane Michael National Park Service Subgrants Application 21
Attachment F
Statement of Overlap Information Sheet
All applicants must provide a statement to identify whether or not any overlap exists between
the proposed project and any other active or anticipated project(s) in terms of activities, costs,
or time commitment of key personnel, including any application that was submitted for
funding consideration to any other potential funding source (Federal or non-Federal).
The statement and the description of overlap or duplication should be provided with this
attachment to the application.
• If no overlap or duplication exists, a sample statement to satisfy this requirement
might be: “[Insert Applicant Name] affirms that no overlap or duplication exists
between the proposed project in this application and any other active or anticipated
project in terms of activities, costs, or time commitment of key personnel, including
any application that was submitted for funding consideration to any other potential
funding source (Federal or non-Federal).”
• If any overlap or duplication does exist, applicants must provide a description and
documentation (e.g., insurance claim, FEMA funding notification, etc.) of the overlap
including when the overlapping or duplicative proposal(s) were submitted, to whom
(entity and program), and when funding decisions are expected to be announced.
• If at any time a proposal is awarded funds that would be overlapping or duplicative of
the funding requested, the applicant must immediately notify the Division. Any
overlap or duplication of funding between the proposed project and other active or
anticipated projects may impact selection and/or funding amount.
2020 Hurricane Michael National Park Service Subgrants Application 22
Attachment G
Documentation of Non-Profit Status (if applicable)
Documentation of Non-profit Status (for Non-profit Organizations only): In-state corporate
entities must provide documentation of their active status as a Florida non-profit corporation
with the Division of Corporations, Florida Department of State, which can be obtained at:
http://www.sunbiz.org by searching the corporate name. Out-of-state corporate entities must
include documentation from the Internal Revenue Service confirming that they are exempt from
federal income tax under section 501(c)(3) of the Internal Revenue Code.
2020 Hurricane Michael National Park Service Subgrants Application 23
Attachment H
Substitute W-9 Form
Substitute W9 form: Applicant Organizations must submit a copy of their Substitute W9 form
(SW9), which can be obtained at the Department of Financial Services (DFS) Substitute W-9
website https://flvendor.myfloridacfo.com.
2020 Hurricane Michael National Park Service Subgrants Application 24
Attachment I
Photographs
All Applicant Organizations shall provide photographs in hard-copy and digitally on a cd-rom
or a USB flash drive. For development projects, minimum requirements include photographs
before Hurricane Michael and current photographs of all exterior elevations, principal interior
spaces, and significant architectural features. If available, also provide historic photographs of
the property. For Survey projects, photographs/maps should document the area as an aerial
view and street views, including representative examples of the properties therein.
2020 Hurricane Michael National Park Service Subgrants Application 25
Attachment J
Owner Concurrence Letter (if applicable)
Each Applicant Organization shall provide a letter that documents that the Applicant
Organization has the permission of the owner of record (if the Property Owner is not the
applicant) to conduct the proposed project on the owner’s property and that the owner is in
concurrence with this application for grant funding. Note that the owner must be a Non-profit
Organization, state college or university, or agency of government.
2020 Hurricane Michael National Park Service Subgrants Application 26
Attachment K
Optional Attachments
An Applicant Organization may use this attachment to present additional documents not
specifically requested by the Division that support the application. Such materials may include
documentation of confirmed voluntary match, architectural drawings, archaeological supporting
documents, such as previous site reports or surveys.
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