Corporate Business Tax
(CBT) Historic
Preservation Fund
Grant Application FY 16
Applications due June 25, 2015
New Jersey Historic Trust
Department of Community Affairs
PO Box 457
Trenton, NJ 08625
Phone 609.984.0473
Fax: 609.984.7590
Email: njht@dca.nj.gov
website: www.njht.org
CORPORATE BUSINESS TAX (CBT) HISTORIC
PRESERVATION FUND
CAPITAL PRESERVATION GRANTS
FY 16 GRANT APPLICATION
This application is for capital grant requests of $5,000 to $150,000. Grant allocations are subject to the availability of funding.
Thoroughly review the FY16 Guidelines before completing an application. The Guidelines include information on the grant
application, review criteria and review process.
DELIVERING THE APPLICATION
The original application set and five (5) copies of the completed application are due in the Historic Trust offices by mail or hand
delivery by 4:00 p.m. on June 25, 2015. Applications received after 4:00 pm will not be accepted. For U.S. Postal Service, use the
following address: New Jersey Historic Trust, P.O. Box 457, Trenton, NJ 08625-0457. If applications are sent via delivery service,
courier service, or are being delivered by hand, the street address is: New Jersey Historic Trust, Department of Community Affairs
Building, 101 South Broad Street, Room 604, Trenton, NJ 08608. Applications delivered after the deadline will not be accepted.
DOWNLOADING AND COMPLETING THE APPLICATION
Download an application from the Trust’s web site, www.njht.org, and immediately save the file as a Microsoft Word document.
Format all answers in Times New Roman or equivalent 10-point font. Answer as concisely as possible.
Check boxes may be filled in by hand or by computer. After the text of the application is complete, right click on the Help menu at
the top of the screen and select “Customize the Ribbon”. When the dialog box opens, make sure the “developer” check box is
selected under main tabs, then click ok. On the developer tab, click on “restrict editing” (the one with the padlock symbol). This
opens a sidebar menu. Under “editing restrictions” check the check-box and select “filling in forms from the drop down menu. This
protects the document and activates the check boxes, allowing you to fill them in by clicking on them. Click “Yes, Start enforcing
protection”
In the past, some applicants have volunteered a preface to describe the project in their own words. Include your summary
statement at question no. 5.
Assemble one application with the appropriate attachments in a three-ring binder. This original application set must include a table
of contents. All required attachments must be clearly labeled with tabbed dividers corresponding to the letters given in the
application. For oversized or bulky attachments, insert a sheet in the binders under the appropriate attachment letter indicating
that the document has been submitted separately.
In addition to one original application in a binder, send five (5) copies of the application and all attachments, with tabbed dividers
corresponding to the letters given in the application separating the sections, and secured with binder clips. See “Attachments”.
APPLICATION ASSISTANCE
Read the FY16 CBT Historic Preservation Fund Guidelines (from the Trust’s web site: http://njht.org/dca/njht/applguid/ for
detailed information about eligible activities, criteria for evaluation, and program timelines.
Call the NJ Historic Trust program staff at (609) 984-0473 with questions about eligibility, the application form or delivery.
HELP WITH SPECIFIC QUESTIONS
QUESTION 3:
Nonprofits must provide their current (renewed within the last 12 months) Charitable Registration Number
from the New Jersey Department of Consumer Affairs, Office of Consumer Protection/Charitable Registration.
Applicants
can
check
on
the
status
of
their
charitable
registration
at
http://www.njconsumeraffairs.gov/ocp/charities.htm All organizations with current registration are listed in
the web site’s database. For more information, call Charities Registration at (973) 504-6215. Religious
organizations are exempt from charitable registration requirements and therefore do not need to submit a NJ
Charitable Registration Number, but still must submit IRS documentation. Organizations with gross
contributions of $10,000 or less are not required to register with NJ Department of Consumer Affairs as a
charitable organization.
QUESTION 4:
Applicants who lease the subject property must include a copy of the current lease agreement in Attachment G.
The lease must be fully executed and have at least 15 years remaining at the time of application. Leases are
subject to review by the Office of the Attorney General. Applicants will be notified of problems with leases and
may need to submit additional assurances or legal instruments to remain eligible for consideration for a grant.
Note: All applicants who do not own the subject property are responsible for obtaining the Owner Assurances.
QUESTION 5:
Provide a concise summary (maximum one page) of the project. Describe the project needs, goals, methodology,
anticipated outcome and public benefit.
QUESTION 6:
The budget summary totals must match the totals at Question 15.
QUESTION 7:
Include the name of the property as it appears in the New Jersey or National Register Nomination Form.
QUESTION 8:
As a condition of capital funding, properties must be listed in the New Jersey Register of Historic Places by
December 31, 2015 or the grant offer will be rescinded. Include documentation in Attachment B.
QUESTION 10: The answer should summarize or expand upon the information provided in Attachment B. For individually
listed properties, summarize the reasons why the property is historically significant, or enter “see National
Register nomination” if the statement of significance is thorough and complete.
QUESTION 13E: Use the terms preservation, restoration and rehabilitation as defined in the Secretary of the
Interior’s Standards. The Standards are the Appendix to the Grant Guidelines .
QUESTION 15: Grant Project Budget. The worksheets may be filled in on the computer or by hand. Make sure the numbers are
legible and all math has been carefully checked. Summarize the specific costs for which grant funding is
requested. The entries in the budget must correspond to the detailed project budget in Attachment E. Describe
the tasks or work products in the “Activity” column (i.e. masonry repointing, painting, roof replacement, plaster
repair, etc.).
All proposed work must be in conformance with the Secretary of the Interior’s Standards and an eligible activity
as defined in the Grant Guidelines, and an integral part of the preservation project as described in the
application and attachments.
Note: Proposed construction work that includes ground disturbance may be subject to archaeological review. This
includes, but is not limited to, excavation for footings, trenching for drainage, buried service entrance, geothermal
loops, etc. Contact the Trust staff to discuss archaeology if the project includes work of this nature.
QUESTION 16A: Match In Hand. Include in this section only funds that are on deposit in your organization’s account, and
committed bonds and grant awards explicitly restricted for use in this project. Include all pledges, unrestricted or
unsold bonds, grants and loans. Indicate the date the funds were received or are expected.
QUESTION 23: For information on the designated districts in this question, contact or visit the following sources:
Certified Local Government [CLG]. Visit http://www.state.nj.us/dep/hpo/3preserve/clg_links.htm for the
current list of CLGs.
Main Street NJ community. The application site must be directly within the Main Street Program Area. Visit
http://www.nj.gov/dca/divisions/dhcr/offices/msnjdistricts.html for the list of the Main Street programs in
the state.
NJ Transit Villages. Visit http://www.state.nj.us/transportation/community/village/faq.shtm for more
information on Designated Transit Villages.
Smart Growth Endorsements. Visit http://www.nj.gov/state/planning/spc-regional-coordination-current-
petitions.html for the Smart Growth list of Designated Centers and endorsed plans.
Greenways. Areas are identified by the Green Acres program as State Acquisition Project Areas. Visit
http://www.nj.gov/dep/greenacres/currentstate.html for information and a listing of Greenway Areas.
NJ State Plan Designated Center, development activity area, or activity node. New Jersey has designated urban
centers, regional centers, towns, villages and hamlets and endorsed plans throughout the state. Visit
http://www.nj.gov/state/planning/spc-state-plan-centers.html for the complete list of Designated Centers
and plans
Urban Enterprise Zones [UEZ].
The applicant site must be directly within the UEZ zone. Visit
http://www.nj.gov/dca/affiliates/uez/coordinators/ for a list of the municipalities and additional
information.
Heritage Trails. For the Coastal heritage trail visit http://www.newjerseycoastalheritagetrail.com/. For
information on the Crossroads of American Revolution visit http://www.revolutionarynj.org/ . The Trust will also
consider historic resources associated with other State heritage initiatives, such as the Women’s History Trail,
scenic byways, and Delaware River Heritage Trail.
APPLICANT ASSURANCES: Required for all applications.
OWNER ASSURANCES: Required for all applications when applicant organization is not the property owner. Owner assurances
must be submitted for each property included in the proposed project.
AUTHORIZATION BY APPLICANT’S GOVERNING BODY/BOARD:
Required for all applications.
Corporate Business Tax (CBT) HISTORIC PRESERVATION FUND
FY16 CAPITAL PRESERVATION GRANT APPLICATION
1.
APPLICANT
Name of Organization:
Street Address: City/State/Zip:
Web site:
Person preparing application and relationship to organization:
2. PROJECT CONTACT
Name:
Organization (if different from above):
Phone / Fax / E-mail:
3. TYPE OF ORGANIZATION (CHECK ONE)
Nonprofit Corporation (Attachment H required)
N.J. Charitable Registration #:
County or municipal government
4. RELATIONSHIP OF APPLICANT TO HISTORIC PROPERTY
Applicant owns property
Applicant leases property (Attachment G and Owner Assurance required)
Name / address of property owner:
Year first leased:
Other (describe):
Years remaining on lease:
5. PROJECT TITLE:
Summary Description of Project:
Limit to one page - type within body of the application, or attach separate sheet
6. BUDGET SUMMARY (QUESTIONS 15 AND 16)
Total Project Cost (line a, Question 15):
$
Grant Request (line b, Question 15):
$
Match Required (line c, Question 15):
$
Total Match in hand (section a in Question 16):
$
SIGNIFICANCE OF RESOURCE
7. PROPERTY
Historic Name (as listed in the New Jersey or National Register nomination):
If a contributing element of a historic district, provide district name:
Present Name:
Street address: Municipality:
County:
Zip:
N.J. Legislative District:
U.S. Congressional District:
Name and address of Mayor:
8. REGISTER STATUS (CHECK ALL THAT APPLY; ATTACHMENT B REQUIRED)
National Historic Landmark
individual
district
National Register of Historic Places
individual
district
New Jersey Register of Historic Places
individual
district
Certified New Jersey Register eligible*
individual
district
* The resource must be listed in the New Jersey Register of Historic Places by December 31, 2015 to be eligible for grant funds.
9. PROPERTY DATE BUILT:
MAJOR ADDITION(S) AND DATE(S):
Original use:
Architectural style(s): Architect(s), if known: Builder(s), if known:
If you own the property, when did you acquire it?
10. DESCRIBE BRIEFLY AND CONCISELY THE ARCHITECTURAL, CULTURAL AND HISTORICAL SIGNIFICANCE
OF THE PROPERTY FOR WHICH FUNDS ARE REQUESTED (LIMIT TO FIFTY WORDS).
11. THE PROPERTY IS CURRENTLY
occupied
unoccupied.
12. CURRENT GENERAL CONDITION OF PROPERTY:
good
fair
poor
Describe any structural threat, inappropriate use or preservation need faced by the property. If it is endangered, explain the
nature of the threats and why they developed.
PROJECT CONCEPT AND TEAM
13. PROJECT PROFILE
a.
The current project design status is (check all that apply and attach copy):
Scope of work or
b.
Schematic / design development
Final construction documents
The document that substantiates your project is a:
Preservation plan or
Historic structure report
Other study: (identify)
c.
Cost estimates for proposed construction, included in Attachment E, were provided by
(i..e. architect, engineer, contractor, etc.): ________________________________________
d.
The predominant treatment(s) in this project (check the one that best characterizes the project):
e.
Exterior
Preservation
Restoration
Rehabilitation
No exterior work
Interior
Preservation
Restoration
Rehabilitation
No interior work
Provide the name(s) of proposed consultant(s) and contractor(s). Attach their credentials,
relevant past experience and their proposed fees with Attachment E.
Architect:
Engineer:
Archaeologist:
Others (identify profession):
f.
Project timetable:
Number of months to complete the project
If your project is not expected to begin by January 2016 provide an anticipated start date:
_______________________
14. DESCRIBE CONCISELY THE SCOPE OF THE WORK PROPOSED FOR FUNDING WITH THIS
GRANT REQUEST. FOR NON-CONSTRUCTION WORK, LIST TASKS AND INCLUDE A COPY OF A FEE
PROPOSAL ON CONSULTANT’S LETTERHEAD FOR EACH TASK IN ATTACHMENT E. FOR
CONSTRUCTION WORK, DESCRIBE MATERIALS AND FEATURES TO BE INCLUDED IN THE
PROPOSED PROJECT. INCLUDE SUPPORT DOCUMENTATION (CONSTRUCTION DOCUMENTS,
PROPOSALS, AND/OR CONTRACTS) IF AVAILABLE.
15. GRANT PROJECT BUDGET
This grant project includes work on:
a single structure only
more than one structure
If the project includes work on more than one structure, copy the form and prepare a separate project budget
for each structure.
NAME OF STRUCTURE:
I. NON CONSTRUCTION
Activity
Proposed Cost
Professional consultants (list):
$
Subtotal, Non-Construction
$
II. CONSTRUCTION: SITEWORK
Activity
Proposed Cost
$
Subtotal, Construction: Sitework
$
III. CONSTRUCTION: EXTERIOR
Activity
Proposed
$
Subtotal, Construction: Exterior
$
IV. CONSTRUCTION: INTERIOR
Activity
Proposed
$
Subtotal, Construction: Interior
Project Budget Totals
a. Grand Total Costs (I through IV)
b. GRANT REQUEST Enter the lesser of the product
of line a Line a x .60 or maximum grant of
$150,000.
c. MATCH REQUIRED
(line a minus line b.)
$
$
$
$
16. MATCHING FUNDS:
a.
In-hand matching funds: Itemize and describe the source of funds that will be used to match the
NJHT grant requested. Include documentation in Attachment C.
In-Hand Sources of Funds
Mo./Yr. Available
Dollar Amount
$
Total: $
b.
Matching funds to be raised: Explain how you will cover the matching funds yet to be raised.
Explain your plans and schedule for raising the funds entered below.
Proposed Sources of Funds
Proposed Mo./Yr. Available
Dollar Amount
$
Total: $
c.
Total Matching Funds:
Eligible Project Matching Funds
A. In-Hand
$
B. To Be Raised
$
Total Project Matching Funds (a + b from above)
ORGANIZATIONAL ABILITY
17. APPLICANT PROFILE (NON PROFIT ORGANIZATIONS ONLY)
a.
Date your organization was formed:
b.
Number of trustees/directors:
Current number of Board Vacancies:
How frequently does your board meet:
c.
:
Number of staff:
Volunteer Staff:
Paid Staff:
Incorporated:
C. Total
$
18. STATE THE MISSION OF YOUR ORGANIZATION. DESCRIBE THE RELATIONSHIP OF
THIS PROPOSED PROJECT TO YOUR MISSION AND ANY PLANNED PROGRAM GROWTH.
19. LIST UP TO THREE RELEVANT EXAMPLES OF GRANTS MANAGED BY YOUR
ORGANIZATION AND/OR PROJECT CONTACT.
Grant 1 Source:
Funding
Grant Amount:
Purpose:
Date Awarded:
Date
Completed:
Managed by
Grant 2
Funding Source:
Grant Amount:
Purpose:
Date Awarded:
Date Completed:
Grant 3
Funding Source:
Grant Amount:
Purpose:
Date Awarded:
Date Completed:
Managed by
Managed by
20. LIST UP TO THREE RELEVANT PROJECTS (IF ANY) MANAGED BY YOUR ORGANIZATION
AND/OR PROJECT CONTACT.
Project 1
Contract
Amount:
Consultant:
Service Provided
Data Awarded:
Date Completed:
Managed by:
Project 2
Contract
Amount:
Consultant:
Service Provided:
Date Awarded:
Date Completed:
Managed by:
Project 3
Contract
Amount:
Consultant:
Service Provided:
Date Awarded:
Date Completed:
Managed by:
PUBLIC BENEFIT AND DISTRIBUTION
21 THE PROPERTY IS (CHECK ALL THAT APPLY):
Regulated by a Certified Local Government [CLG] preservation ordinance?
Located within a designated Main Street NJ community?
Located within a designated NJ Transit Village?
Located within a municipality with a Smart Growth endorsed plan?
Located within a State Acquisition (Green Acres) Project Area?
Located within a NJ State Plan designated center or endorsed plan?
Located within an Urban Enterprise Zone [UEZ]?
Located on a Federal Heritage Trail or within State heritage initiative area?
22 HOW WILL THE PROJECT BENEFIT THE COMMUNITY? PROVIDE ONE OR MORE
EXAMPLE(S) OF COMMUNITY SUPPORT (LETTERS OF SUPPORT, AWARD CERTIFICATES,
ETC.) IN ATTACHMENT I.
23 PUBLIC ACCESS TO THE PROPERTY:
Currently
At End of Project
Open to the public on a regular basis
yes
no
yes
no
Open by appointment only
yes
no
yes
no
yes
no
Number of days open to public annually
days:
days:
Visitors per year
visitors:
visitors:
Is there any entry fee?
yes
no
24 WILL THE PROPOSED PROJECT IMPROVE THE SITE’S ACCOMMODATIONS FOR
PERSONS WITH DISABILITIES?
yes
no
If yes, explain the improvements.
25 WILL THE PROPOSED PROJECT ENABLE PUBLIC PARTICIPATION IN THE
RESOURCE’S PROGRAMS OR AWARENESS OF THE SITE OR COMMUNITY’S
HISTORY?
yes
no
If yes, explain.
APPLICANT ASSURANCES
THE APPLICANT CERTIFIES THE FOLLOWING:
A.
THE FILING OF THIS APPLICATION HAS BEEN APPROVED BY THE GOVERNING BODY OF THE
APPLICANT;
B.
THE FACTS, FIGURES, AND INFORMATION CONTAINED IN THIS APPLICATION, INCLUDING ALL
ATTACHMENTS, ARE TRUE AND CORRECT;
C.
MATCHING FUNDS IN THE AMOUNT OF $
WILL BE AVAILABLE BY
D.
ANY FUNDS RECEIVED WILL BE EXPENDED IN ACCORD WITH THE TERMS AND CONDITIONS OF THE
CBT HISTORIC PRESERVATION FUND AND THE GRANT AGREEMENT TO BE EXECUTED WITH THE NEW
JERSEY HISTORIC TRUST;
F.
THE INDIVIDUAL SIGNING THIS AGREEMENT HAS BEEN AUTHORIZED BY THE ORGANIZATION TO DO
SO ON ITS BEHALF, AND BY HIS/HER SIGNATURE BINDS THE ORGANIZATION TO THE STATEMENTS
AND REPRESENTATIONS CONTAINED IN THE APPLICATION; AND
G.
THE ORGANIZATION AGREES TO ABIDE BY THE TIME FRAME SET FORTH IN THE GRANT GUIDELINES.
ARE CURRENTLY AVAILABLE, OR
(DATE) FOR THIS PROJECT;
ACTING AS DULY AUTHORIZED REPRESENTATIVE FOR THE APPLICANT ORGANIZATION, I AM SUBMITTING
THIS REQUEST FOR ASSISTANCE FROM THE NEW JERSEY HISTORIC TRUST.
SIGNATURE OF INDIVIDUAL
TYPED NAME AND TITLE
DATE
OWNER ASSURANCES
THE PROPERTY OWNER CERTIFIES THAT:
1)
HE/SHE UNDERSTANDS THE PURPOSE OF THIS APPLICATION, AND AGREES TO ITS SUBMISSION TO
THE NEW JERSEY HISTORIC TRUST AND
2)
HE/SHE AGREES THAT THE LISTING OF THE PROPERTY IN THE NEW JERSEY OR NATIONAL REGISTER
OF HISTORIC PLACES IS A CONDITION OF A GRANT
SIGNATURE OF PROPERTY OWNER
DATE
TYPED NAME & TITLE
SIGNATURE OF CO-OWNER (IF APPLICABLE)
TYPED NAME & TITLE
DATE
AUTHORIZATION BY APPLICANT’S
GOVERNING BODY/BOARD
THE GOVERNING BODY/BOARD OF ____________________ (ORGANIZATION NAME) DESIRES TO FURTHER
HISTORIC PRESERVATION THROUGH A GRANT FROM THE NEW JERSEY HISTORIC TRUST, STATE OF NEW
JERSEY IN THE AMOUNT OF $___________ FOR THE FOLLOWING PROJECT ________________________.
THEREFORE, THE GOVERNING BODY AUTHORIZES
(NAME
AND TITLE OF PERSON) TO SIGN THE APPROPRIATE ASSURANCES AND ACKNOWLEDGE THE CERTIFICATION
ABOVE; AND IF AWARDED A GRANT, TO EXECUTE A GRANT AGREEMENT WITH THE STATE IN AN AMOUNT UP
TO THAT
AWARDED FOR THE PROPOSED PROJECT, AND TO SEAL THE GRANT AGREEMENT.
BE IT FURTHER RESOLVED, THAT THE PERSONS WHOSE NAMES, TITLES, AND SIGNATURES APPEAR BELOW
ARE AUTHORIZED TO SIGN THE APPLICATION, AND THAT THEY OR THEIR SUCCESSORS IN SAID TITLES ARE
AUTHORIZED TO SIGN THE AGREEMENT, AND ANY OTHER DOCUMENTS NECESSARY IN CONNECTION
THEREWITH:
INTRODUCED AND PASSED
, 2015
AYES:
NOES:
ABSENT:
APPROVED:
(SIGNATURE OF MAYOR, FREEHOLDER DIRECTOR, OR BOARD CHAIRPERSON)
TITLE:
ATTESTED:
(SIGNATURE OF MUNICIPAL OR COUNTY CLERK, BOARD SECRETARY, OR NOTARY PUBLIC)
INSERT RAISED GOVERNMENT, CORPORATE OR NOTARY SEAL
ATTACHMENTS
Assemble one application with the appropriate attachments below in a three-ring binder. This original application
set must include a table of contents and all attachments must be clearly labeled with tabbed dividers according to
divisions given below. For oversized or bulky attachments, insert a sheet in the binders under the appropriate
attachment letter indicating that the document has been submitted separately.
In addition, send five (5) copies of the application, including the attachments and photographs (photographic
prints or good color copies) appended. Collate the five sets of application and support materials and secure with
binder clips.
REQUIRED FOR ALL APPLICANTS:
A. MAP. City, borough, or township map pinpointing the location of the project. Include a site
plan if the project is part of a complex of historic properties.
B. HISTORIC DESIGNATION DOCUMENTATION. Include one of the following.
1.
If the property is individually listed in the New Jersey or National Register of Historic
Places, include a copy of the complete nomination form. OR
2.
If the property is included in a listed historic district as contributing to the district,
include all relevant pages of the nomination form. If the property is located in a historic
district, but not specifically noted as contributing, submit all relevant pages and a letter
from the Deputy State Historic Preservation Officer (DSHPO) certifying that it is a
contributing resource. A certification letter must be requested from the DSPHO at least
45 days before the application deadline. OR
3.
If the property is not listed in the New Jersey or National Register of Historic Places,
include a letter from the Deputy State Historic Preservation Officer (DSHPO) certifying
eligibility for listing of a site in the New Jersey Register, or certifying that a site listed in a
historic district is a contributing property and that the New Jersey State Review Board
will vote on its eligibility by December 31, 2015. A certification letter must be requested
from the DSPHO at least 45 days before the application deadline. If the property is not
listed in the New Jersey Register of Historic Places by December 31, 2015, the project
will not be eligible for grant funds under this program
C. DOCUMENTATION OF AVAILABLE MATCH.
1.
Non-profit organizations must provide account statements, pledges or letters
of commitment showing the amount of available funds
2.
County or municipal governments must provide a resolution of the governing body
committing to the specified match.
D. PHOTO DOCUMENTATION.
1.
Photo Format: For the original application: Submit either photographic prints in photo
sleeves or digital photographs on CD with color-printed images on photo-quality paper.
All materials should be clearly labeled and dated. For application copies provide good
copies of photographs. Submit high-quality color photocopies or printed digital pictures,
labeled and dated.
2.
For Single Properties: Up to 12 images that depict the overall setting of the property
and general views of the sites and buildings and the conditions that demonstrate the
need for the grant. Include historic photographs if available.
3.
For Multiple Properties: 1-2 images of each participating property (overall or general
views of the individual buildings) and 6-8 images that depict the conditions that
demonstrate need for the grant. Include historic photographs if appropriate.
E. DOCUMENTATION OF PROPOSED WORK. Include as many of the following documents that
apply to your project :
1.
A request for proposal (RFP) for consultant services prepared by the applicant;
2.
A consultant’s proposal addressed to the applicant on the letterhead of the consultant
selected for the project; Each proposal should contain:
•
•
•
Proposed scope of work identifying general approach and services.
Timetable, including project milestones.
Lump sum fee statement as stipulated in an agreement or proposal, or detailed
estimate of projected costs, for both construction costs and consultant
services.
3.
A copy of a signed agreement between the applicant and consultant;
4.
Current plans and specifications for construction work proposed (for the 5 copy sets,
attach only summary sections from the project manuals or specifications);
5.
Detailed project budget for non-construction costs and construction costs proposed;
6.
Consultant’s/Contractor’s Personnel. Information on the firms and their personnel who
will participate directly in the grant-assisted project. Include their resumes and relevant
past experience. Resumes of all project personnel and sub-consultants are to be
submitted with each original and copy of the application. Limit resume to two pages per
consultant. Applications without named consultants should include, at a minimum, a
statement of professional qualifications needed in the project.
OTHER ATTACHMENTS:
F. DOCUMENTATION OF COMPLETED RESEARCH AND WORK. Include as many of the
following documents that apply to your project:
1.
Documentation of completed research and planning. Copies of any reports that support
the proposed project. Include any design development/final construction documents,
preservation plan, historic structure report, and/or condition assessment. Reduce and
bind the drawings. For copy sets attach only summary sections from these reports. If
you prefer to submit the research as a digital document, provide it on a single CD and
print out and include the summary sections with the original application and copy sets.
2.
Documentation of HPO authorization. Include a letter from the State Department of
Environmental Protection, New Jersey Historic Preservation Office, authorizing the
project if this application includes final construction documents for proposed work. HPO
authorization is usually required if:
•
•
The property is owned by a county or a municipality; OR
The property was formerly owned by the state, a county or a municipality and
was listed or certified as eligible for listing in the NJ State Register of Historic
Places at the time of its conveyance.
G. COPY OF PROPERTY LEASE. Leased properties only.
H. APPLICANT’S ORGANIZATION INFORMATION. (Required for all non-profit applicants):
1.
Nonprofit certification. Copy of letter from IRS documenting tax-exempt status.
2.
Organizational chart with all staff members and board members including offices held.
3.
Point of Contact. Name and contact information for the person who will be responsible
for managing the proposed grant-assisted project.
4.
Annual Budget. Include lead organization’s year-to-date balance sheet showing income
and expenses to-date.
5.
IRS Form 990. Include most current IRS Form 990, if filed, or Form 990-N (e-postcard).
6.
Strategic or Long-Range Plan. Include a current strategic or other long-range plan for
your community or organization, i f a v a i l a b l e .
I. DOCUMENTATION OF COMMUNITY SUPPORT. Recommended for all applicants.
1.
Letters of Support: Limit letters to five.
2.
Public Information Materials: Newspapers, clippings, awards, annual reports, etc.