Concept Proposal Application Form
**Submit this document and the required attachments in PDF**
Applicant Information
Applicant Name (organization): ______
Type of Organization (circle one): Public Agency Nonprofit Public Utility Native American Tribe Mutual Water Company
Address: ______
Contact Name: ______
Telephone: ______Email: ______
Federal Tax ID#: ______
Project Information
Project Name: ______
Project Location ______
***Please submit a map with the concept proposal***
County: ______City/Community: ______Specific Location: ______
Grant Category (circle one): Category 1 Category 2
Funding Priority (circle all that apply): Restoration and Enhancement
Water Quality
Water-related Agricultural Sustainability
Proposed Start Date: ______Estimated Completion Date: ______
Concept Proposal Budget Template
Include costs for grant management and reporting, and performance measure tracking. All costs should be explained in the proposal.
Budget Category / Total CostConservancy / Cost Share
(Please note source, and indicate cash or in-kind)
Personnel*
General Operating Expenses^
Subcontractors
Equipment
Indirect**
Other
TOTAL
*Personnel rates may only include salary and wages, fringe benefits, and payroll taxes.
^ General Operating Expenses include travel, meetings, supplies, and other expenses.
** Indirect costs must be directly related to the project and the rate will be calculated up to twenty (20) percent of the project implementation cost. To determine the amount of eligible indirect costs, the applicant must first determine the cost of implementing the project, not including any indirect costs. Once the project implementation cost has been determined, the applicant may calculate indirect costs and include them in the total grant request up to the allowable twenty percent cap. Subcontractors and equipment line items may not be used in calculation of indirect costs. Indirect costs must be reasonable, allocable, and applicable and may include administrative support (e.g., personnel time for accounting, legal, executive, IT, or other staff who support the implementation of the proposed project but who are not directly billing their time to the project), and office-related expenses (e.g., , insurance, rent, utilities, printing/copying equipment, computer equipment, and janitorial expenses) . These costs are subject to audit and must be documented by the grantee. Indirect expenses may not be added into the hourly rate for personnel billing directly to the grant. Personnel rates may only include salary and wages, fringe benefits, and payroll taxes.
NOTE: Category 1, planning proposals, may use 100 percent of awarded funds for planning activities, however, these planning funds must relate to a future Category 2 and may not exceed 10 percent of the total project funds (Category 1 and Category 2 combined) requested from the Conservancy.
2