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, <br />~ VVashington <br />WSDA~ State ~epartment of <br />AgrIculture <br />Exhibit A Fairs Program <br />PO Box 42560 <br />Olympia WA 98504-2560 <br />(360) 902-1802 <br />APPLICATION FOR CAPITAL IMPROVEMENT GRANT FUNDS <br />Application deadline: November 18,2015 <br />(See reverse for eligibility requirements & application process) <br />NAME OF FAIR APPLICATION DATE <br />Kittitas County Fair 4117117 <br />STREET ADDRESS MAILING ADDRESS <br />901 East 7th Suite 1 901 East 7th , Suite 1 <br />CITY STATE ZIP MAILING CITY STATE ZIP <br />Ellensburg WA 98926 Ellensburg WA 98926 <br />NAME OF REQUESTING OFFICER (PLEASE PRINT) TELEPHONE NUMBER (INCLUDE AREA CODE) E-MAIL ADDRESS <br />Jill Scheffer, Director KVEC 509-962-7639 jill.scheffer@co.kittitas.wa .us <br />IF YOU SUBMIT MORE THAN ONE APPLICATION FOR SPECIAL ASSISTANCE GRANT FUNDS, WHAT PRIORITY IS THIS APPLICATION (1 BEING THE HIGHEST PRIORITY)? <br />This application is priority number 2 of the 2 grant applications we intend to submit for this fair. <br />CAPIT AL IMPROVEMENT DETAIL <br />DESCRIPTION OF CAPITAL IMPROVEMENT (USE ADDITIONAL PAGES IF NECESSARY) <br />This request is for some matching funds to complete various improvements, replacements and patches for concrete/asphalt <br />throughout the fairgrounds. These areas are potential human health and safety hazards and we have in fact had a few <br />incidents due to these problem areas already this year. Weare anxious to replace/fix and repair these areas prior to the <br />2017 fair . Photos attached to this application clearly show the problem areas throughout the fairgrounds -they impede <br />safe movement of people, animals and vehicles. <br />AMOUNT BEING REQUESTED FROM WSDA TOTAL PROJECT AMOUNT TYPE OF MATCH <br />$2500.00 $4544.40 o Monetary 0 In-kind ~ Both monetary & in-kind 0 No match <br />DESCRIPTION OF MATCH <br />The Kittitas Valley Event Center has $2,500.00 budgeted for concrete/asphalt paving and repair. We will use that source <br />of funding to match grant funds from WSDA. <br />HEALTH I SAFETY I LEGAL REQUIREMENT OF CAPITAL IMPROVEMENT <br />This is a public safety improvement project. <br />WHAT IS THE IMPACT IF YOU WERE TO RECEIVE A GRANT AWARD LESS THAN REQUESTED? <br />We will work to complete as many projects as we can with funds provided. <br />APPLICANT CERTIFICATION <br />CAN THE PROJECT BE COMPLETED <br />BY JUNE 30, 20177 <br />~Yes DNo <br />I hereby certify under penalty of perjury that the foregoing information is true and correct to the best of my knowledge _ <br />SIGNATURE OF OFFICER COMPLETING APPLICATION DATE SIGNED <br />AGR FORM 304-5543 (Rl8 /15) Page 1 of 2