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9. Applicant Certification: Please sign below in agreement with statement of certification. <br />Certification is hereby given that the information provided is accurate and the applicable attachments <br />are complete and included as part of the application package. <br />I further certifiT that the application thresholds are met at the time of application. <br />Signature of Official Representative Title Date <br />Tou rism-Related, Small-Sca le M u n ici pal ity-Owned Capital Project Budget <br />All applicants for capital project funding must supply a detailed and complete project budget utilizing <br />the following basic format: <br />Funding Sources Lodging <br />Tax Funds Request 550,000.00 <br />*Other Grant Funds <br />List By Source (indicate if secured or applied) <br />*other Local Government Funds 550.000.00 <br />List By Source Citv of Ellensburs Park lmpact Fees <br />*Private Funds <br />List By Source (may include in-kind) <br />Total Available Funding <br />Project Expenses <br />ReaI Property or "Right-of-Way" Acquisition Cost <br />Capital Asset Cost <br />Construction Cost or "Hard" Cost <br />lnclude an itemized list of general costs Sea attached proiect budget worksheet <br />For example: asset type and cost, site prep, building foundation and structure, <br />mechanicalwork, finish work, site restoration, electrical work, technology, etc. <br />Soft Cost <br />lnclude an itemized list of soft costs For example: design fees, construction <br />management fees, survey costs, engineering fees, permitting costs, special inspections, <br />cultural resource surveys, etc. <br />Total PCIect costs $100,000.00