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Washington <br />S D State Department of <br />Agriculture <br />Fairs Program <br />PO Box 42560 <br />Olympia WA 98504-2560 <br />(360) 902-2043 <br />Application for Capital Improvement Grant Funds <br />Application deadline: October 2, 2023 <br />(See reverse for eligibility requirements & application process) <br />Applicant <br />Name of Fair <br />Application Date <br />Kittitas County Fair <br />09/15/2023 <br />Street Address <br />Mailing Address <br />901 E 7th Ave <br />901 E 7th Ave, Suite 1 <br />City <br />State <br />Zip Code <br />Mailing City <br />State <br />Zip Code <br />Ellensburg <br />WA <br />98926 <br />Ellensburg <br />WA 198926 <br />Name of Requesting Officer (please print) <br />Phone Number <br />Email Address <br />Kady Porterfield <br />509-306-5720 <br />kady.porterfield@co.kittitas.wa.us <br />If you submit more than one Application for Capital Improvement Grant Funds, what priority is this application (1 being the highest priority)? <br />This application is priority number 1 of the 2 grant applications we intend to submit for this fair. <br />Capital Improvement Detail <br />Description of Capital Improvement (use additional pages if necessary) <br />(See attached project summary.) <br />Amount Requested from WSDA <br />Total Project Amount <br />Type of Match <br />$ 250,000.00 <br />$ 400,000.00 <br />[j] Monetary ❑ In -Kind ❑ Both Monetary & In -Kind ❑ No Match <br />Has the owner of the facility approved this grant application? 0 Yes ❑ No <br />Description of Match <br />Kittitas County's project manager is budgeting additional funds for supporting the fourth phase of laying new <br />utilities as we expect the design contract, planning, and permitting costs to use a large portion of this grant. <br />How does the project meet the health or safety legal requirement of the capital funding? <br />(See attached project summary.) <br />What is the impact if you were to receive a grant award less than requested? <br />Can the project be completed by May 31, 2025? <br />(See attached project summary.) <br />Q Yes ❑ No <br />Applicant Certification <br />I hereby certify under penalty of perjury that the foregoing information is true and correct to the best of my knowledge. <br />Kady Porteeld <br />Signature of Officer Completing Application Date Signed <br />AGR-5543 (R/7/23) Information collected by WSDA becomes a public record and may be disclosed unless exempted by federal or state law. Page 1 of 2 <br />