Form FDACS-06615 "Specialty Crop Block Grant Program Proposal" - Florida

Form FDACS-06615 is a Florida Department of Agriculture and Consumer Services form also known as the "Specialty Crop Block Grant Program Proposal". The latest edition of the form was released in August 1, 2018 and is available for digital filing.

Download a fillable PDF version of the Form FDACS-06615 down below or find it on Florida Department of Agriculture and Consumer Services Forms website.

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Download Form FDACS-06615 "Specialty Crop Block Grant Program Proposal" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Marketing and Development
SPECIALTY CROP BLOCK GRANT PROGRAM
PROPOSAL FACE SHEET
ADAM H. PUTNAM
COMMISSIONER
Applicant Information
Organization Name: __________________________________________________________
DUNS Number: ______________________________________________________________
Project Manager / Principal Investigator
The project manager is the person responsible for execution of the scope of work.
Name: _________________________
Phone: __________________
Email: __________________
Mailing Address: _____________________________________________________________________
City: _______________________________
State: _______________
ZIP: ____________________
Contract Manager
The contract manager is the person responsible for administrative management of the project.
Name: _________________________
Phone: __________________
Email: __________________
Mailing Address: _____________________________________________________________________
City: _______________________________
State: _______________
ZIP: ____________________
Project Information
Project Title: ________________________________________________________________________
Short Title (5 or fewer words): __________________________________________________________
Pest and Plant Health
Project Type: ______________________
Start Date: ______________
End Date: ______________
FDACS-06615 Rev. 08/18
Page 1 of 2
Florida Department of Agriculture and Consumer Services
Division of Marketing and Development
SPECIALTY CROP BLOCK GRANT PROGRAM
PROPOSAL FACE SHEET
ADAM H. PUTNAM
COMMISSIONER
Applicant Information
Organization Name: __________________________________________________________
DUNS Number: ______________________________________________________________
Project Manager / Principal Investigator
The project manager is the person responsible for execution of the scope of work.
Name: _________________________
Phone: __________________
Email: __________________
Mailing Address: _____________________________________________________________________
City: _______________________________
State: _______________
ZIP: ____________________
Contract Manager
The contract manager is the person responsible for administrative management of the project.
Name: _________________________
Phone: __________________
Email: __________________
Mailing Address: _____________________________________________________________________
City: _______________________________
State: _______________
ZIP: ____________________
Project Information
Project Title: ________________________________________________________________________
Short Title (5 or fewer words): __________________________________________________________
Pest and Plant Health
Project Type: ______________________
Start Date: ______________
End Date: ______________
FDACS-06615 Rev. 08/18
Page 1 of 2
Deliverables
For each quarter of the project, please identify the one or two project activities which are most likely to
be completed during that quarter. If your project is selected for funding, the activities will be considered
deliverables as defined in 287.056(b), Florida Statutes. These deliverables will be used to determine
whether the scope of work is being completed in accordance with your organization’s contract with
FDACS.
Year
Quarter
Deliverables
1
1
1
2
1
3
1
4
2
1
2
2
2
3
2
4
3
1
3
2
Budget Information
Category
Funds Requested
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other / Miscellaneous
Total Direct Costs
$ 0.00
Indirect Costs (5.5% maximum of direct costs)
Total Direct and Indirect Costs
$ 0.00
FDACS-06615 Rev. 08/18
Page 2 of 2
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