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<br />City of Pleasanton <br />City Grant Application for Funds <br />Fiscal Year 2007/08 <br />12. Required Attachments (this form to be completed as part of your <br />application ). <br /> 0 On Iv one (ll CODV Der Aaencv of each of the following is required, even with multiple <br /> projects submitted. <br /> 0 Applications without the following documents will not be reviewed for funding. <br /> 0 Please label attachments A. B. C. etc. <br />Required Application Attachments Attached <br />Names and home addresses of Goveming Board; identifY current Board officers. <br />Home addresses are required. <br />. A minimum of one (I) Board member must be a Pleasanton resident. <br />Current total Agency operating budget, including revenue. <br />. Clearly label/identifY the program that includes the PROPOSED PROJECT. <br />Most recent audit report or tax return (if applicable). <br />Personnel Information (if applicable). <br />. List of all paid positions by classification and salary scale. If classification is <br /> part-time or temporary, indicate percentage oftime on an annualized basis. <br /> Provide fringe benefit information (retirement, healthplan, workers' <br /> compensation, employer's share of social security, etc.) as a percentage of the <br /> total full-time and part-time salaries. <br />. IdentifY contract services (bookkeeping, answering service, secretarial, etc.) and <br /> total cost per contract on an annual basis. <br />Resolution, letter or other document providing evidence of Board/Organization <br />approval of application, and date approval was granted. <br />. Board/Organization approval may be pending. <br />Organization's certificate of insurance showing coverage for liability and workers' <br />compensation. <br />Application Verification and Community of Character Declaration Signature Page. <br />Signed affidavit form from each collaborating agency named in proposed project <br />olan. <br />Pleasantan City Grant - FY 2007/08 <br />Page 2 af9 <br />