ࡱ> 5@  $bjbj22 ֪XX*nnnTYYYBZZ\R~^\b(BbBbBb!cdgi  } } } } } } }$>Rd1}njc!cjj1}BbBbF}Xoooj:8BbnBb }oj }oPoEp:Gu,VnuBbR\ ptIYj^su w}R~}uR=kunu8jjojjjjj1}1}d+&3&o&3 FORMTEXT TITLE OF PROJECT Working Capital Grant Application PREPARED FOR USDA Rural Development Larry Carnahan PO Box 437, 115 West 4th street Altamont, KS 67330 phone: 620-784-5431 fax: 620-784-5900 email:  HYPERLINK "mailto:larry.carnahan@ks.usda.gov" larry.carnahan@ks.usda.gov PREPARED BY  FORMTEXT Name of Company  FORMTEXT Address of Company  FORMTEXT September 20, 2003  FORMTEXT Insert Application for Federal Assistance Form SF-424 Here  FORMTEXT Insert Budget Information - Non-Construction Programs Form SF-424A here  FORMTEXT Insert Assurances - Non-Construction Programs Form - SF 424B here Table of Contents  TOC \o "1-3" \h \z \u  HYPERLINK \l "_Toc52008974" Proposal Summary  PAGEREF _Toc52008974 \h 1  HYPERLINK \l "_Toc52008975" Eligibility  PAGEREF _Toc52008975 \h 2  HYPERLINK \l "_Toc52008976" Information Sheet for Evaluation Criteria  PAGEREF _Toc52008976 \h 3  HYPERLINK \l "_Toc52008977" Project Goals  PAGEREF _Toc52008977 \h 4  HYPERLINK \l "_Toc52008978" Evaluation Criteria  PAGEREF _Toc52008978 \h 5  HYPERLINK \l "_Toc52008979" Business Viability  PAGEREF _Toc52008979 \h 5  HYPERLINK \l "_Toc52008980" Customer Base/ Increased Returns  PAGEREF _Toc52008980 \h 6  HYPERLINK \l "_Toc52008981" Commitment  PAGEREF _Toc52008981 \h 6  HYPERLINK \l "_Toc52008982" Management Team/ Work Force  PAGEREF _Toc52008982 \h 8  HYPERLINK \l "_Toc52008983" Work Plan/Budget  PAGEREF _Toc52008983 \h 8  HYPERLINK \l "_Toc52008984" Amount Requested  PAGEREF _Toc52008984 \h 9  HYPERLINK \l "_Toc52008985" Project Cost per Producer Owner  PAGEREF _Toc52008985 \h 9  HYPERLINK \l "_Toc52008986" Biomass Production  PAGEREF _Toc52008986 \h 9  HYPERLINK \l "_Toc52008987" Verification of Matching Funds  PAGEREF _Toc52008987 \h 9  HYPERLINK \l "_Toc52008988" Appendix  PAGEREF _Toc52008988 \h 10  Proposal Summary for Working Capital Grant for  FORMTEXT Title of Project  FORMTEXT Description of the project  FORMTEXT Specification of the project's goals  FORMTEXT Explanation of the benefits of achieving the project's goals  FORMTEXT Broad description of tasks to be accomplished (make sure eligible tasks are specified) The major tasks to be accomplished, the people responsible for conducting and completing those tasks and the expected time frame for completing the tasks are presented in the following table: Major TaskName of Persons ResponsibleExpected Timeframe for Completing Task Eligibility  FORMTEXT Describe how you meet the definition of an independent producer, ag producer group, farm/rancher cooperative, minority controlled producer-based business venture  FORMTEXT If you are a group, please identify by name all the members of the group. If not, click and delete.  FORMTEXT Describe all organizations involved witih the project. If there are no other organizations apart from the applicant, click and delete.  FORMTEXT Specify the proportion of the venture that will be owned and controlled by independent producers.  FORMTEXT Please describe how your venture qualifies as a value-added project. (See the instruction document for definition of value-added projects according to the NOFA).  FORMTEXT Grant funds may be used to pay 50% of project costs. Describe the specific activities that you intend to use the grant funds for to determine eligibility of use of funds. (See instruction document for eligible uses of grant funds).  FORMTEXT Project Title  Information Sheet for Evaluation Criteria Evaluation CriteriaPointsReference PageBusiness Viability PAGEREF BV \h 5Customer Base/ Increased Returns PAGEREF CV1 \h 6Commitment PAGEREF C1 \h 6Management Team/ Work Force PAGEREF MT1 \h 8Work Plan/Budget PAGEREF _Ref50972513 \h 8Amount Requested PAGEREF _Ref50972522 \h 9Project Cost per Producer that are Owners PAGEREF _Ref50972537 \h 9Evaluation Points Total PAGEREF _Ref50972579 \h 9Biomass Production ( FORMCHECKBOX Yes  FORMCHECKBOX  No)Total Points Project Goals  FORMTEXT Provide the overall goal of the project The specific goals of this project are as follows:  FORMTEXT Specific goal 1  FORMTEXT Specific goal 2  FORMTEXT Specific goal 3  FORMTEXT Other goals  FORMTEXT Conclude the section by explaining the importance of achieving these goals Evaluation Criteria  FORMTEXT Describe how the project addresses each of the evaluation criteria specified in the NOFA. (See instructions document for specifics).  Business Viability  FORMTEXT Provide a detailed description for: (1)technical and economic feasibility, (2)organization structure and operation, (3)venture sustainability, (4)up-to-date market information (See instructions document for what is expected to be covered in this section). Customer Base/ Increased Returns  FORMTEXT Describe how increasing the customer base and market will return more value to producers. (See instructions document for what needs to be covered here). Commitment  FORMTEXT Describe the level of producer commitment to the project. (See insturctions document for specific requirements to be covered here). Management Team/ Work Force  FORMTEXT Describe the managers' education and experience. Describe the labor work force availability and quality. (See insturctions document for what needs to be covered here). Work Plan/Budget  FORMTEXT Prepare a budget and work plan narrative showing how grant and match monies will be used. (See instructions document for what needs to be covered here). Summary Work Plan and Budget Project ObjectiveStart DateEnd DateFederal GrantMatching FundsTotalCashIn-KindTotal =SUM(above) 0 =SUM(above) 0 =SUM(above) 0 =SUM(above) 0 Project Staff and Work Distribution Project ObjectiveStaff PersonTotal Time Allocated Amount Requested  FORMTEXT State the amount requested (found under federal grant column in the table above) and bold and underline it. Also provide a brief description of the relationship between amount requested and matching. Project Cost per Producer Owner  FORMTEXT Specify the ownership structure of the project and show the number of producer owners in total. Also indicate the total amount of federal grant and then divide the federal grant by the number of producer owners to get the project cost per producer owner. Biomass Production  FORMTEXT If project has a biomass production component, please describe in as much relevant detail as possible. If not, click and delete. 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If not, click and delete.DText10Describe all organizations involved witih the project. If there are no other organizations apart from the applicant, click and delete.8DText11aSpecify the proportion of the venture that will be owned and controlled by independent producers.DText12Please describe how your venture qualifies as a value-added project. (See the instruction document for definition of value-added projects according to the NOFA).FDText13Grant funds may be used to pay 50% of project costs. Describe the specific activities that you intend to use the grant funds for to determine eligibility of use of funds. (See instruction document for eligible uses of grant funds).DKText18Project Title $$If!vh5<55d#v<#v#vd:Vs  t65<55d4+4 sgDyK BV$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 siDyK CV1$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 sgDyK C1$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 siDyK MT1$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 s{DyK  _Ref50972513$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 s{DyK  _Ref50972522$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 s{DyK  _Ref50972537$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 s{DyK  _Ref50972579$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 stDeCheck1tDeCheck2$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 s$$If!vh5<55d#v<#v#vd:Vs t6,5<55d4+4 sDText27'Provide the overall goal of the projectDText28Specific goal 1DText29Specific goal 2DText30Specific goal 3DText31 Other goals DText32JConclude the section by explaining the importance of achieving these goalsDText35Describe how the project addresses each of the evaluation criteria specified in the NOFA. (See instructions document for specifics). tDText19Provide a detailed description for: (1)technical and economic feasibility, (2)organization structure and operation, (3)venture sustainability, (4)up-to-date market information (See instructions document for what is expected to be covered in this section).DText20Describe how increasing the customer base and market will return more value to producers. (See instructions document for what needs to be covered here).~DText21Describe the level of producer commitment to the project. (See insturctions document for specific requirements to be covered here).DText22Describe the managers' education and experience. Describe the labor work force availability and quality. (See insturctions document for what needs to be covered here).DText23Prepare a budget and work plan narrative showing how grant and match monies will be used. (See instructions document for what needs to be covered here).$$If!vh5D 5H5H5855#vD #vH#v8#v#v:V4 t+++++,5D 5H58554+4 $$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V4 t+++++,5D 5H585\55/  4+4 kd@$$If4    ֞p D|d"D H H 8 \    t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kdC$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kdF$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kdfI$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kd,L$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kdN$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kdQ$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kd~T$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5D 5H5H585\55#vD #vH#v8#v\#v#v:V t5D 5H585\554+4 kdDW$$If    ֞p D|d"D HH8\ t0    4+4 apF$$If!vh5 5 5#v #v #v:V4 t!,5 5 54+4 $$If!vh5 5 5#v #v #v:V t!5 5 54+4 $$If!vh5 5 5#v #v #v:V t!5 5 54+4 $$If!vh5 5 5#v #v #v:V t!5 5 54+4 $$If!vh5 5 5#v #v #v:V t!5 5 54+4 $$If!vh5 5 5#v #v #v:V t!5 5 54+4 $$If!vh5 5 5#v #v #v:V t!5 5 54+4 $$If!vh5 5 5#v #v #v:V t!5 5 54+4 DText24State the amount requested (found under federal grant column in the table above) and bold and underline it. Also provide a brief description of the relationship between amount requested and matching.tDText25Specify the ownership structure of the project and show the number of producer owners in total. Also indicate the total amount of federal grant and then divide the federal grant by the number of producer owners to get the project cost per producer owner.DText26If project has a biomass production component, please describe in as much relevant detail as possible. If not, click and delete. 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