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Application/Review checklist for Texas Capital Fund <br />Main Street Program � <br />The following items must be included in the application in the order in which they are listed, and all documents must be <br />originals. Only one complete application should be submitted, to the Texas Department of Agriculture in a three-ring binder <br />••aith tabs identifying each section. All documentation must be alaced in the aapropriate section Failure to comulv mav <br />sult in loss of application points, unnecessarv delav of evaluation of the application and/or a more extensive <br />aeficiencv letter. <br />If the application is found to be substantially incomplete it will be denied without further consideration. Applications that have <br />deficiencies will be given 10 business days to satisfy those deficiencies before the evaluation process is continued. Failure to <br />resnond mav result in an apqlication bein4 denied. <br />For Department <br />use o�iy <br />Complete �ncomplete <br />TEXAS CAPITAL FUND <br />Main Street Program <br />Application Contents <br />Applicant <br />Use <br />Initial if <br />complete <br />NA if not <br />— Sources and Uses of <br />Sources and Uses Form <br />Budget Justifications <br />A. Grant funds and/or m� <br />Comolete leaal descri <br />funds for real estate <br />B. Engineering/Architectural Services (Match Only) <br />1. Description of services and related costs <br />2. Name of individual/firm who prepared the justification and the date of preparation. <br />Must be signed and sealed by a Texas registered engineer or architect. <br />C. Public Infrastructure <br />1. Quantity/size <br />2. Type of material <br />3. Labor costs to include Davis-Bacon wage rates (only if construction is TCF funded) <br />4. Name of individual/firm who prepared the statement. Must be signed and sealed by <br />a Texas registered engineer or architect. <br />5. Transcribed locations of each length of infrastructure to include To, From, A/ong, <br />and Distance in linear feet (sample in Guidelines) <br />C <br />E. <br />6. Support information <br />Building construction/rehabilitation with matching funds <br />1. Size of building and specifications <br />2. Material costs <br />3. Name of individual/firm who prepared the statement and date. Must be signed and <br />sealed by a Texas registered engineer or architect. <br />Administration Costs (see sample in Guidelines) <br />2010 Main Street Application Page 2 of 30 2-5-10 <br />