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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 with <br />tabs identifying each section. All documentation must be placed in the appropriate section. Failure to comply may result <br />in loss of application points, unnecessary delay of evaluation of the application and /or a more extensive deficiency <br />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 />respond may result in an application being denied. <br />Presentation of Application <br />Applicant <br />TEXAS CAPITAL FUND <br />Use <br />For Department <br />Use Only <br />Main Street Program <br />Initial if <br />Complete legal description <br />Application Contents <br />complete <br />B. Engineering /Architectural Services (Match Only) <br />/ <br />NA if not <br />Complete Incomplete <br />1. Description of services and related costs�F <br />I applicable <br />Presentation of Application <br />Section A — Proiect Summaries <br />1) Completed Application Form <br />II) Project Information & Applicant Minority Hiring Table <br />Section B — Slum /Blight Objective <br />1) Original documentso <br />II) Application presented in a three -ring binder with divider tabs <br />A. Grant funds and /or matching funds for real estate <br />ill) Application /Review Checklist executed /signed by applicant <br />Complete legal description <br />IV) Score Sheet (pg 5) All documentation to support scores must be located in Section D <br />B. Engineering /Architectural Services (Match Only) <br />Section A — Proiect Summaries <br />1) Completed Application Form <br />II) Project Information & Applicant Minority Hiring Table <br />Section B — Slum /Blight Objective <br />Section C — Sources and Uses of Funds and Budget Justifications <br />1) Original or Certified Ordinance or Resolution <br />A. Description of Main Street area and boundary <br />A. Grant funds and /or matching funds for real estate <br />B. Description of conditions contributing to the slum and /or blight condition <br />Complete legal description <br />C. How will the proposed improvements contribute to eliminating these conditions <br />B. Engineering /Architectural Services (Match Only) <br />/ <br />11) Provide a max of 25 photos on a disk/CD /flash drive showing area's slum /blight <br />conditions & items to be improved, with a separate narrative description of each photo <br />1. Description of services and related costs�F <br />Section C — Sources and Uses of Funds and Budget Justifications <br />2012 Main Street Application Page 2 of 30 04/11/2012 <br />1) Sources and Uses Forma <br />11) Budget Justifications <br />A. Grant funds and /or matching funds for real estate <br />Complete legal description <br />B. Engineering /Architectural Services (Match Only) <br />/ <br />1. Description of services and related costs�F <br />2. Name of individual /firm who prepared the justification and the date of preparation. <br />Must be signed and sealed by a Texas re istered engineer or architect. <br />C. Public Infrastructure�� <br />1. Quantity /size <br />41 <br />2. Type of material <br />-4/1 <br />3. Labor costs to include Davis -Bacon wage rates�� <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, Along, <br />and Distance in linear feet (sample in Guidelines, pg. 12) <br />6. Support information <br />D. 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 />E. Administration Costs (see sample in Guidelines, pg. 12 <br />2012 Main Street Application Page 2 of 30 04/11/2012 <br />