HomeMy WebLinkAboutPB EPA BrownfieldsProject Name
City Contract No.
Project Manager
Project Budget Total
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
City of Waterloo EPA Brownfields Multipurpose Grant QEP
Planning 8 Zoning Department
$ 1,000,000.00
1. How will this project be funded?
A. Federal Grant Yes
X
No
CFDA# se.ala
Grant Name Cercla Section 104(K) Multipurpose
B. State Grant Yes
Grant Name
C. City Match
D. Other Entities Yes
Name
No
X
Source of Funding N/A
No
X
To be assigned by the Finance Dept:
Project No,
Subproject No,
Paid by federal grant 100.00%
Grant Agreement Number 4B 967161501
% Paid by state grant
Grant Agreement Number
% Paid by City
% Paid by other entity
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
3. Does the project include the purchase of right of way or other real property?
If yes, will real property purchases be reimbursable under the grant?
If yes, have you attached authorization to purchase real property to this document?
4. Will this project include any non -participating expenses, such as:
A. Stormwater permit fees
B. Publication, or printing costs
C. Others, list
5. Does this project cover any regular full-time salaries or benefits?
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
EPA Multipurpose Grant to complete testing and abatement of multiple sites yet to be determined
Done None
ri
Yes No
X
u
u
u
n
X
■
X
X
X
X
Page 2 must be attached and signed.
K:\shared goodies\forms\Project Budget Worksheet - Eocene Multipurpose Grant Fund Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Commin7/2025
Approval Date
Project Name (from page one) City of Waterloo EPA Brownfields Multipurpose Grant: QEP
Department No. project will be budgeted under x 08
Activity No. project will be budgeted under 6100
REVENUES:
3000 Cash on Hand
3350 Federal Grant
3352 Federal HUD Grant
3354 Shared Program - Local
3357 Shared Program - County
3358 Shared Program - City
3360 Shared Program - State
3361 State Grant
3720 Donations - Restricted
3750 Sale of Bonds
EXPENDITURES:
To be assigned by the Finance Dept.
Project No.
Subproject No.
(Each column should only include amounts by fund)
Fund: 290 Fund: Fund: Fund:
Total
1,000,000.00 1,000,000.00
TOTALS $ 1,000,000.00 $ $ - $ - $1,000,000.00
1111 Salaries - Regular
1112 Salaries - Part Time
1315 Education & Training
1345 Travel - Official City
1346 Travel - Prof Training
1390 Contractual Services
Supplies
(Signature Dept. Head)
2,300.00
2,300.00
997,200.00 997,200.00
500.00
500.00
$ 1,000,000.00 $ - $ - $ $1,000,000.00
Date
GLG( SIGNED
2/17/2025
(Signature Finance Dept. Review) Date
K:Ishared goodies\formslProject Budget Worksheet - Eocene Multipurpose Grant Fund\Page 2 (Donal or NON-constr) (Mar 2010)