Energy Efficiency And Conservation For Local Governments
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4Application/Project Scope and Budget
Department for Local Government
Office of State Grants
ENERGY EFFICIENCY AND CONSERVATION FOR LOCAL GOVERNMENTS
EEC Grant – maximum/minimum $100,000/$10,000
EEC Loan - maximum/minimum $100,000/$50,000
EEC Grant/Loan Combination
Project Information
Project Title:
Total Amount Requested:
Total Project Cost:
County:
ADD:
Start Date:
End Date:
Has an energy audit been performed for this project? ______
Is this project part of an energy savings performance contract? ______
Is project in TVA service area? ________
Grantee Information
Legal Applicant / Funding Recipient (entity that will execute MOA):
Mailing Address:
City, State, Zip Code:
Office Phone:
Office Fax:
E-mail Address:
Official’s Name/Title:
County:
DUNS #:
Federal Tax ID #:
Sub-Recipient Information (If different from Grantee)
Sub-recipient (if applicable):
Mailing Address:
City, State, Zip Code:
Office Phone:
Office Fax:
E-mail Address:
Type of Organization:
Project Scope and Budget - EEC
Office of State Grants
Department for Local Government
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