Energy Efficiency And Conservation For Local Governments Page 2

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Contact Person:
DUNS #:
Federal Tax ID #:
Project Contact
Application Contact Person (consultant, ADD staff, etc.):
Mailing Address:
City, State, Zip Code:
Office Phone:
Office Fax:
Email Address:
Project Contact Person (if different): _______________________________________________________________________
Detailed Scope of Work
Provide a description of the project, including a project timeline, detailing all relevant project information including
but not limited to the proposed project activities, a justification for project funding, any needs to be addressed by
the project. Additional pages may be added if needed.
Project Scope and Budget - EEC
Office of State Grants
Department for Local Government
Page 2 of 4

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