Energy Efficiency And Conservation For Local Governments Page 3

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Other Project Information
Proposed energy saved __________________________________________________________________
Renewable energy generated ______________________________________________________________
Proposed funds leveraged (see Project Funds section) __________________________________________
Environmental Review (use CFDA#81.128)
Has project been submitted to state clearinghouse?
Clearinghouse ID# _________________________
Detailed Project Budget
Provide a detailed cost break-down of the entire project (use and amount). Indicate by an asterisk * or by bolding project
activity or activities for which the requested funds will be used.
Use
Amount
Activity
Amount
Category Subtotals
Contractual
Administration
Project Total
Loan Amount
Grant Amount
Total Amount Requested
Project Funds
List project funds that will be used for project completion.
Funding Source
Status (Committed, Applied for, etc.)
Amount
Project Scope and Budget - EEC
Office of State Grants
Department for Local Government
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