Online Application for Municipal Grant Program – The Redevelopment Authority of the County of Bucks

1Eligible Municipality

2Project Information

3Project Narrative

4Needs and Benefits Assessment

5Community Involvement

6Project Sources & Uses Table

7Basis of Cost

8Submission Review

9Certification

10Resolution

Eligible Municipality (Applicant)

Applicant(Required)

Bensalem Township

Bristol Borough

Bristol Township

Bucks County

Hulmeville Borough

Langhorne Borough

Langhorne Manor Borough

Lower Southampton Township

Middletown Township

Penndel Borough

Name (of person completing this application)(Required)

First Last

Email Address(Required)

NOTE: Ensure your email address is correct as it will be used to save and recover your application.

Eligible Municipality's Authorized Representative

Name:
Title:
Email:
Phone:
Address:

Eligible Municipality's Authorized Representative

Name: Randee J. Elton
Title: Township Manager
Email: relton@bristoltownship.org
Phone: (267) 812-2914
Address: 2501 Bath Road, Bristol, PA 19007

Eligible Municipality's Authorized Representative

Name: John Godzieba
Title: Borough Manager
Email: manager@langhorneborough.com
Phone: (215) 757-3769
Address: 114 East Maple Ave., Langhorne, PA 19047

Eligible Municipality's Authorized Representative

Name: Mega Bhandary
Title: Finance Director
Email: mbhandary@middletownbucks.org
Phone: (215) 750-3800
Address: 3 Municipal Way, Langhorne, PA 19047

Eligible Municipality's Authorized Representative

Name: James Dillon
Title: Borough Manager
Email: jdillon@bristolboro.com
Phone: (215) 788-3828
Address: 250 Pond St., Bristol, PA 19007

Eligible Municipality's Authorized Representative

Name: William Cmorey
Title: Director of Administration
Email: wcmorey@bensalempa.gov
Phone: (215) 633-3602
Address: 2400 Byberry Road, Bensalem, PA 19020

Eligible Municipality's Authorized Representative

Name: Marie Serota
Title: Borough Secretary/Treasurer
Email: mserota@boroughofpenndel.org
Phone: (215) 757-5152
Address: 300 Bellevue Ave., Penndel, PA 19047

Eligible Municipality's Authorized Representative

Name: William Wheeler
Title: Borough Manager
Email: w.wheeler@hulmeville-pa.gov
Phone: (267) 574-4335
Address: 310 Reetz Ave., Hulmeville, PA 19047

Eligible Municipality's Authorized Representative

Name: Dawn Seader
Title: Council President
Email: dseader@langhornemanor.org
Phone: (267) 688-2131
Address: 618 Hulmeville Ave., Langhorne, PA 19047

Eligible Municipality's Authorized Representative

Name: David P. Boscola
Title: Chief Financial Officer
Email: dpboscola@buckscounty.org
Phone: (215) 348-6564
Address: 55 East Court St., Doylestown, PA 18901

Eligible Municipality's Authorized Representative

Name: Joseph Galdo
Title: Township Manager
Email: jgaldo@lowershouthamptontownship.org
Phone: (215) 357-7300
Address: 1500 Desire Ave., Feasterville, PA 19053

Please confirm that the name and contact information above is correct for necessary municipal approval.(Required)

I confirm that the above information is correct.

Please confirm that the name and contact information above is correct for necessary municipal approval.

Project Information

Project Title(Required)

Project Location(Required)

Intended Use of Funds(Required)

Human Services

Infrastructure Improvements

Emergency Services

Health & Public Safety

Facilities

Project Description(Required)

Is the application being submitted on behalf of a Sub-Grantee?(Required)

Yes

Sub-Grantee Entity Name

Contact Name

First Last

Contact Email

Contact Phone

Contact Fax

Sub-Grantee Address

Street Address City State Zip

Permits/Approvals Required(Required)

State

Federal

Local

Other

N/A

Indicate any permits/approvals that are needed for your project and list those required for the project. If permits/approvals are required but have not been obtained, provide the expected approval date.

Other Funding Available(Required)

Yes

Provide a brief narrative and detail efforts to secure funding from other sources.

Total Project Costs(Required)

Grant Request Amount(Required)

NOTE: these figures must match the figures in the Project Sources and Uses Table in Section VI.

Project Narrative

Upload a typewritten narrative that is detailed and provides a comprehensive description of the project. The following checklist will assist you with the completion of this section:

Identify the specific problem(s) to be addressed and/or improvements to be financed
Explanation of how the project will address an impact or impacts from the gaming facility operations
Project Description that is detailed and addresses gaming impacts
In depth scope of work including project schedule, key milestones and dates
Address each cost item identified in the Project Budget and attach documentation to support budget cost
The useful life of machinery and/or equipment to be acquired

Submit Project Narrative(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 20 MB, Max. files: 2.

Needs and Benefits Assessment

Describe how the project addresses an impact or impacts on the community associated with the gaming facility operations. Demonstrate the link between the project, the impact(s) of gaming facility operations on the community and why the need is an important priority for the community. Present the long and short term benefits of the project and provide practical evidence to support claims (i.e. surveys, studies, research, citizen participation, etc.) If there are urgent conditions related to the project, please explain them. For example, a window of opportunity that will not exist in the future, a health and/or safety issue or hazardous condition that needs to be addressed quickly, loss of important resource, etc.

Needs and Benefits Assessment(Required)

Community Involvement

Is this a construction project or does this project involve the funding of infrastructure facilities?(Required)

Yes

Not Available

Does the project require engineered plans?(Required)

Yes

Not Available

Are engineered plans complete?(Required)

Yes

Not Available

If so, upload copies

Drop files here or

Accepted file types: pdf, jpg, jpeg, doc, docx, Max. file size: 20 MB.

Submit concept plans if engineering plans are not complete

Will zoning ordinance changes be required?(Required)

Yes

Not Available

Date Applied

MM slash DD slash YYYY

Describe how the project is consistent with other local, regional state, or federal plans, or will address local, state or federal priorities:(Required)

Describe the level of public participation in the planning process:(Required)

Project Sources & Uses Table

Please download and complete the Project Sources and Uses Table. You will use this table to calculate a breakdown of total project costs, as well as funding sources for the project. Once completed, upload the completed .pdf table.

Download .pdf

Submit Completed Sources and Uses Table(Required)

Drop files here or

Accepted file types: pdf, jpg, jpeg, doc, docx, Max. file size: 20 MB, Max. files: 1.

Basis of Cost

Check all that apply(Required)

Appraisals

Engineer Estimates

Bids/Quotes

Sales Agreements

Contractor Estimates

Budget Certification

Attach copies of each item selected above

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, csv, xls, xlsx, Max. file size: 20 MB.

Submission Review

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Certification

I hereby certify that all information contained in the Municipal Grant Program application and supporting materials submitted to the Redevelopment Authority of the County of Bucks via the Internet, and its attachments, are true and correct and accurately represent the status and economic condition of the Applicant, and I also certify that, if applying on behalf of the Applicant, I have verified with an authorized representative of the Applicant that such information is true and correct and accurately represents the status and economic condition of the Applicant. I also understand that if I knowingly make a false statement or overvalue a security to obtain a grant and/or loan from the Redevelopment Authority of the County of Bucks, I may be subject to criminal prosecution in accordance with 18 Pa.C.S. § 4904 (relating to unsworn falsification to authorities) and 31 U.S.C. §§ 3729 and 3802 (relating to false claims and statements).

Name(Required)

First Last

Title(Required)

Municipality of Application(Required)

Address(Required)

Street Address City State Zip

Date(Required)

Signature(Required)

The Redevelopment Authority of the County of Bucks reserves the right to accept or reject any or all applications submitted on the Municipal Grant Program Application contingent upon available funding sources and respective applicant eligibility.

Resolution

ALL applications must include a resolution from an ELIGIBLE MUNICIPALITY. Upload a copy of the governing body’s fully executed resolution authorizing the submission of the application.

Upload a Copy of Resolution(Required)

Drop files here or

Accepted file types: pdf, jpg, jpeg, doc, docx, Max. file size: 20 MB.

Please confirm that all information and uploads are complete, to the best of your knowledge, before submitting this application.

After submitting your application, you will receive a confirmation email to the contact information provided in Section I. If you do not receive a confirmation email, please contact the Redevelopment Authority of the County of Bucks at (215) 781-8711.