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Ingham County Controller's Office

controller@ingham.org

341 S. Jefferson St., P. O. Box 319 Mason, Michigan 48854

(517) 676-7206

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INGHAM COUNTY
2019 JUVENILE JUSTICE MILLAGE
COMMUNITY AGENCY GRANT FUND APPLICATION
Time Period: January 1, 2019 – December 31, 2019

ALL APPLICATIONS MUST BE SUBMITTED BY
TUESDAY, AUGUST 21, 2018, 5:00pm TO:

Ingham County Controller’s Office
Ingham County Courthouse, Room 101
341 S. Jefferson St., P. O. Box 319
Mason, Michigan 48854
Phone: (517) 676-7206
controller@ingham.org

CHECKLIST

Please make sure you have all of the following materials before proceeding. If you allow the online form to sit too long, it will time out and you will lose your progress.

  • Section II - Applicant Information
  • Section III - Required Proposal Information
  • Section IV - Detailed Scope of Work (one page or less)
  • Section V - Project Budget
  • Copy of the current Organization’s Budget or most current Organization’s Budget
  • Copy of most recent Financial Statement: Federal 990 Form or Certified Audit (Please send either the 990 Form or Certified Audit – not both)
  • Current list of Board of Directors
  • Documentation of Tax Exempt Status from Internal Revenue Service
  • Copy of Commercial General Liability Insurance. Commercial General Liability Insurance on an “occurrence basis” only with limits of liability of not less than ONE MILLION AND NO/100 DOLLARS ($1,000,000) per occurrence and/or aggregate combined single limit, personal injury, bodily injury and property damage. Coverage shall include the following: (1) Broad Form General Liability Endorsement or equivalent if not in policy proper; (2) Contractual Liability; (3) Products and Completed Operations; and (4) Independent Contractors coverage
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Section III - Required Proposal Information
Section IV - Detailed Scope of Work
Organization's Current Budget
Most Recent Financial Statement - Federal 990 Form or Certified Audit
Current list of Board of Directors
Documentation of Tax Exempt Status from IRS
Copy of Commercial General Liability Insurance
Other Document