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Planning Grant Completion Report Contact StaffConnect.ME@207.624.9894Authority MembersNick Battista, Chair Jasmine BishopFred BrittainSusan CorbettHeather JohnsonJeff Letourneau Liz WymanThe ConnectMaine Authority awards planning grants to develop plans for expanding the availability of broadband service. Before ConnectMaine releases final award funds, the applicant must submit a completion report that demonstrates compliance with planning grant requirements. The ConnectMaine Authority reserves the right to request additional information necessary to evaluate project compliance and completeness. For assistance with reports, please contact ConnectMaine staff.InstructionsExcept for the requested map, the resulting plan or study, and except for information to remain confidential, please don’t submit separate files. Project cost information may be attached or submitted separately. A copy of the resulting plan or study must be submitted as a separate file, excluding any confidential information, in order to be publicly shared.The “applicant” is the entity contracted by ConnectMaine and authorized to receive grant funds. Please use the same mailing address and entity name that are associated with the state vendor number or provided on the W-9 Form submitted with those contracts. The “affected communities” include each affected municipality or geography of the local government authority where the project has occurred.Please submit your completion report within one year of when the grant was awarded by emailing Connect.ME@ with the subject heading Grant Funding rmationApplicant SignatureDate Submitted: Applicant Name:Affected Communities:Grant Amount Awarded: Grant Amount Received: Remaining Amount Requested:Applicant and Grant Recipient: Title or Role: Mailing Address: Phone Number: Email Address: If different, Project Point of Contact: Title or Role: Mailing Address: Phone Number: Email Address: Points of Contact for Affected Communities: CommunityNameTitle or RoleEmail or PhoneCommunity SupportPlease list the resulting percent of survey respondents in support of expanding broadband, or the voting results(s) in favor of supporting broadband expansion. Pre-SubscriptionsPlease insert the pre-subscriptions list or other similar material as evidence of building community-wide support for expanding broadband service. Project FocusPlease submit as a separate file, to be shared publicly on the ConnectMaine website, a copy of the plan or study resulting from this project work.CollaborationList any collaborations or partnerships for broadband that formed as a result of this project.Project PreparationDescribe how internet service providers in the region were engaged in developing plans for expanding broadband infrastructure. TestingList the areas and dates of any speed testing that occurred in the course of this project. Affected CommunityDate testing startedDate testing finishedProject completion date: Financial CommitmentPlease submit, as attachments or as a separate file, copies of all invoices, receipts and supporting documentation for expenses to be covered by grant dollars.Services & Products QuantityUnit CostTotal CostGrant DollarsOther DollarsTotals--NecessityPlease describe the importance of this grant in realizing the project as completed. ................
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