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[]
["Washington  SCHOOL DISTRICT - - FACILITIES FIVE-YEAR WORK PROGRAM"]
["Washington   SCHOOL  DISTRICT - -  WORKSHEET "]
["This work program worksheet must be filled out completely and a paper copy signed and submitted to the SMART Schools Clearinghouse, and a copy submitted ",{"$nulls":8},"Last Revised",{"$nulls":14},"The application must be filled out completely and a paper copy signed and submitted to the SMART Schools Clearinghouse, and a copy submitted electronically by September 1, 1998, and all data accurate as of July 15, 1998."]
["electronically in digital format, as you received it (not a fax), prior to October 1, 2000, and all data accurate as of July 15, 2000.",{"$nulls":8},"2000-03-17",{"$nulls":14},"The application must be filled out completely and a paper copy signed and submitted to the SMART Schools Clearinghouse, and a copy submitted electronically by September 1, 1998, and all data accurate as of July 15, 1998."]
["District: ====>",null,"Washington","Date: ==>","2000-10-01",null,"For fiscal years","  2000-2001 through 2004-2005"]
[]
["Section 235.185 School district facilities work program; definitions; preparation, adoption, and amendment."]
[]
["(1)    DEFINITIONS"]
["(a)"]
["(b)"]
{"$rows_empty":7}
["(2)     PREPARATION OF TENTATIVE DISTRICT FACILITIES WORK PROGRAM"]
["(a)"]
[]
["1 .","A schedule of major repair and renovation projects necessary to maintain the educational plant and ancillary facilities"]
[null,"of the district."]
[null,null,null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05"]
[null,"Project","Location","Actual Budget","Projected Cost","Projected Cost","Projected Cost","Projected Cost","5 YEAR TOTAL"]
[null,"Life Safety",{"$nulls":6},0]
[null,"Fire Alarm /Intercom upgrades","Vernon Elementary",2500,1000,1000,1000,1000,6500]
[null,null,"Kate M. Smith Elementary ",3500,1000,1000,1000,1000,7500]
[null,null,"Vernon High School",1500,4000,1000,1000,1000,8500]
[null,null,"Washington-Holmes Technical Center",2500,2500,5000,5000,5000,20000]
[null,null,"Chipley High School",1000,1000,1000,1000,1000,5000]
[null,"HVAC Upgrades",{"$nulls":6},0]
[null,"AC Units","Washington County School Board Office",5000,5000,5000,5000,5000,25000]
[null,null,"Washington-Holmes Technical Center",15000,15000,15000,15000,15000,75000]
[null,null,"Kate M. Smith Elementary ",10000,10000,10000,20000,20000,70000]
[null,null,"Vernon Elementary",10000,10000,10000,10000,10000,50000]
[null,null,"Vernon High School",10000,10000,10000,10000,10000,50000]
[null,"EPA Fuel Tank Replacement","Chipley/Vernon Bus Barns/WHTC",200000,0,0,0,0,200000]
[null,"Flooring",{"$nulls":6},0]
[null,"Carpet to tile","All Facilities",50000,20000,20000,20000,20000,130000]
[null,"Other",{"$nulls":6},0]
[null,"Paint ","All Facilities",10000,10000,10000,10000,10000,50000]
[null,"Re-roofing","Kate M. Smith Elem. Kindergarten",65000,{"$nulls":4},65000]
[null,null,"Kate M. Smith Elem Cafeteria",null,200000,null,null,null,200000]
[null,null,"Vernon Elementary Kindergarten",90000,null,20000,null,null,110000]
[null,null,"WHTC Nursing",null,null,200000,null,null,200000]
[null,null,"Vernon Elementary Ray Horne Building",30000,{"$nulls":4},30000]
[null,null,"Chipley High School Cafeteria",null,null,90000,null,null,90000]
[null,"Renovate","Chipley High School for use by WHTC",null,150000,null,null,null,150000]
[null,null,"Kate M. Smith P.E. Building",125000,{"$nulls":4},125000]
["1.","Washington: Total",null,631000,439500,399000,99000,99000,1667500]
["2 .","A schedule of capital outlay projects necessary to ensure the availability of satisfactory student stations for the"]
[null,"  projected student enrollment in K-12 programs."]
[null,null,null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05"]
[null,"Project Description",null,"Actual Budget","Projected Cost","Projected Cost","Projected Cost","Projected Cost","5 YEAR TOTAL"]
[null,"Chipley Middle School",null,null,null,0,0,0,0]
[null,"Vernon Middle School",{"$nulls":4},0,0,0]
[null,"Chipley High School",null,285916,null,null,0,0,285916]
[null,"Vernon High School",null,null,null,13000000,0,0,13000000]
[null,"Intermediate Center",null,1000000,2500000,648429,null,null,4148429]
[null,null,null,0,0,null,null,null,0]
[null,null,null,0,0,0,null,null,0]
[null,null,null,0,null,0,0,0,0]
[null,null,null,0,0,null,0,0,0]
["2 .","Washington Total",null,1285916,2500000,13648429,0,0,17434345]
[]
[null,"THIS SCHEDULE SHALL CONSIDER:"]
[]
["2a.","Locations, capacities, and planned utilization rates of current educational facilities of the district. (Include both permanent and relocatable facilities)"]
[null,null,"1999-00 FISH Satisfactory","Actual 1999-00","Actual 1999-00","Actual 1999-00","New Stu Capacity to","Projected 2004-05","Projected 2004-05"]
[null,"Location","Student Stations","FISH Capacity ","CO-FTE ","Utilization","be added (removed)","CO-FTE ","Utilization"]
[null,"Chipley High School",228,159,523,3.29,411,487,0.8]
[null,"Kate M. Smith Elementary",847,847,938,1.11,-350,488,0.98]
[null,"Vernon High School",887,798,352,0.44,64,396,0.93]
[null,"Vernon Elementary ",820,820,536,0.65,null,605,0.79]
[null,"Vernon Middle School",450,405,416,1.03,null,385,0.95]
[null,"Roulhac Middle School",587,528,463,0.88,null,437,0.95]
[null,"Intermediate Center",0,0,0,0,450,450,1]
["2a.","Washington Total",3819,3557,3228,7.4,575,3248,0.79]
[]
["2b.","Proposed Location of Planned Facilities"]
[null,"New Intermediate Center inChipley"]
[null,"New High School in Vernon and finish High School in Chipley"]
[{"$nulls":6},"# of Units","Projected "]
["2c1.","Plans for the use and location of relocatable classroom facilities assigned student capacity."]
[{"$nulls":5},"Number NOT meeting","projected","( increase ) /","Total age of all"]
[{"$nulls":5},"standards to be used","to be in use","decrease in # of","relocatables in"]
[null,"Location","Actual # of Units in 1999-00","Owner","Student Stations","as classroom space","in 2004-05","units by 2004-05","Column \"C\""]
[null,"Chipley High School",2,"Wash Co Sch Bd",44,0,0,2,15]
[null,"Kate M. Smith Elementary",9,"Wash Co Sch Bd",60,2,7,2,195]
[null,"Vernon High School",3,"Wash Co Sch Bd",89,0,0,3,52]
[null,"Vernon Elementary School",10,"Wash Co Sch Bd",177,0,6,4,52]
[]
["2c1.","Washington Total",24,0,370,2,13,11,"Avg Age 13.08"]
[]
["2c2.","Number of relocatable classrooms clearly identified and scheduled for replacement in the school board adopted financially feasible 5-year district work program."]
[null,"Location","Total # Units to be replaced","2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05","5 YEAR TOTAL"]
[null,"Chipley High School",2,2,{"$nulls":4},2]
[null,"Kate M. Smith Elementary",3,null,null,3,null,null,3]
[null,"Vernon High School",0,{"$nulls":5},0]
[null,"Vernon Elementary School",9,null,null,3,3,3,9]
["2c2.","Washington Total",14,2,0,6,3,3,14]
[]
["2c3.","Plans for the use and location of leased facilities, relocatable units or permanent classrooms. (place each location on a separate line)"]
[null,"Location","# of leased classrooms 1999-00","Owner","FISH Stu. Sta.","# Years Leased ","# leased 2004-05","FISH Stu. Sta.","# Years Leased "]
[null,"NA"]
[]
["2c3.","Washington Total",0,null,0,0,0,0,0]
[]
["2c4.","Plans for the use and location of Charter Schools, list current and PROJECTED.  (place each Charter School/location on a separate line)",{"$nulls":6},"Total charter students "]
[null,"Location-Type","# relocatable units or permanent classrooms ","Owner","Year Started","Student Stations","Students Enrolled","Years in Contract","projected for 2004-05"]
[null,"NA"]
[]
["2c4.","Washington Total",0,null,null,0,0,0,0]
[]
["2d.","Plans for multitrack scheduling, grade level organization, block scheduling, or other alternatives that reduce the need for permanent student stations."]
[]
[]
[]
[]
["2e.","Average Class Size (5 years out -- 2004-05) that will result if the district facilities work plan is fully implemented."]
[null,"NOTE: The average shall not include exceptional student education classes or prekindergarten classes.",null,null,null,"Actual Average","Projected","New Rooms to","Projected Average"]
[null,"Location","(ESE & PreK excluded) # CLASSROOMS","Capacity (NOT Stu Sta)","1999-00 CO-FTE","1999-00 Class size","2004-05 CO-FTE","be added (removed)","2004-05 Class size"]
[null,"Roulhac Middle School",18,528,463,20,437,null,20]
[null,"Vernon Middle School",17,405,416,20,385,null,23]
[null,"Chipley High School",22,600,523,19,487,null,20]
[null,"Vernon Elementary School",21,500,536,24,605,-9,23]
[null,"Kate M. Smith Elementary",21,500,500,22,488,-16,20]
[null,"Vernon High School",18,450,352,19,396,null,22]
[null,"Intermediate Center (Grades 3-4-5)",16,450,438,21,450,16,23]
["2e.","Washington Total",133,3433,3228,"District Avg 24",3248,-9,"District Avg 26"]
[]
["2f.","The number and percentage of district students (CO-FTE) planned to be educated in relocatable facilities during each year."]
[]
[null,"Site                              ",null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05","5 YEAR AVERAGE"]
[null,"Chipley High School",null,0,0,0,0,0,0,null,144]
[null,"Kate Smith Elementary",null,50,50,50,50,50,50]
[null,"Vernon High School",null,0,0,0,0,0,0]
[null,"Vernon Elementary",null,107,107,0,0,0,42.8]
[null,null,null,344,344,0,0,0,137.6]
[null,null,null,70,70,70,70,70,70]
["2f.","Washington Total students in relocatables by year",null,571,571,120,120,120,300.4]
[null,"Total number of CO-FTE students projected by year",null,5665,5675,5685,5690,5695,5682]
[null,"Percent in relocatables by year",null,0.1,0.1,0.02,0.02,0.02,0.05]
[]
["2g.","Plans for the closure of any school, including plans for disposition of the facility or usage of facility space, and anticipated revenues."]
[null,"Roulhac Middle School will be given to the Board of Washington County Commissioners.  The County Commissioners have given the Washington County School Board 60 acres to be used for Vernon High School "]
[null,"and Vernon Elementary new facilities.  Chipley High School will be used for Workforce Development Programs and District Auxillary usage.",{"$nulls":8},"State Average","State Average","State Average","State Average","State Average","State Average"]
["3 .","The projected cost for each project identified in the tentative district facilities work program.",{"$nulls":7},"Year",1999,1999,1999,1999,1999,1999]
[{"$nulls":9},"Type of School","GSF/Low/StuSta","GSF/Avg/StuSta","GSF/Hi/StuSta","COST/Low/StuSta","COST/Avg/StuSta","COST/Hi/StuSta"]
[{"$nulls":9},1,70,107,174,7485,11173,16419]
[null,"1998 State-wide totals - Gross Sq Ft per student station: Elem low 70, avg 107, high 174; Middle low 88, avg 90, high 180; High School low 117, avg 130, high 143 ",{"$nulls":7},2,88,90,180,7226,13517,18473]
[null,"1998 State-wide totals - Cost per student station: Elem low 7,485, avg 11,173, high 16,419; Middle low 7,226,avg 13,517, high 18,473; High School low 16,957, avg 19,323, high  21,507 ",{"$nulls":7},3,117,130,144,16957,19232,21507]
[]
["3a.","2000-01 Year","Type of School (new schools only)  Others=0","2000-01 ","2000-01 ","2000-01 ","2000-01 ","2000-01 ","1999 State Avg","1999 State Avg","1999 Projected","1999 State Avg","1999 State Avg","1999 State Avg"]
[null,"Project Description","Elem=1, Middle=2, High=3, K-8=2, K-12=3, VoTech=3, ESE=3","PLANNED COST","Student Stations","Gross Sq. Ft","GSF/per StuSta","GSF/Low/StuSta","GSF/Avg/StuSta","GSF/High/StuSta","COST/per StuSta","COST/Low/StuSta","COST/Avg/StuSta","COST/High/StuSta"]
[null,"Chipley High School",3,14750523,674,107253,159.13,117,130,144,21885.05,16957,19232,21507]
[null,"Intermediate Center",1,1000000,100,10000,100,70,70,174,10000,7485,11173,16419]
["3a.","Washington Total 2000-01",null,15750523,774,117253,151.49,null,null,null,20349.51]
[]
["3b.","2001-2002 Year","Type of School (new schools only)  Others=0","2001-02","2001-02 ","2001-02","2001-02","2001-02","1999 State Avg","1999 State Avg","2000 Projected","1999 State Avg","1999 State Avg","1999 State Avg"]
[null,"Project Description","Elem=1, Middle=2, High=3, K-8=2, K-12=3, VoTech=3, ESE=3","PLANNED COST","Student Stations","Gross Sq. Ft","GSF/per StuSta","GSF/Low/StuSta","GSF/Avg/StuSta","GSF/High/StuSta","COST/per StuSta","COST/Low/StuSta","COST/Avg/StuSta","COST/High/StuSta"]
[null,"Intermediate Center",1,2500000,200,30000,{"$error":"#N/A"},null,{"$error":"#N/A"},174,12500,7485,11173,16419]
[null,null,null," "]
["3b","Washington Total 2001-02",null,2500000,200,30000,150,null,null,null,12500]
[]
["3c.","2002-2003 Year","Type of School (new schools only)  Others=0","2002-03 ","2002-03 ","2002-03 ","2002-03 ","2002-03","1999 State Avg","1999 State Avg","2001 Projected","1999 State Avg","1999 State Avg","1999 State Avg"]
[null,"Project Description","Elem=1, Middle=2, High=3, K-8=2, K-12=3, VoTech=3, ESE=3","PLANNED COST","Student Stations","Gross Sq. Ft","GSF/per StuSta","GSF/Low/StuSta","GSF/Avg/StuSta","GSF/High/StuSta","COST/per StuSta","COST/Low/StuSta","COST/Avg/StuSta","COST/High/StuSta"]
[null,"Intermediate Center",1,648429,150,10000,66.67,{"$error":"#REF!"},{"$error":"#REF!"},{"$error":"#REF!"},{"$error":"#REF!"},{"$error":"#REF!"},{"$error":"#REF!"},{"$error":"#REF!"}]
[null,"Vernon High School",3,13000000,450,77000,171.11]
["3c","Washington Total 2002-03",null,13648429,600,87000,145,null,null,null,22747.38]
[]
[]
["3d.","2003-2004 Year","Type of School (new schools only)  Others=0","2003-04","2003-04","2003-04","2003-04","1999 State Avg","1999 State Avg","1999 State Avg","2002 Projected","1999 State Avg","1999 State Avg","1999 State Avg"]
[null,"Project Description","Elem=1, Middle=2, High=3, K-8=2, K-12=3, VoTech=3, ESE=3","PLANNED COST","Student Stations","Gross Sq. Ft","GSF/per StuSta","GSF/Low/StuSta","GSF/Avg/StuSta","GSF/High/StuSta","COST/per StuSta","COST/Low/StuSta","COST/Avg/StuSta","COST/High/StuSta"]
[{"$nulls":6},{"$error":"#DIV/0!"},0,0,0,{"$error":"#DIV/0!"},0,0,0]
["3d.","Washington Total 2003-04",null,0,0,0,{"$error":"#DIV/0!"},null,null,null,{"$error":"#DIV/0!"}]
[]
["3e.","2004-2005 Year","Type of School (new schools only)  Others=0","2004-05","2004-05","2004-05","2004-05","1999 State Avg","1999 State Avg","1999 State Avg","2003 Projected","1999 State Avg","1999 State Avg","1999 State Avg"]
[null,"Project Description","Elem=1, Middle=2, High=3, K-8=2, K-12=3, VoTech=3, ESE=3","PLANNED COST","Student Stations","Gross Sq. Ft","GSF/per StuSta","GSF/Low/StuSta","GSF/Avg/StuSta","GSF/High/StuSta","COST/per StuSta","COST/Low/StuSta","COST/Avg/StuSta","COST/High/StuSta"]
[{"$nulls":6},{"$error":"#DIV/0!"},0,0,0,{"$error":"#DIV/0!"},0,0,0]
[{"$nulls":6},{"$error":"#DIV/0!"},0,0,0,{"$error":"#DIV/0!"},0,0,0]
["3e","Washington Total 2004-05",null,0,0,0,{"$error":"#DIV/0!"},null,null,null,{"$error":"#DIV/0!"}]
[]
["3f.","Washington 5-Year Total"]
[]
["4 .","Schedule of Estimated Capital Outlay Revenue from each currently approved source which is estimated to be available for expenditures on the"]
[null,"projects included in the tentative district facilities work program.   All amounts below are NET after considering carryover balances, interest earned, new COP's, 237 loans etc."]
[]
[null,null,null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05"]
[null,null,null,"Actual Budget","Projected","Projected","Projected","Projected","5 YEAR TOTAL"]
[null,"The Millege projected for discretionary capital outlay per s.236.25",null,2,0,2,2,2,8]
[null,"Full value of the 2-Mill discretionary capital outlay per s.236.25",null,896160,null,1014000,1068000,1068000,4046160]
[null,"Value of the portion of the 2-Mills ACTUALLY levied.",null,896160,null,1014000,1068000,1068000,4046160,"2 mill Expenditures"]
[null,"  less amount used to purchase school busses",{"$nulls":6},0,0]
[null,"  less amount used to purchase other vehicles",{"$nulls":6},0,0]
[null,"  less amount transferred to operating budget for maintenance/repair",null,224040,null,253500,267000,267000,1011540,0.25]
[null,"  less amount used for maintenance/repair",null,0,0,0,0,0,0,0]
[null,"  less amount used to purchase capital outlay equipment",null,0,0,0,0,0,0,0]
[null,"  less amount used to correct environmental problems",null,0,0,0,0,0,0,0]
[null,"  less amount transferred to operating budget for salaries",null,0,0,0,0,0,0,0]
[null,"  less amount used to pay debt service for s.237 loans",null,0,0,0,0,0,0,0]
[null,"  less amount to pay debt service for COP's ",{"$nulls":6},0,0]
[null,"  less other (please be specific)","1.5 mills due state for SFCA",672120,null,0,0,0,672120,0.166113055341361,"ALL Capital Outlay Expenditures"]
[null,"Net available 2-mills to construct new stu stations & core facilities",null,0,null,760500,801000,801000,2362500,0.583886944658639,0.32]
[null,"P E C O New Construction",null,265065,140087,255210,202483,172754,1035599,null,0.14]
[null,"C O & D S   Bond Proceeds  received on 20 March 1998",null,null,null,0,null,null,0,null,0]
[null,"C O & D S maximum potential bond proceeds",null,20851,23112,23112,23112,23112,113299,null,0.02]
[null,"Proceeds from 1/2 cent sales surtax authorized",null,0,0,0,0,0,0,null,0]
[null,"Proceeds from a s.237 loan",null,0,0,0,0,0,0,null,0]
[null,"Proceeds from local governmental infrastructure sales surtax",null,0,0,0,0,0,0,null,0]
[null,"Voted local bond referendum proceeds per s.9, Art VII State Const.",null,0,0,0,null,null,0,null,0]
[null,"Proceeds from Certificates of Participation (COP's)",null,0,0,0,null,null,0,null,0]
[null,"Classrooms First Bond proceeds amount authorized in FY 1997-98",null,0,0,0,0,0,0,null,0]
[null,"Effort Index Grants",null,0,0,0,0,0,0]
[null,"Impact fees received",null,0,0,0,0,0,0,null,0]
[null,"Private donations",null,0,0,0,0,0,0,null,0]
[null,"Grants from local governments or not-for-profit organizations",null,0,0,0,0,0,0,null,0]
[null,"Contracted Programs",null,3185310,400000,400000,null,null,3985310]
["4.","Washington Total",null,3471226,563199,1438822,1026595,996866,7496708,1,0.48000000000000004]
[]
["5 .","Schedule indicating which projects included in the tentative district facilities work program will be funded from current revenues projected"]
[null,"in paragraph 4 above."]
[null,null,null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05"]
[null,"Project Description","Student Stations","Actual Budget","Projected","Projected","Projected","Projected","5 YEAR TOTAL"]
[null,"Chipley Middle School/High",null,285916,null,0,0,0,285916]
[null,"Intermediate Center",null,1000000,2500000,648429,0,0,4148429]
[null,"Vernon HighSchool",null,null,null,1038822,null,null,1038822]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
["5.","Washington Total",0,1285916,2500000,1687251,0,0,5473167]
[]
["6 .","Schedule of options for generation of additional revenues by the district facilities work program which are not funded under paragraph 5 above."]
[null,"Additional anticipated revenues may include effort index grants and SIT Program awards."]
[null,null,null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05"]
[null,null,null,"Actual Budget","Projected","Projected","Projected","Projected","5 YEAR TOTAL"]
[null,"SIT Program awards",{"$nulls":4},0,0,0]
[null,"Other (specify)","Contracted Programs",1000000,2500000,648429,0,0,4148429]
[null,null,"Special Facilities",null,null,11961178,null,null,11961178]
["6.","Washington Total",null,1000000,2500000,12609607,0,0,16109607]
[]
["7 .","Schedule indicating which projects included in the tentative district facilities work program in paragraph (2) 2. above which CANNOT be funded"]
[null,"from current revenues projected over the next 5-years."]
[null,null,null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05"]
[null,"Project Description","Student Stations","Actual Budget","Projected","Projected","Projected","Projected","5 YEAR TOTAL"]
[null,"Vernon High School",450,0,0,11961178,null,null,11961178]
[{"$nulls":7},0,0]
[{"$nulls":7},0,0]
["7.","Washington Total",450,0,0,11961178,0,0,11961178]
[]
[null,"NOTE: If the sum of the totals in paragraphs 5. and 7. above DO NOT equal the total in paragraph 2. above, the message \"Check Totals\" appears.   -- They should balance ! !"]
[null,"Project Description",null,"2000-01 ","2001-02 ","2002-03 ","2003-04 ","2004-05","5 YEAR TOTAL"]
[null,"This row is for \"Checking and Balancing\" only",null,"","","","","",""]
[]
["2.(b)","To the extent available, the tentative district facilities work program shall be based on information produced by the demographic and revenue"]
[null,"education estimating conferences."]
[]
["(3)","The adopted district facilities work program shall:"]
["(a)","Be a complete, balanced capital outlay financial plan for the district."]
["(b)","Set forth the proposed commitments and planned expenditures of the district to address the educational facilities needs of its students"]
[null,"and to adequately provide for the maintenance of the educational plant and ancillary facilities."]
[]
["(4)","The first year of the adopted district facilities work program shall constitute the capital outlay budget required in s. 235.18."]
[null,"The adopted district facilities work program shall include the information required in paragraphs (2) (a) 1., 2., and 3., based upon projects actually"]
[null,"funded in the program."]
{"$rows_empty":7}
["Respectfully submitted this ___________ day of ____________________, 2000."]
[]
[null,"SCHOOL BOARD OF ","Washington  COUNTY"]
[]
["DISTRICT SUPERINTENDENT:"]
[null,null,"Signature",null,null,"Name Printed",null,null,"Date"]
[]
["CHIEF FINANCIAL OFFICER:  ____________________________________________________________________________________________________________________________________________________________",{"$nulls":8}," "]
[null,null,"Signature",null,null,"Name Printed",null,null,"Date",null," "]
[]
["DISTRICT POINT-OF-CONTACT PERSON:  _________________________________________________________________________________________________________________________________________________",{"$nulls":8}," "]
[null,null,null,"Name Printed","Job Title","Phone number(s)",null,"E-Mail Address",null,null," "]

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