K-4 - Matching Grant Funds for DNR Grant - Fire Department

Volunteer Fire Assistance Program FY 2023 All INVOICES must be dated between October 1, 2022 and June 30, 2024. All BILLING CLAIMS must be received by July 31, 2024. <table> <tr> <th>Eligible Cost-Share Items</th> <th>Quantity</th> <th>Unit Cost</th> <th>Total</th> </tr> <tr> <td colspan="4"><b>$4,500 maximum VFA cost-share</b></td> </tr> <tr> <td colspan="4">Wildfire Hand and Line Tools</td> </tr> <tr> <td>5 gal. Backpack Bladder Bags</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Fire Rake, Collapsible Fire Rake</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Fire Swatter, Fire Broom</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Shovel, McLeod, Pulaski Tool</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Chain Saws, Leaf Blowers, Mist Blowers</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Fire Weather Kit, Kestrel Weather Meters</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Fuses, Drip Torch</td> <td></td> <td></td> <td></td> </tr> <tr> <td>GPS Units</td> <td></td> <td></td> <td></td> </tr> <tr> <td colspan="4">Wildland Fire Protective Clothing</td> </tr> <tr> <td>Shirts, Pants, Coveralls, Brush Coats: Nomex</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Neck Shrouds: Nomex</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Goggles: fire safe</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Gloves: fire safe</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Hardhats: fire safe</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Fire Packs, Radio Harness, Web Gear</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Fire Shelters</td> <td></td> <td></td> <td></td> </tr> <tr> <td colspan="4">Communications Equipment</td> </tr> <tr> <td>Base Radios</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Handheld/Programmable Radios</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Mobile Radios</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Pagers</td> <td></td> <td></td> <td></td> </tr> <tr> <td colspan="4">Wildland Water Handling Equipment</td> </tr> <tr> <td>Slide-In Units</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Foam Units, Foam Mixers and/or Foam</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Portable Tanks</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Portable Pumps</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Hoses (¾", 1", 1 ½")</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Nozzles and Fittings</td> <td></td> <td></td> <td></td> </tr> <tr> <td colspan="4">Special Request (no buildings, vehicles, trailers, or ATV's)<br>How does your Special Request apply to Wildland Fire?<br>(Attach a separate sheet for special requests)</td> <td></td> </tr> <tr> <td>Estimated Total Project Cost:</td> <td></td> <td></td> <td></td> </tr> </table> NO INDIVIDUAL ITEM CAN BE $5,000 OR MORE.