Bergen County Clean Communities Clean Up Mini-Grant ApplicationHome / Bergen County Clean Communities Clean Up Mini-Grant Application Name of Organization(Required)Type of Organization(Required)Street Address(Required)Municipality(Required)State(Required)ZIP Code(Required)Contact Person(Required)Contact Phone(Required)Contact Email(Required) Location of Proposed Cleanup Site(Required)Municipality(Required)Proposed Cleanup Date(Required)Please Describe Litter Problems At The Site(Required)FAILURE TO ABIDE BY ANY OF THE FOLLOWING CRITERIA WILL INVALIDATE APPLICATION AGREEMENT *To be eligible for funding, the clean up site must be approved by the Bergen County Clean Communities Coordinator *Projects completed without approval will not be funded *The cleanup must consist of litter pickup. Tree planting or removal of vegetation cannot be substituted for litter collection *Follow the Safety Guidelines provided on the website and ensure adult supervision to the ratio of 1 adult to 5 children under the age of 16 *Keep track of the litter and recyclable material collected for the Summary Report *Photographs must be provided of the garbage collected and participants in the act of collecting the garbage. Digital photos are preferred and can be submitted through E-mail, CD or USB Drive. *Indemnify and hold harmless the County of Bergen and its employees from any accidents or injuries to persons or property resulting either directly or indirectly from participation in the Project *Provide proof af adequate liability coverage *You must make arrangements for disposal of the material collected< *Return all tools and un-used equipment borrowed from the Bergen County Clean Communities Program CAPTCHA