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Cover Page for Proposal Submitted to the National Aeronautics and Space Administration

NASA Proposal Number

10-PROP 52510-0001

NASA PROCEDURE FOR HANDLING PROPOSALS This proposal shall be used and disclosed for evaluation purposes only, and a copy of this Government notice shall be applied to any reproduction or abstract thereof. Any authorized restrictive notices that the submitter places on this proposal shall also be strictly complied with. Disclosure of this proposal for any reason outside the Government evaluation purposes shall be made only to the extent authorized by the Government. SECTION I - Proposal Information
Principal Investigator E-mail Address Phone Number

John George
Street Address (1)

nspires-test-152@nasaprs.com
Street Address (2) State / Province Postal Code

202-479-9031 x 31

500 E St SW
City Country Code

Washington
Proposal Title :

DC Prop 053110

20024-2760

US

Proposed Start Date

Proposed End Date

Total Budget

No budget required
SECTION II - Application Information
NASA Program Announcement Number NASA Program Announcement Title

NNH10SNC010N NASA
Date Submitted

Solicitation 052510

For Consideration By NASA Organization (the soliciting organization, or the organization to which an unsolicited proposal is submitted) Submission Method Grants.gov Application Identifier Applicant Proposal Identifier

05 / 31 / 2010
Type of Application

Electronic Submission Only


Predecessor Award Number Other Federal Agencies to Which Proposal Has Been Submitted Department of Justice (DOJ) , Walter Reed Army Institute Research , Federal Aviation Administration (FAA) , Air Force Research Laboratory , NASA Glenn Research Center , National Oceanic and Atmospheric Administration (NOAA) , Defense Advanced Research Projects Agency , National Institute of Standards & Technology (NIST) , Department of Commerce (DOC) , NASA Ames Research Center , Other , NASA Goddard Space Flight Center , NASA Headquarters , Customs Service , National Institutes of Health (NIH) , NASA Marshall Space Flight Center , Department of Agriculture (USDA) , Department of the Navy , NASA Stennis Space Center , Federal Emergency Management Agency (FEMA) , Department of Energy (DOE) , NASA Langley Research Center , Department of Defense (DOD) , Department of Homeland Security (DHS) , Federal Maritime Commission , Environmental Protection Agency (EPA) , Coast Guard , National Park Service , United States Marine Corps , Department of Health and Human Services (HHS) , National Science Foundation (NSF) , Department of the Army , Department of Veterans Affairs (VA) , Smithsonian Institution , Department of Education (ED) , Naval Research Laboratory , Center for Disease Control and Prevention , Department of Transportation (DOT) , NASA Dryden Flight Research Center , Naval Observatory , Department of State (DOS) , Forest Service , NASA Johnson Space Center , Army Research Laboratory , NASA Kennedy Space Center , Department of the Interior (DOI) , Fish and Wildlife Service , United States Geological Survey (USGS) , Department of the Air Force

New

International Participation

Type of International Participation

Yes
DUNS Number

PI
SECTION III - Submitting Organization Information
CAGE Code Employer Identification Number (EIN or TIN) Organization Type

010826451

1ZEJ2

590971286

2A
Company Division Division Number Street Address (2) State / Province Postal Code Country Code

Organization Name (Standard/Legal Name)

LAKE CITY COMMUNITY COLLEGE


Organization DBA Name Street Address (1)

149 SE COLLEGE PL
City

LAKE CITY
Name

FL
Email Address

32025-2006

USA
Phone Number

SECTION IV - Proposal Point of Contact Information

John George

nspires-test-152@nasaprs.com
SECTION V - Certification and Authorization

202-479-9031 x 31

Certification of Compliance with Applicable Executive Orders and U.S. Code


By submitting the proposal identified in the Cover Sheet/Proposal Summary in response to this Research Announcement, the Authorizing Official of the proposing organization (or the individual proposer if there is no proposing organization) as identified below: certifies Version 3.0 Apr made in this proposal are true and complete to the best of his/her knowledge; FORM NRESS-300 that the statements09

agrees to accept the obligations to comply with NASA award terms and conditions if an award is made as a result of this proposal; and confirms compliance with all provisions, rules, and stipulations set forth in the two Certifications and one Assurance contained in this NRA (namely, (i) the Assurance of Compliance with the NASA Regulations Pursuant to Nondiscrimination in Federally Assisted Programs, and (ii) Certifications, Disclosures, and Assurances Regarding Lobbying and Debarment and Suspension.

Willful provision of false information in this proposal and/or its supporting documents, or in reports required under an ensuing award, is a criminal offense (U.S. Code, Title 18, Section 1001).

Authorized Organizational Representative (AOR) Name

AOR E-mail Address

Phone Number

Sridhar Nama

snama@nasaprs.com
Date

202-479-1111

AOR Signature (Must have AOR's original signature. Do not sign "for" AOR.)

FORM NRESS-300 Version 3.0 Apr 09

PI Name : John

George CITY COMMUNITY COLLEGE

NASA Proposal Number

Organization Name : LAKE Proposal Title : Prop 053110

10-PROP 52510-0001

SECTION VI - Team Members


Team Member Role Team Member Name Contact Phone E-mail Address

PI

John George

202-479-9031 x 31
Cage Code

nspires-test-152@nasaprs.com
DUNS#

Organization/Business Relationship

LAKE CITY COMMUNITY COLLEGE


International Participation U.S. Government Agency

1ZEJ2

010826451
Total Funds Requested

No
Team Member Role Team Member Name Contact Phone

0.00
E-mail Address

Co-I

Ajay Gehani

202-479-9030
Cage Code

nspires-test-161@nasaprs.com
DUNS#

Organization/Business Relationship

FEELEY'S COMPANY INC


International Participation U.S. Government Agency

55EG8

001000470
Total Funds Requested

No
Team Member Role Team Member Name Contact Phone

0.00
E-mail Address

Co-I New Org


International Participation

Jack Kurisky

202-479-9030
Cage Code

nspires-test-162@nasaprs.com
DUNS#

Organization/Business Relationship

N/A
U.S. Government Agency

N/A
Total Funds Requested

No
Team Member Role Team Member Name Contact Phone

0.00
E-mail Address

Co-I Self
International Participation

Jack Kurisky

202-479-9030 x 244 nspires-test-163@nasaprs.com


Cage Code DUNS#

Organization/Business Relationship

N/A
U.S. Government Agency

N/A
Total Funds Requested

No
Team Member Role Team Member Name Contact Phone

0.00
E-mail Address

Graduate/Undergraduate Student 2BZ SANDBLASTING


International Participation

George Bucha

202-479-9030
Cage Code

nspires-test-164@nasaprs.com
DUNS#

Organization/Business Relationship

5C436
U.S. Government Agency

077653892
Total Funds Requested

No

0.00

FORM NRESS-300 Version 3.0 Apr 09

PI Name : John

George CITY COMMUNITY COLLEGE

NASA Proposal Number

Organization Name : LAKE Proposal Title : Prop 053110

10-PROP 52510-0001

SECTION VII - Project Summary

Please enter a brief description of the proposal that provides the following information: A description of the key, central objectives of the proposal in terms understandable to a nonspecialist; A concise statement of the methods/techniques proposed to accomplish the stated research objectives; and A statement of the perceived significance of the proposed work to the objectives of the solicitation and to NASA interests and programs in general. The proposal summary is limited to 4000 characters (including hidden ones when pasting in from a word processing program). Please avoid special characters or formatting. If you exceed the limit you will know because you will get a 'Validation Error' message. Note: NASA intends to publish the proposal's full title, the PI's name and organization, and the Proposal Summary of every selected investigation in a publicly accessible data base; therefore, the Proposal Summary should not include proprietary information that would preclude its unrestricted release.

FORM NRESS-300 Version 3.0 Apr 09

PI Name : John

George CITY COMMUNITY COLLEGE

NASA Proposal Number

Organization Name : LAKE Proposal Title : Prop 053110

10-PROP 52510-0001

SECTION VIII - Other Project Information Proprietary Information


Is proprietary/privileged information included in this application?

Yes
International Collaboration
Does this project involve activities outside the U.S. or partnership with International Collaborators?

Yes
Principal Investigator Co-Investigator Collaborator Equipment Facilities

Yes
Explanation :

No

No

No

No

mm

NASA Civil Servant Project Personnel


Are NASA civil servant personnel participating as team members on this project (include funded and unfunded)?

No
Fiscal Year Number of FTEs Fiscal Year Number of FTEs Fiscal Year Number of FTEs Fiscal Year Number of FTEs Fiscal Year Number of FTEs

FORM NRESS-300 Version 3.0 Apr 09

PI Name : John

George CITY COMMUNITY COLLEGE

NASA Proposal Number

Organization Name : LAKE Proposal Title : Prop 053110

10-PROP 52510-0001

SECTION VIII - Other Project Information Environmental Impact


Does this project have an actual or potential impact on the environment?

No
Environmental Impact Explanation:

Has an exemption been authorized or an environmental assessment (EA) or an environmental impact statement (EIS) been performed?

No

Exemption/EA/EIS Explanation:

FORM NRESS-300 Version 3.0 Apr 09

PI Name : John

George CITY COMMUNITY COLLEGE

NASA Proposal Number

Organization Name : LAKE Proposal Title : Prop 053110

10-PROP 52510-0001

SECTION VIII - Other Project Information Historical Site/Object Impact


Does this project have the potential to affect historic, archeological, or traditional cultural sites (such as Native American burial or ceremonial grounds) or historic objects (such as an historic aircraft or spacecraft)?

No
Explanation:

FORM NRESS-300 Version 3.0 Apr 09

PI Name : John

George CITY COMMUNITY COLLEGE

NASA Proposal Number

Organization Name : LAKE Proposal Title : Prop 053110

10-PROP 52510-0001

SECTION IX - Program Specific Data

FORM NRESS-300 Version 3.0 Apr 09

PI Name : John

George CITY COMMUNITY COLLEGE

NASA Proposal Number

Organization Name : LAKE Proposal Title : Prop 053110

10-PROP 52510-0001
SECTION X - Budget

Total Budget: No budget required

FORM NRESS-300 Version 3.0 Apr 09

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