CountyAgriculturalInvestmentProgram.docVIP

2016 County Agricultural Investment Program (CAIP) Producer Report Certification Producers must complete all relevant questions on the Producer Report before receiving cost-share reimbursement funds through the County Agricultural Investment Program (CAIP). This form is for the Administrator to keep on-file for each Producer receiving cost-share funds, and should aid in filling out the reports for this program. This information will be used to help the Kentucky Agricultural Development Board evaluate the economic impact of programs on Kentucky’s agricultural economy. Producer Information 1-3 should match the information provided on your approved Producer Application. Producer Name: Social Security Number: ____ - __ - _____ a) Farm Serial Number (FSN): __ b) Size of the FSN Farm (acres): Ever received cost-share funds? YES NO Ever applied for cost-share funds? YES NO Would invest without cost-share? YES NO Years shared in the financial risk /or business operation? Hours committed on the farm? Educational Requirement Have you fulfilled your educational requirement? YES NO Title, date, location of educational session: ( Submit this form with any required documentation, along with invoices/receipts. (Cost-share reimbursement shall not occur without submission of this Producer Report Certification. On the following pages, complete only the sections related to the Investment Area(s) for which cost-share reimbursement is being requested. ( Consult individual Investment Area Guidelines for more information on (eligible cost-share items, prerequisites, exclusions and limitations. Investment Area Information Mark each Investment Area for which cost-share reimbursement is being requested and complete the information requested for that section. ___ Agricultural Diversification Circle Investment Category – select all that apply (A, B, C) Commercial Horticulture Production This includes fruits, herbs, mu