HomeMy WebLinkAboutLW780 Sebastian Riverview Park - (LWCF) Grant AgreementDRP-109 (Effective 05-22-2015) Page 1 of 2
Florida Department of Environmental Protection
EXHIBIT A
Land and Water Conservation Fund Program
Florida Recreation Development Assistance Program
Project Status Report
Required Signatures: Adobe Signature
Project Name: _______________________________________________________________ Project Number: ____________________________
Project Sponsor: _____________________________________________________________
Identify primary and support recreation areas and facilities to be constructed. (50% of total costs must be in primary facilities).
PROVIDE PHOTOS OF WORK IN PROGRESS
PRIMARY FACILITIES/ELEMENTS:
Project Elements Work Accomplished % Completed
DRP-109 (Effective 05-22-2015) Page 2 of 2
SUPPORT FACILITIES/ELEMENTS:
Project Elements Work Accomplished % Completed
PROBLEMS ENCOUNTERED:
Period Covered (Check Appropriate Period):Due May 5th
Due September 5th
January through April:
May through August:
September throug D
e
h cember: Due January 5th
LIAISON: ____________________________________ ____________________________
Signature Date
Final Status Report Date from Project Completion Certification: ________________
_______________________
Florida Department of Environmental Protection
EXHIBIT C
PAYMENT REQUEST SUMMARY FORM
Required Signatures: Adobe Signature
Date:
Grantee Project Name and Number
Billing Period: Billing #:
DEP Division: DEP Program:
Project Costs This Billing Cumulative Project Costs
Contractual Services
DRP-116
Grantee Labor
DRP-117
Employee Benefits
( % of Salaries)
Direct Purchases: Materials & Supplies
DRP-118
Grantee Stock
DRP-120
Equipment
DRP-119
Land Value
Indirect Costs
(15% of Grantee Labor)
TOTAL PROJECT COSTS $ $
CERTIFICATION: I hereby certify that the above expenses were incurred for the work being
accomplished in the attached progress reports.
Project Administrator Date
CERTIFICATION: I hereby certify that the documentation has been maintained as required to support the
project expenses as reported above and is available for audit upon request.
__________________________________________ _______________________
Project Financial Officer Date
DRP-115 (Effective 06-19-2015) Page 1 of 1