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Fort Walton Beach Council agenda — 01-25-05 - regular — reading text
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Equipment Installation Plumbing supplies, delivery and $ 240. 00 $ 180. 00
labor.
Operations and Maintenance Necessary repair of equipment $ 100. 00 $ 75. 00
including parts and labor.
Information signs and Advertisements, handouts, pumpout $ 300. 00 $ 225. 00
brochures logo, channel marker, and
operational signage.
Education and instructional Brochures or handout information $ 200. 00 $ 150. 00
materials about the Clean Vessel Act and the
equipment available for public use.
Total Project Amount $ 11, 470. 67
Total Grant Award Amount $ 8, 603. 00
Total Match Amount $ 2, 867. 67
Although the items may not reflect the seventy-five percent (75%), it is understood the Grant will not pay more than the seventy- five percent
75%) of total eligible cost of the project.
DEP Agreement No. LE577, Attachment A, Page 3 of 3
ATTACHMENT B
GRANT PAYMENTIMATCH REQUEST
Grant Number: F0907
City of Fort Walton Beach LE577 CVA 04- 427
GRANTEE) project Agreement No.) Application No.)
DEP Division: Law Enforcement DEP Program: Clean Vessel Program
Billing Date: Billing No.:
Match Credit Requested? Yes_ No_
Payment Requested?
If Department payment is being requested, an invoice on your letterhead must accompany this form.
DEPARTMENT GRANTEE
75%) Payment 25%) Match
Permitting
Construction
Renovation
Equipment Purchase
iquipment Installation
Operations and Maintenance
Information (signs, brochures)
Education and Instruction
TOTAL
Certification and Attestation: I certify that documentation has been and will be maintained as required by the
Agreement to the amounts reported above and is available for audit upon request. I attest that all expenditures
support
prior to this request have been made and are true and accurate and are only for the purposes as described in the Clean
Vessel Act Grant Project LE577. I further attest, under the penalties of perjury, that (name of the marina or entity)
has complied with the provisions of the grant.
NOTARY PUBLIC: Subscribed and sworn
Before"me at
Grantee' s Project Manager/ Attestor
This day of
ide) Date
Seal)
DEP Agreement No. LE577 Attachment B, Page 1 of 1
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