Fort Walton Beach Council agenda — 09-04-12 regular — reading text

construct/coordinate signs. The City is only claiming $2, 153 of salary expenses. Fringe Benefits $446: Include cost for FICA, Medicare, worker' s compensation, insurance and retirement. Maintenance Technicians 307), Project Manager ($ 102), and Sign Technician ($ 37). Supplies $38, 965: 28, 565- materials for the concrete foundation, picnic tables, bike racks, lighting, benches, and pier wood work. 8, 000 will be utilized to purchase shoreline vegetation. 2, 400 will be utilized to purchase and install the educational signage. Contractual Services $ 16,900: 6,900 -Contractor will conduct mobilization, general site preparation, and installation of the concrete walkway, fence and wooden bridge walkover. 10,000- landscape contractor will install the upland landscaping at the Alconese Pier area. DEP Agreement No. CM234, Attachment A, Page 6 of 6 s )100J8 JoI uoisualx3 4u8waaaBV 1uea0 d303 : 6460 300 of Alnr luawaoiBe luejB qng :luewLioeuv ATTACHMENT B PROGRESS REPORT FORM DEP Agreement No.: Grantee Name: Grantee Address: Grantee' s Grant Manager: Telephone No.: Grant Manager' s Email Address: Reporting Period: Project Title: Provide a summary of project accomplishments for this reporting period by task. If tasks were not addressed during the reporting eriod, provide an explanation. Provide the status of each deliverable. (e.g., Deliverable 1. 1: 75% complete, Deliverable 1. 2: 25% complete, Deliverable 2. 1, work scheduled to begin after the completion of Deliverable 1. 1, Deliverable 2. 2, etc.) Identify below, and attach copies of deliverables being submitted for this reporting period (e.g., Deliverable 1. 1: copies of permits, Deliverable 1. 2: before photographs, etc. Provide an explanation for any anticipated delays or any problems encountered. DEP Agreement No. CM234, Attachment B, Page 1 of 2 DEP 55-236 ( 06/ 09)  M100J8 aol uoisualx3 luawaaJBV lueao d3(]=1 6 660 loo of Alnr luawaa.iBe luejB qnS : luawyaeDy INSTRUCTIONS FOR COMPLETING ATTACHMENT B PROGRESS REPORT FORM DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM... GRANTEE NAME: Enter the name of the grantee' s agency. GRANTEE ADDRESS: Enter the address that is on the first page of the grant agreement. GRANTEE' S GRANT MANAGER: Enter the person identified as grant manager in the grant agreement. TELEPHONE NO.: Enter the telephone number where the grant manager can be contacted. GRANT MANAGER' S EMAIL ADDRESS: Enter the grant manager' s email address. REPORTING PERIOD: This is the beginning and ending date of the reporting period; it can cover more than one quarter. PROJECT TITLE: Enter the Title shown on the first page of the grant agreement. Provide a summary of project accomplishments this reporting period by task. If tasks were not addressed during the reporting period, provide an explanation(s). This section should show the progress for each task that was scheduled to begin or be completed in the current reporting period. If there was no progress for a task that was to start or be completed, please explain the reason. Provide the status of each deliverable. (e.g., Deliverable 1. 1: 75% complete, Deliverable 1. 2: 25% complete, Deliverable 2.1, work scheduled to begin after the completion of Deliverable 1. 1, Deliverable 2. 2, etc.). This section should show the status for each deliverable that was scheduled to begin or be completed in the current reporting period. The status should be reported by the percentage completed. If there was no progress for a deliverable, briefly state the reason. Identify below, and attach copies of deliverables being submitted for this reporting period (e.g., Deliverable 1. 1: copies of permits, Deliverable 1. 2: before photographs, etc.). Ensure that any deliverables listed in the grant agreement, as well as those not listed are included. For instance, you may send copies of agendas or minutes of meetings, photos of displays, or other supporting documentation to show the completion or progress towards a task. Label the deliverables by task and deliverable number(s) that they are associated with (for example: Deliverable 1. 1 for task 1, deliverable 1). Provide an explanation for any anticipated delays or any problems encountered. Provide a brief summary of any anticipated or encountered problems or delays. Questions regarding completion of Progress Reports should be directed to Dornecia Allen at ( 850) 245 -2161 or Domecia.Allen(@dep.state. fl.us. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DEP Agreement No. CM234, Attachment B, Page 2 of 2 DEP 55 -236 ( 06/ 09) s){ooa8 aol uoisua; x3 1u8w88a6V lueao d3a-A : 6WO loo of Ajnr luawee fie luea6 qng :luewyoeDd ATTACHMENT C PAYMENT REQUEST FORM Grantee: Grantee' s Grant Manager: Mailing Address: Payment Request No.: DEP Agreement No.: Performance Date Of Request: Period: Total Amount Deliverable Requested:$_ No.: GRANT EXPENDITURES SUMMARY SECTION Effective Date of Grant through End -of G - rant Period TOTAL TOTAL MATCHING AMOUNT OF CUMULATIVE CUMULATIVE FUNDS CATEGORY OF EXPENDITURE THIS CLAIM FCMP MATCHING CLAIMED CLAIMS FUNDS Salaries Fringe Benefits Travel Equipment Purchases Supplies Contractual Services Other Expenses Indirect TOTAL AMOUNT GRANT BUDGET AMOUNT Less Total Cumulative Payments of REMAINING BUDGET IN GRANT GRANTEE CERTIFICATION The undersigned certifies that the amount being requested for reimbursement above was for items that were charged to and utilized only for the above cited grant activities. Grantee' s Grant Manager' s Signature Grantee' s Fiscal Agent Print Name Print Name Telephone Number Telephone Number PLEASE DO NOT ALTER THIS FORM" DEP Agreement No. CM234, Attachment C, Page 1 of 10 sM= 13 jol u0isua4x3 3u9wa0a6t/ 3uea0 d30:j : 6460 300 of Ainp 3u9waaa6e 3ue-16 qng :3u8w40e31y Im DEPARTMENT OF ENVIRONMENTAL PROTECTION FLORIDA.COASTAL MANAGEMENT PROGRAM INSTRUCTIONS FOR COMPLETING ATTACHMENT C PAYMENT REQUEST FORM GRANTEE: Enter the name of the grantee' s agency. MAILING ADDRESS: Enter the address that you want the state warrant sent. DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM DATE OF REQUEST: This is the date you are submitting the report. TOTAL AMOUNT REQUESTED: This should match the amount on the " TOTAL AMOUNT" line for the AMOUNT OF THIS CLAIM' column. GRANTEE' S GRANT MANAGER: This should be the person identified as grant manager in the grant agreement. PAYMENT REQUEST NO.: This is the number of your payment request, not the quarter number. PERFORMANCE PERIOD: This is the beginning and ending date of the reporting period. DELIVERABLE NO.: Enter the number of the DELIVERABLE(S) that you are requesting payment for. GRANT EXPENDITURES SUMMARY SECTION: AMOUNT OF THIS REQUEST" COLUMN: Enter the amount that was paid out for all listed deliverables during the invoice period for which you are requesting reimbursement. This must be by budget category as in the currently approved budget in Attachment A, Project Work Plan, or amendment of your grant Agreement. Do not claim expenses in a budget category that does not have an approved budget. Do not claim items that are not specifically identified in the current Budget Narrative section of Attachment A. DO NOT ALTER FORM OR COMBINE BUDGET CATEGORIES. Enter the column total on the " TOTAL AMOUNT' line. Enter the FCMP budget amount on the " GRANT BUDGET AMOUNT' line. Enter the total cumulative amount of this request and all previous payments on the " LESS TOTAL CUMULATIVE PAYMENTS OF" line. Deduct the " LESS TOTAL CUMULATIVE PAYMENTS OF" from the " GRANT BUDGET AMOUNT' for the amount to enter on the REMAINING BUDGET IN GRANT' line. TOTAL CUMULATIVE FCMP CLAIMS" COLUMN: Enter the cumulative amounts that have been claimed to date for FCMP expenses by budget category. The final report should show the total of all claims, first claim through the final claim, etc. Enter the column total on the " TOTAL AMOUNT' line. DO NOT ENTER ANYTHING IN THE SHADED AREAS. MATCHING FUNDS CLAIMED" COLUMN: Enter the amount to be claimed as match for the reporting period. This needs to be shown under specific budget categories according to what is in the currently approved Attachment A, Project Work Plan. Enter the total on the " TOTAL AMOUNT' line for this column. Enter the match budget amount on the " GRANT BUDGET AMOUNT' line for this column. Enter the total cumulative amount of this and any previous match claimed on the " LESS TOTAL CUMULATIVE PAYMENTS OF' line for this column. Deduct the " LESS TOTAL CUMULATIVE PAYMENTS OF" from the " GRANT BUDGET AMOUNT' for the amount to enter on the " REMAINING BUDGET IN GRANT' line. TOTAL CUMULATIVE MATCHING FUNDS" COLUMN: Enter the cumulative amount you have claimed to date for match by budget category. Put the total of all on the line titled " TOTAL AMOUNT." The final report should show the total of all claims, first claim through the final claim, etc. DO NOT ENTER ANYTHING IN THE SHADED AREAS. GRANTEE CERTIFICATION: Must have the original signature of both the Grantee' s Grant Manager and the Grantee' s Fiscal Agent as identified in the grant agreement. DEP Agreement No. CM234, Attachment C, Page 2 of 10 s )jooj8 aol uoisualx3 luauaaaa6V lueJO d3a=1 : 6660 130 of Ajnr; uawaa.i6e; uejB qng :; uauayoel}V REOUIRED BACK-UP DOCUMENTATION: o: Exhibit I - Schedule of Invoices for Reimbursement for each deliverable. Exhibit II -Schedule of Match for each deliverable. Copies of Invoices (Not applicable to state agencies) Copies of canceled checks ( Not applicable to state agencies) Copies of Travel Reimbursements if applicable FLAIR Report (State agencies only) Copies of Volunteer Logs (if applicable) NOTE: If claiming