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

cTqcTq ww o Q 0 OO O W O O U VV N w UU 4)4) ry 4.4. as0 zz z d U LL yi QQ Q bNbN yy y inin oU QS A AA CISCIS CIS OO UU RR 00 ww W75 uz cc UU cc yyy 44 4 ww a ww aa a'a' 0•0• WW booboo d dd a 0 a CDCD aaa CISCIS dd Q aoi QQ o enen i MN dd 3 w'w' w' ww;. ;. 3333 IsIs d wA cc ww 33 00 oo 00 U d L qq NN OO oo.... y UU vv 04 dd Iy y O rbrb aa a, z tiwri,zOd w co ww U2U2 aAaA  - t lueao d3a3 : 6660 loo of fqnr IuaweeiGe luea6 qng quawyaeuv sA00j8 aol u01su81x3 luawee f ATTACHMENT F CERTIFICATION OF APPLICABILITY TO SINGLE AUDIT ACT REPORTING Grantee' s Name: Grantee Fiscal Year Period: FROM: TO: Total State Financial Assistance Expended during Grantee' s most recently completed Fiscal Year: $ Total Federal Financial Assistance Expended during Grantee' s most recently completed Fiscal Year: $ CERTIFICATION STATEMENT: CERTIFICATION STATEMENT: I hereby certify that the above information is correct. Signature Date Print Name and Position Title DEP Agreement No. CM234, Attachment F, Page 1 of 3 s )100J8 aot uoisualx3 ; uawaaaBV WAD d3U3 6M po o; Aink wowaa.iBe; ueaB qnS :; uawyae}}y INSTRUCTIONS FOR COMPLETING THE ATTACHMENT Grantee Fiscal Year Period: FROM: Month/Year TO: Month/ Year NOTE: THIS SHOULD BE THE GRANTEE' S FISCAL YEAR FROM ( MONTH/YEAR) TO MONTHIYEAR). Total State Financial Assistance Expended during Grantee' s most recently completed Fiscal Year: NOTE: THIS AMOUNT SHOULD BE THE TOTAL STATE FINANCIAL ASSISTANCE EXPENDED FROM ALL STATE AGENCIES, NOT JUST DEP. Total Federal Financial Assistance Expended during Grantee' s most recently completed Fiscal Year: NOTE: THIS AMOUNT SHOULD BE THE TOTAL FEDERAL FINANCIAL ASSISTANCE EXPENDED FROM ALL FEDERAL AGENCIES, NOT JUST THROUGH DEP. The Certification should be signed by your Chief Financial Officer. Please print the name and include the title and date of the signature. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DEP Agreement No. CM234, Attachment F, Page 2 of 3  1. Question: Can I fax the form to you? Answer: Yes, you can fax the Certification form, the fax number is 850/ 245 -2411. 2. Question: How can I submit the form if our audit is not completed by the due date of this letter? Answer: You should be able to complete the form from the information in your accounting system. This is just to let our Office of the Inspector General know which entities they should be getting an audit from. If you are under the threshold you do not have to submit a copy of your audit, only the Certification form. 3. Question: Do you only want what we received from DEP? Answer: No, the Single Audit is the TOTAL AMOUNT of funds that you expended towards all state or federal grants that you receive. You should list those that are specific to DEP on the form. 4. Question: Do I have to submit the completed form and a copy of my audit? Answer: No, you do not have to submit your audit unless you are over the threshold of 500,000. If you would prefer to submit your audit ( CAFR) instead of the form, that is fine. 5. Question: Our CAFR will not be ready before your due date and we don' t have the information necessary to complete the certification. Can we get an extension? Answer: Yes, just send us an Email letting us know when you will have your CAFR completed and we will place the Email with your letter in our file so that you don' t get a 2°d notice. 6. Question: Can I submit my Certification Form or CAFR electronically? Answer: Yes, you can submit them by Email to Debbie. skelton@dgp.state.fl.us REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DEP Agreement No. CM234, Attachment F, Page 3 of 3 s )iooa8 aoi uoisua; x3; uauaaOJBV IueJ0 d30=1: MO O 100 of Alnp; uaweeiBie luejB qng :luowLiaeUV Attachment J Photographer Release Form Florida Department of Environmental Protection Photographer: Please Print Name) Address: City: State: Zip Code: Phone Number: area code + number) Email: License and Indemnification I certify that I am the photographer and owner of the photograph(s) being submitted and am 18 years of age or older. I hereby grant the Florida Department of Environmental Protection the royalty -free and non -exclusive right to distribute, publish and use the photograph( s) submitted herewith ( "the Work ") to promote the Florida Department of Environmental Protection. Uses may include, but are not limited to promotion of the Florida Department of Environmental Protection, its publications, employees, volunteers, and properties in any way, including on the Internet, in print publications, as distributed to the media, and in commercial products. The Florida Department of Environmental Protection reserves