Okaloosa County BOCC — October 21, 2014 — S0717attachment D

ATTACHMENT D PROGRESS REPORT FORM DEP Agreement No.: S0717 Grantee Name: Grantee Address: Grantee's Grant Manager: I Telephone No.: I Quarterly Reporting Period: Project Number and Title: Provide the following information for all tasks and deliverables identified in the Grant Work Plan: a summary of project accomplishments to date; a comparison of actual accomplishments to for the period; if goals were not met, provide reasons why; provide an update on the estimated time for completion of the task and an explanation for any anticipated delays and identify by task and attach copies of any deliverables being submitted for the project for this reporting period (Deliverables should be labeled by task and deliverable number as identified in the Grant Work Plan). NOTE: The progress identified in this report should agree with the payment request. Use as many pages as necessary to cover all tasks/deliverables in the Grant Work Plan. The following format should be followed: Task 1: Progress for this reporting period: Identify any delays or problems encountered: Deliverables being submitted: This report is submitted in accordance with the reporting requirements of DEP Agreement No. S0717 and accurately reflects the activities and costs associated with the subject project. Signature of Grantee's Grant Manager Date DEP Agreement No. S07 l 7, Attachment D, Page I of I