Fort Walton Beach Resolution — 2023-03 Accepting Grant Funding for Martisa Road Stromwater Project — reading text

information shown belowfor each federal program and show total state resources awarded for matching. State Resources Awarded to the Recipient Pursuant to this A reement Consist of the Following M hin Resources for Federal Pro rams: Federal State Program Appropriation A Federal Agency CFDA CFDA Title Funding Amount Category Federal State Program Appropriation B Federal Agency CFDA CFDA Title Fundin Amount Category Note: If the resources awarded to the recipient represent more than one state project, provide the same information shown below for each state project and show total state financial assistance awarded that is subiect to section 215. 97. F.S. State Resources Awarded to the Recipient Pursuant to this A reement Consist of the Following Resources Subject to Section 215.97, F. S.: State CSFA Title StateState ProgramProgram StateState CSFACSFA oror AppropriationAppropriation AA StateState Awarding Awarding AgencyAgency FiscalFiscal Year'Year' NumberNumber Funding Source Description Funding Amount Category Original Florida Department of StatewideStatewide WaterWater QualityQuality Restoration Restoration 2022- 2023 37.37. 039039 287,287, 500500 140047 140047 Agreement Environmental Protection ProjectsProjects — — LILI 1665A1665A StateState CSFA Title State Program State CSFA or Appropriation B State Awarding Agency Fiscal Year Number Funding Source Description Funding Amount Category Total Award 1 $ 287, 500 Note: List applicable compliance requirement in the same manner as illustrated above forfederal resources. For matching resources provided by the Department for DEP forfederal programs, the requirements might be similar to the requirements for the applicable federal programs. Also, to the extent that different requirements pertain to different amountfor the non-federal resources, there may be more than one grouping (i.e. 1, 2, 3, etc) listed under this category. For each program identified above, the recipient shall comply with the program requirements described in the Catalog of Federal Domestic Assistance ( CFDA) hlt2s: Hsam. gov/ content/ assistance- listings] and/ or the Florida Catalog of State Financial Assistance ( CSFA) [ hl!ps:Happs. fldfs.com/ fsaa/ searchCatalog_aspxl, and State Projects Compliance Supplement ( Part Four: State Projects Compliance Supplement [ hlt2s: Happs. fldfs.com/ fsaa/ state project_compliance. aspx]. The services/ purposes for which the funds are to be used are included in the Agreement' s Grant Work Plan. Any match required by the Recipient is clearly indicated in the Agreement. Subject to change by Change Order. 2 Subject to change by Change Order. Attachment 5, Exhibit 6 of 6 BGS -DEP 55- 215 Revised 7/ 2019  STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Exhibit A Progress Report Form DEP Agreement No.: LPA0292 Project Title: City of Fort Walton Beach —Stormwater Improvements on Martisa Road NW Grantee Name: The City of Fort Walton Beach Grantee' s Grant Manager: Jared Taylor Reporting Period: Select Quarter - Select Year Provide the following information for all tasks identified in the Grant Work Plan: Summarize the work completed within each task for the reporting period, provide an update on the estimated completion date for each task, and identify any anticipated delays or problems encountered. Use the format provided below and use as many pages as necessary to cover all tasks. Each quarterly progress report is due no later than twenty (20) days following the completion of the quarterly reporting period. Task 1: Design and Permitting Progress for this reporting period: Identify delays or problems encountered: Task 2: Bidding and Contractor Selection Progress for this reporting period: Identify delays or problems encountered: Task 3: Construction Progress for this reporting period: Identify delays or problems encountered: Exhibit A, Page 1 of 2 Rev. 2/ 3/ 22 Completion Status for Tasks: Indicate the completion status for the following tasks, if included in the Grant Work Plan. For construction, the estimated completion percentage should represent the work being funded under this Agreement. Design ( Plans/ Submittal): 30% , 60% , 90% , 100% Permitting (Completed): Yes , No Construction (Estimated): % This report is submitted in accordance with the reporting requirements of the above DEP Agreement number and accurately reflects the activities associated with the project. Signature of Grantee' s Grant Manager Date Original Ink or Digital Timestamp) Exhibit A, Page 2 of 2 Rev. 2/ 3/ 22  STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Exhibit C Payment Request Summary Form The Payment Request Summary Form for this grant can be found on our website at this link: https:Hfloridadep. gov/wra/wra/documents/ payment-request- summary- form Please use the most current form found on the website, linked above, for each payment request. Exhibit C, Page 1 of 1 Rev. 12/ 02/ 19