PROJECT AGREEMENT (3)
''''''Ifi'
TO:
FROM:
COPIES:
SUBJECT:
DATE:
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CITvtF CLEARWATER
Interdepartment Correspondence Sheet
Elisabetb S. Hauet..... balatant C1ty MaDaa....
Sue Lu1d.n, Aa.latant CltJ Clerk
Var1ou. AIN...nta .. 1.-....
SepteR.... 8, 1982
We aN .noloa1nl beNll1tb two oop1_ eaob ot the tollow1ns
doouaenta2
L... ..._t witb .10 ADD Bouh....
P!'Ojeot ~nt to... A1Uptor Creek Recreat10n A.....
(Fl. Dept. ot "tUNl lHOuroe.)
One oopy 18 tor JOUl" tU.. &Del tbe othel' 1s tor, departaental
start tollow-UP. '1_. _tit'y us ot any further
dl.tr1but~on tbat..ybe reau1red.
I..
Bnol.
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BOR GRAHAM
(jovernor
GEORGE FIRESTONE
Secretary 01 Stale
JIM SMITH
Atlorney General
GERALD A. LEWIS
Comptroller
BILL GUNTER
Treall\lrer
DOYLE CONNER
CommlMloner ot AlIrloulture
RALPH D. TURLINGTON
Commlutoner ot EducaUon
State of Florida
DEPARTMENT OF NATURAL RESOURCES
DR. ELTON J. GISSENDANNER
Executive Director
3900 Commonwealth Boulevard, Tallaha.uee, Florida 32303
August 27, 1982
Mr. Art Kader
Assistant Director
Parks & Recreation Deparmtent
Post Office Box 4748
Clearwater, Florida 33518
Dear Mr. Kader:
The enclosed project agreement is fully executed and you may commence
the project. Before beginning, however, please refer to the implementation
checklist and administrative rules contained in our letter notifying you of
the project's approval and proceed accordingly.
Re: Alligator Creek Recreation Area
Florida Recreation Development
Assistance Program #8~55-l8
Should you have any questions, please contact me.
Sincerely, .
Donald A. Gerteisen
Grants Coordinator
Bureau of Recreation Planning
and Local Assistance
Division of Recreation and Parks
DAG/jb
RECEIVEl>
SEP 8
1982
. \f\~(\,~.\\~t~
'~AlJG 30 I9ll2 .
PAR\<S t\NO HECRV
Cll"y C~/
DIVISIONS I ADMINISTRATION LAW ENFORCEMENT MARINE RESOURCES
RECREATION AND PARKS RESOURCE MANAGEMENT STATE LANDS
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FLORIDA DEPARTMENT OF NATURAL RESOURCES
FLORIDA RECREATION DEVELOPMENT ASSISTANCE PROGRAM
Project Agreement
FRDAP #8-55-18
(proj ect number)
This agreement made and entered into by and between the
State of Florida Department of Natural Resources hereinafter
called DEPARTMENT and
City of Clearwater
herein-
after called the PROJECT SPONSOR in furtherance of an approved
recreational program involving the parties hereto in pursuance
of which the parties hereto agree as follows:
1. This agreement shall be performed pursuant to Section
375.021(3), Florida Statutes and Chapter l6D-5, Part II, Florida
Administrative Code. In the event a dispute should arise
between the parties concerning the intent of the language herein
contained, the same .shall be resolved by the adoption of that
meaning which furthers the intent and purpose of said actions of
the Florida Legislature and the Executive Board of the Depart-
ment of Natural Resources. No construction shall be contrary to
the program criteria or the agreements contained herein. It is
the intention of the parties hereto that none of the provisions
of Section 163.01, Florida Statutes, shall have application to
this agreement..
2. The DEPARTMENT has found that outdoor recreation is
the primary purpose of the project known as Alligator Lake
Recreation Area
, (Florida Recreation Development Assist-
ance Program Project Number 8-55-18
), and enters into
this agreement with the PROJECT SPONSOR for construction. of
recreational facilities on real property, the legal description
of which is set forth in full in Exhibit "A" attached hereto
and made a part thereof.
Page 1 of 6
DNR Form 42-058
Revised 5-14-82
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3. The PROJECT SPONSOR will construct, or cause to be
constructed, certain recreational facilities upon such real pro-
perty described in Exhibit "A" which facilities shall be designed
and constructed in accordance with the project elements described
herein substantially in accordance with project plans as shown
and described in Exhibit "B" attached. The following shall be
considered the project elements:
Boat ramp, nature trails, bike path, docks/fishing
piers, picnic facilities, parking, pedestrain
walkways, and related support facilities.
4. The PROJECT SPONSOR agrees to operate and maintain the
project, to the DEPARTMENT'S satisfaction, for a minimum period
of twenty-five (25) years from the date of project completion
specified in paragraph 7 of this agreement and will pay all such
expenses as a PROJECT SPONSOR expense. The project shall be open
for public use at reasonable hours and times of the year; shall
be maintained so as to appear attractive and inviting to the
public; shall be maintained in accordance with applicable health
standards and shall be kept reasonably safe for public use. Pro-
ject facilities and improvements shall be kept in reasonable re-
pair to prevent undue deterioration and to encourage public use.
The PROJECT SPONSOR convenants that it has full legal authority
and financial ability to operate and maintain said facilities.
5. The DEPARTMENT shall pay, on a reimbursement basi~ to
the PROJECT SPONSOR' 66 2/3 percent of the eligible costs for the
development of the project or $ 110,000.00
, whichever is
less. These funds may be released in no more than three (3) in-
stallments, at the discretion of the DEPARTMENT, upon the request
of the PROJECT SPONSOR'S duly authorized agent, whose name and
title shall be submitted to the DEPARTMENT prior to commencement
of the project. The DEPARTMENT shall retain $ 11,000.00
until completion of the project and until the required project
termination documentation has been received by the DEPARTMENT
Page 2 of 6
DNR Form 42-058
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from the PROJECT SPONSOR. Each reimbursement request shall in-.
elude all documentation required by the DEPARTMENT as set forth
in paragraph 18 of this project agreement. The DEPARTMENT shall
be notified forthwith of any change in the person or authority
of the duly authorized agent.
6. The PROJECT SPONSOR agrees to expend the sum of
$
in cash or utilize the fair market value, or
55,000.00
a portion thereof, of donated or purchased, private real property,
previously approved by the DEPARTMENT for such purposes, as its
required program matching contribution. The PROJECT SPONSOR
further agrees to submit, at the request of the DEPARTMENT, any
...
and all required accounting records of documentation pertaining
to said contributions.
7. The PROJECT SPONSOR shall commence construction of the
project in accordance with Exhibit "B" on or before April 6, 1983
and agrees to complete said construction on or before
April 6, 1984.
Failure by the PROJECT SPONSOR to commence or
complete development of the project by the aforementioned dates,
unless amended, shall be cause for the DEPARTMENT to. terminate
the project agreement and demand refund of any contribution made
from the Florida Recreation Development Assistance Program.
8. The PROJECT SPONSOR, through its duly authorized agent,
shall submit to the DEPARTMENT signed project status reports
every sixty (60) days summarizing the work accomplished, problems
encountered, percentage of completion and other appropriate in-
formation. Photographs shall be submitted when appropriate to
reflect the work accomplished unless waived in writing by the
DEPARTMENT'S project administrator.
9. Should the PROJECT SPONSOR own the land described in
Exhibit "A", the PROJECT SPONSOR agrees to dedicate said land to
the public for recreational purposes in perpetuity. The PROJECT
SPONSOR further agrees that the execution of this agreement by
the Executive Director of the Department of Natural Resources
shall constitute an acceptance of the dedication on behalf of the
general public of the State.
Page 3 of 6
DNR Form 42-058
ppvispd 5-J4-82
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10. Should the PROJECT SPONSOR, during the period of time
established by paragraph 4 of this agreement, for any reason con-
vert all or any portion of the property described in Exhibit "A",
or the facilities described in Exhibit "B" to other than the
recreational purposes set forth and described in Paragraph 3,
the PROJECT SPONSOR agrees to provide, at its sole expense, with-
out further contribution from the Florida Recreation Development
Assistance Program, a replacement project of comparable quality
and size to that which was converted to other purposes, which
replacement shall be in close proximity to the project and meet
with the approval of the DEPARTMENT. In lieu of such replacement,
the PROJECT SPONSOR shall return to the DEPARTMENT the entire
contribution from the Florida Recreation Development Assistance
Program.
11. Should the PROJECT SPONSOR elect to implement a user
fee system for the project, the PROJECT SPONSOR shall impose
such fees uniformly upon all users without regard to age, sex,
race, other condition, or the political subdivision in which
the user may reside.
12. The PROJECT SPONSOR agrees to provide the DEPARTMENT
with annual attendance reports at such time the project is
opened for use by the general public. Said attendance reports
shall be submitted to the DEPARTMENT during the month of July
of each year and shall provide attendance records for a one
year period beginning on July 1, and ending on June 30 of the
previous year, such period constituting one fiscal year.
13. The DEPARTMENT shall have the right, through its
agents, servants, and employees designated for that purpose, to
inspect the site of the project and the facilities thereon.
In addition to project inspections, which shall be conducted
at any reasonable time, the DEPARTMENT shall have access to all
Page 4 of 6
DNR Form 42-058
Revised 5-14-82
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financial records relating to the project and the right to
audit such records at any reasonable time which right shall be
continuous until such audit is completed without unreasonable
interference with the operation of any of the facilities thereon.
14. This project agreement may be amended at the dis-
cretion of the DEPARTMENT, so long as such amendments are
pursuant to Section 375.021(3), Florida Statutes, and Chapter
l6D-5, Part II, Florida Administrative Code. Amendments, which
do not substantially alter the project's intent or scope or the
amount of program funds awarded to the PROJECT SPONSOR by the
DEPARTMENT'S Executive Board, shall be approved by the DEPART-
MENT'S Executive Director through delegation of authority.
Otherwise, all amendments shall be approved by the DEPARTMENT'S
Executive Board.
15;, The PROJECT SPONSOR agrees to save and hold harmless
the DEPARTMENT, its officers; agents and employees from any and
all liab~lities; claims, actions, damages, awards and judgements,
no matter how occasioned and no matter what the amount, arising
from the PROJECT SPONSOR'S obligations contained herein to con-
struct, operate and maintain the project.
16. The DEPARTMENT shall have the right to demand a refund,
either in whole or part, of the funds provided to the PROJECT
SPONSOR for non-compliance with the terms of this agreement, and
the PROJECT SPONSOR upon notification from the DEPARTMENT, agrees
to refund, and will forthwith pay, the amount of money demanded
--which payment shall be made directly to the DEPARTMENT.
17. The DEPARTHENT shall designate a project admin'istrator,
whose name and title shall be submitted to the PROJECT SPONSOR
responsible for the completion of the project pursuant to the pro-
vision of this project agreement. The PROJECT SPONSOR shall be
notified forthwith of any changes in the person or authority of the
duly authorized project administrator.
Page 5 of 6
DNR EOFID_04-058
Revised 5-14-82
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18. The PROJECT SPONSOR and the DEPARTMENT mutually agree
to the following special terms and conditions incorporated as
part of this agreement:
1. Guidelines and procedures utilized in accounting
for Florida Recreation Development Assistance
Program funds shall be governed by the program's
Grants Accountability POlicy, dated May 14, 1982,
attached hereto and made part of this project
agreement as Exhibit "C".
2. The PROJECT SPONSOR'S required program matching
contribution, identified in paragraph #6, is
represented by cash.
IN WITNESS WHEREOF, the parties hereto have caused these
presents to be executed by the officers and agents thereunto
lawfully authorized.
STATE OF FLORIDA
DEPARTMENT OF NATUFAL RESOURCES
@A Gi~danner
Executive Director
CITY OF CLEARWATER, FLORIDA
By:
By:
Purpose
City. Manager
Title~
Attest:
-Y.dJj.,fAJ.~
Attest: ct~ L~
City Clerk
Approved as to
Form and Legality:
Effective Date:
~~). S-~~
fJm~'~
DNR Contract Manager
Page 6 of 6
DNR .Form 42-058
Revised 5-14-82
May 14, 1982
Page 1 of 10
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EXHIBIT_C
FLORIDA RECREATION DEVELOPMENT ASSISTANCE PROGRAM
Grants Accountability Policy
I. Purpose and Applicability
This grants accountability policy establishes uniform guide-
lines and procedures to be utiliz.ed in accounting for grant funds
disbursed by the Department of Natural Resources under the Florida
Recreation Development Assistance Program. It sets forth principles
for determining eligible program costs, supporting documentation,
minimum reporting requirements and applies to all project sponsors
receiving funds through the program. Waiver or modification of the
eligible costs, supporting documentation or reporting requirements
may be made by the Department's Executive Director, or his designee,
provided that the approval for any such changes shall be evidenced
by an appropriate provision in the project agreement, or amendment
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thereto.
II. Disbursement lof Funds
Grant funds shall be disbursed by the Department directly to
project sponsors in accordance with good cash management principles,
on a reimbursement basis, and in no more than three installments.
The Depattment shall retain ten percent (10%) of its obligation until
final completion and approval of the project. The retainage may be
modified or waived with justification and formal approval by Depart-
ment personnel who are authorized to execute the project agreement
or amendments.
III. Contract Classification
Program project agreements are defined as Actual Cost contracts
whereby project sponsors are reimbursed for a specified portion of
eligible project costs incurred in accomplishing the project required
by the Department.
IV. Purchases of Goods and/or Services
All purchases of goods and/or services for the accomplishment of
the project shall be negotiated, at a minimum, in accordance with the
provisions of Chapter 287, Part I, Florida Statutes and related Rules
of the Florida Administrative Code in effect at the time such pur-
chases are made except that single source or emergency purchases shall
be subject to authorization by the Department's project administrator
in lieu of the Department of General Services.
V. Eligible Costs, Supporting Documentation and Billing Guidelines
(a) Eligible Costs - To be eligible for reimbursement under the
program, costs must be necessary and reasonable for the effective
and efficient accomplishment of the project and be directly
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allocable thereto pursuant to program rules and regulations.
Costs must be incurred and work performed within the project
period with the exception of contractual planning costs,
Section 160-5.28(6), Florida Administrative Code, specifically
identified within the project agreement. Costs must be net of
all applicable credits such as purchase discounts, allowances,
sales of scrap and income from incidental services. The follow-
ing paragraphs identify eligible and ineligible costs for
reimbursement.
1. Contractual Services.
a. Eligible - Costs of work performed by private or
independent contractors that is directly related to the
accomplishment of the project for a project sponsor.
b. Ineligible - Costs for work performed by private or
independent contractors pursuant to cost plus or
contingency fee contracts including costs related to
obtaining program grant funds.
2. Material and Supplies.
a. Eligible - All costs of materials and supplies consumed
or expended in accomplishing the project including
direct purchases as well as withdrawals from the project
sponsor's stock.
b. Ineligible - Cost of small tools (shovels, saws, hammers,
drills, etc.) and clothing or uniforms worn by employees.
Operating expendables or replacement parts purchased for
project sponsor owned equipment used on the project.
3. Donated Services, Materials, Supplies, Equipment, or Property.
a. Eligible - With written authorization by the Depart-
ment's project administrator, Office Chief or Division
Director, and Executive Director, as evidenced by the
project agreement, the fair market value of donated or
purchased real property may be used in the program,
pursuant to Section 160-5.24, Florida Administrative
Code, as all or part of the project sponsor's obligation.
The project agreement shall clearly specify the method
for which values will be assigned to the real property.
b. Ineligible - Values assigned to any donated property,
materials or services used in accomplishing the project
except for real property as noted above.
4. In-Kind Services.
a. Ineligible - Expenses incurred by project sponsors for
personnel employed or equipment owned and maintained by
project sponsors.
5. Employee Benefits, Travel and Indirect Costs.
a. Ineligible - Expenses incurred by project sponsors for
employee benefits (FICA, health insurance, worker's
May 14. 1982
Page 2 of 10
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compensation, etc.), travel and per diem associated
with the project and indirect costs for general
operating expenses (telephones, postage, utilities,
etc.) and general administrative expenses (Personnel,
Purchasing, etc.)
b. Supporting Documentation
1. Contractual Services - Services provided for pro-
ject sponsors by private or independent contractors
shall be evidenced by formal agreements or contracts
executed by all appropriate parties specifying the
exact terms and conditions. Competitive bid specifi-
cations and actual bids received shall be maintained
by the project sponsor. The selection and awarding
o~ contractual services by the project sponsor shall
be subject to the Department's approval pursuant to
Section 16D-5.28(5), rlorida Administrative Code.
Appropriate records (i.e. contracts or invoices,
cancelled checks,. etc.) shall be maintained by project
sponsors to support work and/or services performed
through contractual services.
2. Materials and Supplies
a. Direct Purchases - Vendor invoices shall be
maintained that include a description of the
items and quantity purchased, unit cost and
total cost, less applicable discounts. Invoices
shall also contain the delivery date and signa-
ture of a project sponsor employee assigned to
work on the project along with a description of
the general use for such materials or supplies.
Purchase orders, requisitions, cancelled checks
and competitive bid documentation as applicable,
shall be maintained as evidence of payment for
such purchases.
b. Project Sponsor Stock - Materials or supplies
taken from a project sponsor's stock or inven-
tory shall be supported by material requisitions
or other job order/project cost records signed
by the storekeeper and the project sponsor
employee assigned to work on the project. These
source documents shall desc~ibe items in detail
and identify the general use of such materials
in the project. Appropriate records (i.e. vendor
invoices, cancelled checks, etc.) shall be main-
tained to support unit costs of the materials
based upon the project sponsor's normal method
of inventory valuation. No warehouse or over-
head charges added by the project sponsor shall
be allowed.
May 14, 1982
Page 3 of 10
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3. Real Property - Appraisals or other documentation
as required by the Department shall be maintained
and submitted for review to support values
established for purchased or donated real property.
c. Billing. The project sponsor shall submit the program
reimbursement request form, DNR Form 42-057, to the Depart-
ment in accordance with the program's funding formula de-
scribed in Section 160-5-24. (6), Florida Administrative
Code. This payment request form shall be accompanied by
the documentation or schedules specified below for those
!costs that are to be made directly to the project sponsor
upon approval of the Department's project administrator
and Office Chief or Division Director. A certification
of completion, DNR Form 42-057, by a registered architect
or engineer and the project sponsor's project administra-
tor shall be required prior to the final disbursement of
'funds, Section 160-5.28(5), Florida Administrative Code.
In addition, a certification shall be required prior to
the final disbursement of funds by the Department from
the project sponsor's purchasing official that all such
purchases for the project were made, at a minimum, in
accordance with the provisions of Chapter 287, Part I,
Florida Statutes and applicable Rules of the Florida
Administrative Code in effect at the time the purchases
were made.
1. Contractual Services - The Contractual Purchases
Schedule, DNR Form 42-062, shall accompany payment re-
quests for reimbursement of contractual purchases.
The contractor's name, check or voucher number, cost
and general discription of work performed shall be
reported to the Department.
2. Materials and Supplies.
a. Direct Purchases - The Direct Material Purchases
Schedule, DNR Form 15-034(16), shall accompany
payment requests for reimbursement of direct
material purchases. The vendor's name, check and
voucher number, cost, and general description of
items purchased shall be reported to the ~t.
b. Project Sponsor Stock - The Grantee Stock Material
Cost Schedule, DNR Form 15-035(16), shall accompany
payment requests for reimbursement of materials
utilized from the project sponsor's stock or in-
ventories. The material requisition data and num-
ber, general description or materials used and
applicable cost shall be reported to the De~t.
May 14, 1982
Page 4 of 10
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3. Real Property - Values established for purchased
ot real property, pursuant to Section 16-5.24,
Florida Administrative Code, shall be reported on
the payment request form only upon prior written
consent of the Department. The project sponsor
shall submit such documentation as required by the
De9~rtment to support the values established for
such property.
VI. Alternate Bil~ing Procedures.
a. The project sponsor may request advance written approval of the
Departme~t's project administrator to submit other available
accounting records in lieu of the specified Department forms,
provided such alternate records contain the same detailed
information as required above in Section V.
b. The project sponsor may request advance written approval of the
Department's project administrator to engage independent
Certified Public Accountants to provide a review and compila-
tion of project costs presented in the same general cost
categories as contained on the reimbursement request form,
DNR 42-057. Such statements shall be accepted in lieu of the
other specified Department forms required above for Section V,
only if payment requests are withheld by the project sponsor
until completion of the project and submitted with the CPA's
report. The additional cost incurred by the project sponsor
for this alternate billing method shall not be eligible for
reimbursement.
VII. Services Provided by Affiliated Agencies.
If services are obtained or materials purchased from subunits
or divisions of the project sponsor, such costs shall be supported
and billed in the same manner as required for the project sponsor
and reimbursement shall be requested by and made to the project
sponsor by the Department.
VIII. Record Retention and Audits.
(1) Project sponsors shall retain all records in support of the
project costs included in the payment requests for three fiscal
years (project sponsor) after the fiscal year in which final
payment was made by the Department to the project sponsor.
(2) All records of the project sponsor in support of the project
cost included in payment requests shall be subject to review
by the Department, the Auditor General, Comptroller, federal
auditors or others who may be authorized to audit the records
of the Department which involves the project sponsor.
May 14, 1982
Page 5 of 10
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IX. Forms.
Described below and attached are grant forms available to the
project sponsor from the Department. Copies may be obtained from
the Department. There is no cost involved in procurring any of
these forms:
DNR 42-057
5-81
Revised 6-16-81
DNR 42-065 ................
5-82
DNR 42-064 ................
5-82
DNR 42-062 ................
5-82
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Attachments
Florida Recreation Development
Assistance Program Reimburse-
ment Request Form
Direct Material Purchases Schedule
Project Sponsor Stock Material
COst Schedule
Contractual Purchases Schedule
May 14, 1982
Page 6 of 10
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:!.ORIDA D:::?AR'!:~~lT CF ~I^':t.~u.. ?":::SCtj~C:S
::'CRI::^ ?-Sc::?..E.;.':IC(1 JE:V::r.C?:-tnIT ;;SS~S':':;''tC: 5lRCG?X-1
R.imtursemen~ ?~e5C
1. Project Nane:
2. Project S9onsor:
3. Request ~hmU:.r:
4. Pay To:
5. Request ?eriod :overed:
6.
Cost
categories
a. Con~ract~~ Serlices
1) drehitectural;::ngi-
nearing and/or Cesign
Obligations
Since last ?~~~est
-
~otal Cbligations
to Date
2) Construction
b. purchased ~aterial
c. Totals
d. Amou."'lt of State Funds Requested
(1/3 or 2/3 of item 6C)*
DNR iJSE mIL:!
7. Ristor] of Gra..'1t Requests
Total
( 1)
State Share
(2 )
Local Share
(3)
a. Totals ~hi5 Request
b. C~ulative totals
to date
$
-
$
$-
$
$
$
8. a.
b.
c.
Total runds Approved fer State Grant
Total State Funds ?aid Columr. 7b (2)
3alar.ce of State Grant
$
s
s
L
9. Certification:
I certify that this request is correct and just and is based u~on
actual obligations 0# record ~y the ?roject Sponsor; that tbis request and'
suppor~ing ~oc~en~a~icn is recorded L"'l ehe ?ro:ect Sponsor's ?ublic reccrds;
that ?a:~ent :ron tn, State has noe been received; ehat the work and services
are in accordance with the Florida Depar~~en~ of Natural ~esources" ap?roved
project agreement including any ~en~ents thereto; and that progress of the
'NOrk and services '~der the project agreemene are satis=actqry and are consis-
~ent wi~~ the ancu."'lt ~equested.
A~~horized L~aison Asent
CJata
';u~hori=ed =i~a-'1c:..al Of::icer
Date
Di=ec!:~r
Dats
Civi3ion of ~ecreaticn and ?ar~3
or AU~'lori=ec ;;'e?resantat:.i':e
'S~e =9ve~se 5i~a ~c= irls~=~c~~~~s)
~ay 14, 1982
Page 7 of 10
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:~S~'?t:C":'! ':NS
1. Sal=~:~lanator:.
2. Project spcnsor - P~ace ~~e ~~e of ~~e eligible goverr~ental agency
receiving ~ir.ancial assistance.
3. R.eq"J.est ~Iu:r~r - Eac::. r:q~est s~ou:d ::e ~unbered sta~i.ng '",it:.::' the
ncr..cer one (1). I~ t:-.i.3 is t~e last billing, specify ";-1.nal".
~. Pay t~ _ ?lace the name 0= t~e ~roject 59onsor exac~ly as it:. ~ishas
the State 'Na:r~t to be ~ace pAyable.
5. Request Period Covered - Note t~e dates of t~e pericd :rom che l~st
reques~ to the current req~es~. Expenses incurred agaL~st the
current re~e5t must fall wi~~ ~~s ~eriod.
6. Items L~ this section are to ~ displayed L~ ~~ (2) ~L~ categories
as shown in column headings:
a. Self-explanato:y.
b. Selt-explanaterf.
c. Totals - ,..men ~~taling under '''!'otal Obligations to Date" colu.-m -
L~cluce acount in c~rent request.
d. This will de~end upon the type of project--usar-oriented (1/3) I
resource-based (2/3), combination (1/3). The state :'~ds
requested must not exceed these ratios.
. If t:.e total -required local share is to be co~itted in
cash to project construction, these ratios must be adhered
to with each reL~ursement request. I~ all or ?art:. of the
local share is to be ccmmitted in land value (purchase 0:
donation) ~~ese ratios do net a~ply. However, State :unds
will :e released only for ?roject costs incurred ~~ to
the amount of do~~ented expendit~es :or items 6. a or ~.
7 -0. DNR OIT!CE CSE om.'!
9. Sel=-e~l.ma':o:y.!
!
The signat~e space belo'oII the double lines is :0: t;-.e De9ar-...::.ent
of ~ia':~al ~sou::ces ;use.
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DEPARTMENT OF NATURAL RESOURCES
DIRECT MATERIAL PURCHASES SCHEDULE
(Date)
(Project)
(Grantee)
Billing Period
DNR Division
Billing I
DNR Program
Vendor Name
Check Number
and Date
General
Description
Cost
-
-
TOTAL
$
Certification: I hereby certify that the
purchases noted above were used in accomplishing
the project.
Certification: I hereby certify that invoices, cancelled checks, and
other purchasing documentation have been maintained as required to
support the costs reported above and are available for audit upon
request.
Project Administrator
DNR 42-065
. ,}-82
Date
Project Financial Officer
Date
May 14, 1982
Page 8 of 10
l
.~_~;~-x,:'-','.~'~ p',- -
DEPARTMENT OF NATURAL RESOURCES.
PROJECT SPONSOR STOCK MATERIAL COST SCHEDULE
(Date)
(Grantee)
Billing Period:
Division:
Material Requisition
Date Number
Certification: I hereby certify that the materials
reported above were used in accomplishing this project.
Project Administrator
'DNR
42-064
5-82
Date
(Project)
Billing t:
DNR Program:
General Description
TOTAL
Material Cost
$
-
-
Certification: I hereby certify that detailed material reqUISI-
tions, job order costs sheets, cost allocation records and other
appropriate documentation have been maintained as required to
support the material costs claimed above and are available for
audit upon request.
Project Financial Officer
Date
May 14, 1982
Page 9 of 10
-"t
.,. ~;~-~:;/~:.~ -:_,~~. ;':>::-:i--.' -<.~ -:~~?,.';;.. . ."--~ .. ...~~--,-"",,"-~:;";-
(Grantee)
Billing Period
DNR Division
Vendor Name
Check Number
and Date
TOTAL
Certification: I hereby certify that the
purchases noted above were used in accomplishing
the project.
. Project Administrator
Date
DNR ~4-2-062
~"'B2
DEPARTMENT OF NATURAL RESOURCES
CONTRACTUAL PURCHASES SCHEDULE
(Date)
(Project)
Billing t
DNR Program
."'.
.-.
~
~
Cost
Gen~ra:J,
Descr1pt1on
-
$
-
Certification: I hereby certify that invoices, cancelled checks, and
other purchasing documentation have been maintained as required to
support the costs reported above and are available for audit upon
request.
Project Financial Officer
Date
May 14, 1982
Page 10 of 10