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Attachment G <br /> JUSTIFICATION OF ADVANCE PAYMENT <br /> RECIPIENT : <br /> If you are requesting an advance, indicate same by checking the box below. <br /> [ ] ADVANCE REQUESTED <br /> Advance payment of $ is requested. Balance of <br /> payments will be made on a reimbursement basis . These funds are <br /> needed to pay staff, award benefits to clients , duplicate forms and <br /> purchase start-up supplies and equipment. We would not be able to <br /> operate the program without this advance . <br /> If you are requesting an advance, complete the following chart and line item justification below. <br /> ESTIMATED EXPENSES <br /> BUDGET CATEGORV/LINE ITEMS 20_-20_ Anticipated Expenditures for First Three Months of <br /> (list applicable line items) Contract <br /> For example <br /> ADMINISTRATIVE COSTS <br /> (Include Secondary Administration.) <br /> For example <br /> PROGRAM EXPENSES <br /> TOTAL EXPENSES <br /> LINE ITEM JUSTIFICATION (For each line item, provide a detailed justification explaining the need for the cash <br /> advance. The justification must include supporting documentation that clearly shows the advance will be expended <br /> within the first ninety (90) days of the contract term. Support documentation should include quotes for purchases, <br /> delivery timelines, salary and expense projections, etc. to provide the Division reasonable and necessary support that <br /> the advance will be expended within the first ninety (90) days of the contract term. Any advance funds not expended <br /> within the first ninety (90) days of the contract term shall be returned to the Division Cashier, 2555 Shumard Oak <br /> Boulevard, Tallahassee, Florida 32399, within thirty (30) days of receipt, along with any interest earned on the <br /> advance) <br /> 25 <br />