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DIVISION OF EMERGENCY MANAGEMENT <br /> PROJECT MILESTONES AND DELIVERABLES <br /> FORM 4C <br /> THIS IS A REQUIRED DOCUMENT AND MUST BE SUBMITTED WITH EACH REQUEST FOR REIMBURSEMENT <br /> ITB RFP ITN Single/Sole Source Emergency Other : N /A <br /> If applicable, please ( Cost Analysis ) Certification Specify <br /> select the procurement Method of <br /> method(s ) associated Procurement : F : F f_ t— . f- r_ <br /> with this request. <br /> Categories Funds Expended (This Request) <br /> 1 . Planning Costs <br /> 2 , Training Costs <br /> 3 . Exercise Costs <br /> 4 . Equipment Costs <br /> 5 , Management and Administration Costs <br /> ( limited to 5 % of the total award ) <br /> TOTALSI $ 0 . 00 <br /> Deliverables should be : <br /> * Directly related to * Used to measure *Specific , Quantifiable , Measureable * Events that *A necessary part of <br /> the scope progress & Verifiable trigger your performance <br /> payment <br /> NARRATIVE SUMMARY OF EXPENDITURES <br /> Deliverables Including - Minimum Performance Standards <br /> This information must be clearly linked to the project TIM ELINE „ DELIVERABLES AND SCOPE OF WORK: <br /> AGENCY MANAGEMENT CERTIFICATION : <br /> I certify , by evidence of my signature below, the above information is true and correct ; and accurately reflects the <br /> terms <br /> and conditions of the executed agreement on file . I understand that the FDEM reserves the right to require additional <br /> documentation and/or conduct periodic post-audits of any agreement . <br /> Management Name Printed Management Signature Date : <br />