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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />Attachment 1 <br />Reimbursement Checklist <br />Please Note: FDEM reserves the right to update this check list throughout the life of the grant to <br />ensure compliance with applicable federal and state rules and regulations. <br />Equipment <br />[i 1. Have all invoices been included? <br />7 2. Has an AEL # been identified for each purchase? <br />o <br />o <br />3. If service/warranty expenses are listed, are they only for the performance period of the <br />grant? <br />4. Has proof of payment been included? (E.g. canceled check, Electronic Funds Transfer <br />(EFT) confirmation, or P -Card back up documentation which will include receipt with <br />vendor, copy of credit card statement showing expense charged, and payment to credit <br />card company for that statement) <br />5. If EHP form needed — has copy of it and approval from State/DHS been included? <br />Planning <br />Consultants/Contractors (Note: this applies to contractors also billed under Organization) <br />1. Does the amount billed by consultant add up correctly? <br />El <br />El <br />❑ 6. <br />2. Has all appropriate documentation to denote hours worked been properly signed? <br />3. Have copies of all planning materials and work product (e.g. meeting documents, copies <br />of plans) been included? (If a meeting was held by recipient or contractor/consultant of <br />recipient, an agenda and signup sheet with meeting date must be included). <br />4. Has the invoice from consultant/contrator been included? <br />5. Has proof of payment been included? (E.g. canceled check, Electronic Funds Transfer <br />(EFT) confirmation, or P -Card back up documentation which will include receipt with <br />vendor, copy of credit card statement showing expense charged, and payment to credit <br />card Company for that statement). <br />Has Attachment G (found within Agreement with FDEM) been completed for this <br />consultant and included in the reimbursement package? <br />Salary Positions (Note: this applies to positions billed under M&A and Organization as well) <br />Ti 1. Have the following been provided: signed time sheet by employee and supervisor and <br />proof that employee was paid for time worked (statement of earnings, copy of payroll <br />check or payroll register)? Has a time period summary sheet been included for total <br />claimed amount? <br />2. Does the back-up documentation provided match the time period for which <br />reimbursement is being requested? <br />Training <br />❑ 1. Is the course DHS approved? Is there a course or catalog number? If not, has FDEM <br />approved the non -DHS training? Is supporting documentation included your <br />reimbursement request? <br />37 <br />