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ATTACHMENT F <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 CATEGORY/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 <br /> • <br /> the cash advance. The justification must include supporting documentation that clearly shows the advance <br /> will be expended within the first ninety(90)days of the contract term. Support documentation should <br /> include quotes for purchases,delivery timelines,salary and expense projections,etc. to provide the Division <br /> reasonable and necessary support that the advance will be expended within the first ninety(90)days of the <br /> contract term. Any advance funds not expended within the first ninety(90)days of the contract term shall be <br /> returned to the Division Cashier,2555 Shumard Oak Boulevard,Tallahassee, Florida 32399,within thirty <br /> (30)days of receipt,along with any interest earned on the advance) <br /> 28 <br />