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Attachment F <br />DIVISION OF EMERGENCY MANAGEMENT <br />HAZARD MITIGATION GRANT PROGRAM <br />QUARTERLY REPORT FORM <br />Instructions: Complete and submit this form to the appropriate Project Manager within 15 days of each quarter's end date. <br />SUB -RECIPIENT: INDIAN RIVER COUNTY PROJECT #: 4283-95-R <br />PROJECT TYPE: WILDFIRE MITIGATION CONTRACT #: H0259 <br />PROGRAM: Hazard Mitigation Grant Program QUARTER ENDING: <br />Advance Payment Information: <br />Advance Received ❑ N/A ❑ Amount: $ Advance Settled? Yes ❑ No ❑ <br />Provide reimbursement Projections for this project (projections may change): <br />Jul -Sep 20_ $ Oct -Dec 20_ $ Jan -Mar 20_ $ Apr -Jun 20_ $ <br />Target Dates: <br />Contract Initiation Date: Contract Expiration Date: <br />Estimated Project Completion Date: <br />Project Proceeding on Schedule? ❑ Yes ❑ No (If No, please describe under Issues below) <br />Percentage of Work Completed (may be confirmed by state inspectors): % <br />Describe Milestones achieved during this quarter: <br />Provide a Schedule for the remainder of work to project completion: (Milestones from Contract with <br />estimated dates) <br />Milestone <br />Date <br />Describe Issues or circumstances affecting completion date, milestones, scope of work, and/or cost: <br />Cost Status: ❑ Cost Unchanged ❑ Under Budget ❑ Over Budget <br />Additional Comments/Elaboration: <br />NOTE: Division of Emergency Management (DEM) staff may perform interim inspections and/or audits at any time. Events <br />may occur between quarterly reports, which have significant impact upon your project(s), such as anticipated overruns, <br />changes in scope of work, etc. Please contact the Division as soon as these conditions become known, otherwise you may <br />be found non-compliant with your sub grant award. <br />Person Completing Form: Phone: <br />Date Reviewed: <br />Actions: <br />-- To be completed by Division staff — <br />Reviewer: <br />176 <br />