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FY 2020—2021 EMPA AGREEMENT <br /> ATTACHMENT B <br /> JUSTIFICATION OF ADVANCE PAYMENT <br /> Indicate by checking one of the items below if you are requesting an advance.An advance payment <br /> under this Agreement is subject to section 216.181(16), Florida Statutes. <br /> NO ADVANCE PAYMENT REQUESTED Check here: X <br /> Payment will be solely on a reimbursement basis. No Additional information is required. <br /> ADVANCE REQUESTED Check here: <br /> Advance payment of$ is requested. Balance of payments will be made on <br /> a reimbursement basis. These funds are needed to pay staff, award benefits to clients, and <br /> purchase supplies and equipment. Recipient would not be able to operate the program <br /> without this advance. <br /> ADVANCE CALCULATION <br /> If you are requesting an advance, complete the following chart and line item justification below. <br /> BUDGET CATEGORY/LINE ITEMS 20_-20 Anticipated Expenditures for First Three <br /> (list applicable line items) Months of Contract <br /> For example <br /> ADMINISTRATIVE COSTS <br /> (Include Secondary <br /> Administration.) <br /> For example <br /> PROGRAM EXPENSES <br /> TOTAL EXPENSES <br /> LINE ITEM JUSTIFICATION <br /> For each line item, provide a detailed justification explaining the need for the cash advance.The <br /> justification must include supporting documentation that clearly shows the advance will be <br /> 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 <br /> the Division reasonable and necessary support that the advance will be expended within the first <br /> ninety(90) days of the contract term.Any advance funds not expended within the first ninety(90) <br /> days of the contract term shall be returned to the Division Cashier, 2555 Shumard Oak Boulevard, <br /> Tallahassee, Florida 32399, within thirty(30) days of receipt, along with any interest earned on the <br /> advance. <br /> 45 <br />