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ATTACHMENT G — REPORTING FORMS <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />EMERGENCY MANAGEMENT PERFORMANCE GRANT PROGRAM, COVIO-19 Supplemental <br />2020.2021 EMPG-S REPORTING FORMS <br />2020.2021 QUARTERLY REPORTING FORMS <br />QUARTERLY REPORTS INCLUDE: DIVISION Farm 1A - Quarterty Financial Report, DIVISION Form 18 - Quarterly Tasks, DIVISION <br />Forms 2A 6 28 Detail of Claims and DIVISION Farm 5 -Time and Effort (if applicable). <br />I These rams are to be submitted to the Division each quarter <br />2 Complete Division Form 1A - Quarterly Financial Report by entering ak mfurmatim needed to support the clam for rembursement <br />sign and date Include a descnphro narrow. outhnmg quarterlyprogress events delays in the section provided <br />3 Complete Division Form 18 - Quarterly Tasks to support that deliverables and tasks ere being competed as requ.red throughout the <br />period of performance. sign and date. <br />4 The Division Form 2A - Detail of Claus 8 Division Form 2B - Detail of Claims (Salaries 8 Fringe) forms must accompany the <br />Division Farm to - Quarterly Financial Report each quarter <br />5 The Division Form 1A - Quarterly Financial Report form must be signed by the gram manager or someone with equal authority <br />6 Claims for rehmbursemmk may be submitted by erneil to the app -P-10 DNrsidn Grant Manager according to apphcabie region or at the <br />address belay <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />2555 SFIUMARD OAK BOULEVARD <br />TALLAHASSEE. FLORIDA 32399.2100 <br />Attn: (Division Grant Manage,) <br />Division Form 3A - Quarterly Match: <br />1 The 2020.2021 EMPG-S agreement has a 50% Federal and 50% Local match requirement Unless othervnse authorusd by taw. <br />Federal funds cannot be matched with other Federal funds. The Division Form 3A - OurerieAy Match Form shall be subrrutled to the <br />Dnesion each quarter to identify the non-federal match amount The Sub -Recipient must provide supporMg documerhtation of matching <br />lands p e I—— receipts paystubsearning ttalaamama cancelled chaeks credit card etatamenh hank valemarax ate ). when <br />using Local funds to satisfy the match requirement Cost-muctmil requirements shag be in accordance with 2 C.F.R. part 200.306. <br />Match contributions must be veritable. reasonable aawvabte. allocable and necessary under the grant program and must comply lwth <br />all Federal requirements and regulations. <br />Division Form 38 - Activity Log: <br />1 ProvMs the EMPG-S COVID-19 Acbmy Log Forth 3B outknehg aammes the Sub -recipient has conducted or mil conduct throughout the <br />period of performence The Dmsion Form 38 shall be submMed to the Division each quarter <br />2. Proposed staling acts lies must be linked to accomphshing the actimbes outlined in the EMPG-S COVID- f9 Acbmy Log <br />Division Form 4 - Staffing Detail: <br />1. List EMPG funded Emergency Management Agency staff Prowde a total anticipated annual amount of Salanes and Bmefd%to be paid <br />tar each position Provide the funding distribution amount or percentage in each applicable columni. local, state federal etc Please <br />provide the Drms,on updates to this form as necessary <br />2 Along with the Division Fors 4 - Stalling Detail pleas* Prowde poubm descnpbons for EMPG funded stall <br />3. Along with the Division Form a. Staffing D*tail. please provide dOCUrnriled Policies for any (ming. benefits incentives or special pay to <br />be claimed through the Went <br />Division Form 5 - Close Out Repon: <br />1 The Dmsion Form S. Gose Out Report is due wthm iwy t00) days after the Period of agreement ands. Th*2020,,2021 EMPG s <br />agreement has a 50% Federal and SOX Local match requirement The appropriate Local match supporting documentation It.9 <br />undoesrecerPhpeystubs, sematg staterrynts cancelled checks. credit card statementsbank statements. etc.) shall be Provided to <br />the Division along vnth the Farm 5. Close Out Report <br />2. The agreement cannot be erinsdwod closed until the Division Form 5 - Close Out Report has been recawed and approved by the <br />amsim <br />Division Form 6 - Time and Effort: <br />I. Provide copes of certified LmoshaNs win employee and supervisor %grrelure documenting hours worked or Division Farm 6 - Tm* <br />and Effort. The form must account for 100% of the hours claimed for remburemmt each quarter. <br />EMPG-S Program NOFO <br />I Conustent whin 2 C F R Pad 200 none of the funds awarded under this Agreement may duplicate the same cosh already ped for with <br />fundng loom FEMA's Pubhc Assistance Program or any otrer Federal program. tin add tin, croshsteM wM section C.4. - Cosi Sham of <br />the Elill NOFO. fundng is not eligible to be used to pay the non -Federal cost share under other Federal grant programs andfor pay <br />back bans with the Federal government- unless expressly allowed under the terms or the Federal award. <br />Required doctanentocion to support project aapenditures: <br />I SubReeipents shall maintain a geritranancial file wt h copies ofsuppomng doeumemobon for *it pad Pro}ectrprogrom eypend4ures <br />claimed dung Me grim perrod Documentation of expendNrres clamed for reimbursement through the grant will be removed and <br />ven6ed by Division staff. Acceptable documentation includes copes of purchase orders and pad vouchers, pad invoices in cancelled <br />check$, tereShOWS and payroll vouchers, loumal trm$Joys. credit card and bank statements. etc The$* documents should be <br />submitted when requesting l.mbursem*nl <br />2. Ali clams for reimbursement shall be submitted on the approved the Orvlsien Quartery, Financial Reporting tams Clercs not <br />submitted on the proper forms or that are unsupported byprOPW documentation will not be processed and unit be returned for addmonal <br />support <br />3 Please insure that the documentation submitted for review is legible <br />4 Please vent' rpm calculations td accuracy before submitting to the Dmision for resew each quarter <br />52 <br />