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ATTACHMENT G - REPORTING FORMS <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />2020.2021 EMERGENCY MANAGEMENT PERFORMANCE GRANT, COVID-19 Supplemental <br />DIVISION FORM 16 - QUARTERLY TASKS <br />SUS.RECIPIENT: <br />QUARTER: duly 1 - Sept. 30 <br />EWG-S Emergency Management Personnel <br />EM Env". Name 6 Posewn Title <br />I <br />3 <br />s <br />5 <br />b <br />8 <br />9 <br />10 <br />if <br />13 <br />13 <br />15 <br />T1 Submit Division Foran 3A - Quarterly Match to identdy the <br />non-federal match amount For those Sub- recipients using <br />local funds to sabsythe match requirement, supponm9 <br />documentation is required vvth the form to support match <br />amount reported <br />(Due 011 <br />Provide the EMPG.S COVID-19 Activity Log Form 38 <br />ling acbvrbes the Sub+eeipienl has conducted at sub <br />duct throughout the pend ofpeAormance. Exampksof <br />cines are lotted below. but nM 1-"&d to <br />-Emergency Operations Center activities to mctude etlgC:c• <br />Overtime <br />'PufchaseldlslnbubOn of Personal Protective Equipment <br />tPPE) and Other Equipment <br />-Planning/Contracted Services <br />Training and Exercise Activities <br />'•information Sharing <br />-Other Authonted EQuipmem <br />•Facibty Orsmfecbon IEOC. Shelters and other EM facdd,esi <br />•OmeractNAles related to CCMO-19 <br />-Community Feeding Support (Transportation. Meal <br />Purchases) <br />(Due Q1 Qd) <br />COMMENTS <br />-., .. ..; ...!r. b me bw of W&.Nw "owb"owill.rpad40Yx[cavaArlq «eaaa+rllt arta asee +cr:>... a.. roruwrrr»oBas l,o uo.esuec <br />- . r :ro coma aao mN.ioiwMale Alersa+awew r ao BnBre aMrl r9^+Meb efaaeva a aadrAM+Blormalnt d ele amYar orrnr r+slvMraci 'M' Bugecr ma b <br />�r, awaraeasneaepvewtaAlvetbMue. haxr •xlsanalR atMBOYSMorblbarrnee (YS COW Tis � SYcaoA rdQt W Tara 7r, AncnB 3T74.]73o arq <br />91GNA1URE <br />AUTHORIZED <br />PRINTED NAW <br />TITLE <br />DATE <br />54 <br />