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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />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 fifteen (15) days <br />of each quarter's end date. <br />SUB -RECIPIENT: INDIAN RIVER COUNTY <br />PROJECT TYPE: Elevation <br />PROGRAM: Hazard Mitigation Grant Program <br />PROJECT #: 4283-91-R <br />II <br />CONTRACT #: H0566 <br />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: <br />Estimated Project Completion Date: <br />Contract Expiration Date: <br />Project Proceeding on Schedule? ❑ Yes ❑ No (If No, please describe under Issues below) <br />Percentage of Work Completed (maybe 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 estimated dates) <br />Milestone 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 anytime. <br />Events may occur between quartedy reports, which have significant impact upon your project(s), such as anticipated <br />oven-uns, changes in scope of work, etc. Please contact the Division as soon as these conditions become known, <br />otherwise you may be found non-compliant with your sub grant award. <br />Person Completing Form: <br />Date Reviewed. <br />Actions: <br />— To be completed by Division staff — <br />Reviewer. <br />49 <br />Phone: <br />