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INDIAN RIVER COUNTY <br />THIS 18 TO.CERTIFYTHAT THIS A TRUE AND CORRECT <br />COPY E ORIO IAL ON FILE N THIS E. <br />4JEFY R IT <br />BY D.C. FWC Agreement No. 21255 <br />DATE <br />IN WITNESS WHEREOF, the Parties hereto have caused this Agreement to be executed through their <br />duly authorized signatories on the day and year last written below. <br />Indian River County Board of County <br />Commissioners <br />Signature <br />•. 9 <br />Name: Peter D. O'Bryan `'•:f'Riyrtn'rnUN <br />Title: Chairman <br />Date: March 15, 2022 <br />APPROVED AS *70, FORM <br />BY- <br />I�., ms's -)LD <br />Attachments in this Agreement include the following: <br />Florida Fish and Wildlife Conservation <br />Commission <br />Executive Director (or designee) <br />Name: <br />Title: <br />Date: <br />Approved as to form and legality: <br />FWC Attey Signature <br />Attachment <br />A <br />Scope of Work <br />Attachment <br />B <br />Requirements of the Federal and Florida Single Audit Acts <br />Exhibit <br />1 <br />Federal and State Funding Detail <br />Attachment <br />C <br />Cost Reimbursement Contract Payment Requirements <br />Attachment <br />D <br />Derelict Vessel Removal Best Management Practices <br />Attachment <br />E <br />Letter of Return on Investment for the State <br />Attachment <br />F <br />Sample Invoice Form <br />Attachment <br />G <br />Monthly Progress Report <br />Attachment <br />H <br />Certificate of Completion <br />Attachment <br />I <br />Required Documents Submission List <br />Attachment <br />J <br />DV Grant Monitoring Guidelines <br />Attest. Jeffrey R. Smith, Clerk of <br />Cir rt and Comptroller <br />81►' . <br />Deputy Clerk <br />GRANT - GOVERNMENTAL ENTITY June 2019 Page 20 of 20 <br />