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FY 2022 - 2023 EMPA AGREEMENT <br />ATTACHMENT F -REPORTING FORMS <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />EMERGENCY MANAGEMENT PREAPAREDNESS AND ASSISTANCE GRANT PROGRAM <br />2022-2023 EMPA REPORTING FORMS <br />2022-2023 QUARTERLY REPORTING FORMS <br />QUARTERLY REPORTS INCLUDE: Dvision Form 1A - Quarterly Financial Report, Division Form 1B - Quarterly Tasks, Division <br />Forms 2A & 213 Detail of Claims <br />F1. These forms are to be submitted to Division each quarter. <br />F2. Complete Division Form 1A - Quarterly Financial Report by entering all information needed to support the claim for reimbursement, <br />sign and date. Include a narrative in the box. Outlines of quarterly events, nor calendars will sulfite for the required narrative. <br />F'3. Complete Division Form 1B - Quarterly Tasks to support that deliverables and tasks are being completed as required throughout the <br />agreement, sign and date. <br />"4. The Division For 1A - Quarterly Financial Report form must be signed by the grant manager or someone with equal authority. <br />F5. The Division Form 2A & 213 Detail of Claims fors must accompany the Division Form 1A - Quarterly Financial Report each quarter. <br />"6. Deliverables and Claims for reimbursement may be submitted via Salesforce or by email to the appropriate Division Grant Manager <br />according to applicable region. <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />2555 SHUMARD OAK BOULEVARD <br />TALLAHASSEE, FLORIDA 32399-2100 <br />Attn: (Division Grant Manager) <br />"T It is the responsibility of the Recipient to properly notify the assigned Division Grant Manger when they upload required documentation <br />to Salesforce or required platform. The Division is not responsible for delays to claim processing due to failure to notify the Division <br />Grant Manager of document submissions via Salesforce. <br />DIVISION Form 3 - Local Budget Match: <br />r1 The Division For 3 - Local Budget Match must be submitted to the Division in Quarter 2 submission. <br />r2. EMPA grants shall be matched at an amount equal to the average of the last three years' level of county general revenue funding of <br />the County Emergency Management Agency or the level of funding for the County Emergency Management Agency for the last fiscal <br />year, whichever figure is lower. <br />1`3. Division For 3 - Local Budget Match Requirement shall be submitted to the Division when the local county budget is approved or by <br />November 15, 2022. The County shall provide a copy of the current Emergency Management Local Budget (General Revenue) <br />including approved budget date. If a Recipient's county's current local budget is lower then the previous year, or the average of the last <br />three previous years, the recipient shall request a Waiver no later than 45 days after the county budget is approved. <br />DIVISION Form 4 - Staffing Detail: <br />�1. List ALL Emergency Management Agency staff, regardless of funding. Provide a total anticipated annual amount of Salaries and <br />Benefits to be paid for each position. This for is due no later than November 15, 2022 or along with 1st quarter reimbursement <br />submission, whichever occurs first. Please protide the Division updates to this for as necessary. <br />0'2. Along with Division For 4 - Staffing Detail, please protide position descriptions for EMPA funded staff. <br />r3. Along with the Division For 4- Staffing Detail, please provide documented policies for any fringe benefits, incentives or special pay to <br />be claimed through the grant. <br />DIVISION Form 5 - Close Out Report: <br />F1. The Division For 5 - Close Out Report is due sixty (60) days after termination of this Agreement by August 30, 2023, or 60 days <br />after completion of activities contained in this agreement, whichever occurs first. Before submitting the Division For 5 - Close Out <br />Report, please verify that the local general revenue budget match amount as reported on Division For 3 - Local Budget Match, has <br />not changed since originally reported to the Division. If a difference is found please immediately notify the Division in writing of the <br />discrepancy and provide a detailed justification for the change accompanied by supporting documentation. <br />r2. The agreement cannot be considered closed until the Division For 5 - Close Out Report has been received and approved by the <br />Division. <br />Required documentation to support project expenditures: <br />r1. Recipients shall maintain a grant/financial file with copies of supporting documentation for all paid project/program expenditures <br />claimed during the grant period. Documentation of expenditures claimed for reimbursement through the grant will be reviewed and <br />verified by Division staff. Acceptable documentation includes copies of purchase orders and paid vouchers, paid invoices or cancelled <br />checks, paystubs, journal transfers, credit card and bank statements, etc. These documents should be submitted when requesting <br />reimbursement. <br />V2. All claims for reimbursement shall be submitted on the approved Division Quarterly Financial Reporting fors. Claims not submitted <br />on the proper fors or that are unsupported by proper documentation will not be processed and will be returned for additional <br />support. <br />�3. Please ensure that the documentation submitted for review is legible. <br />r4. Please verify for calculations for accuracy before submitting to the Division for review each quarter. <br />51 <br />