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FY 2022 — 2023 EMPA AGREEMENT <br />ATTACHMENT F -REPORTING FORMS <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />2022-2023 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT - EMPA <br />DIVISION FORM 113 - QUARTERLY TASKS <br />Emergency Management Personnel <br />RECIPIENT: <br />QUARTER: July 1 - Sept 30 <br />EM Funded Staff Name & Position Title <br />DELIVERABLES/TASK REQUIREMENTS <br />T1: Proude Diusion Exhibit 3, certification of a full-time <br />Emergency Management Director <br />(Qt, any updates Q2 -Q4) <br />T1: Proude Diusion Form 4 - Staffing Detail and position <br />descriptions for funded emergency management staff. <br />(Q1, any updates Q2-04) <br />T2: Proude Diusion Forth 3 - Local Budget Match Requirement. <br />(Q2, any updates Q3-04) <br />T2: Submit a copy of the current and accurate County <br />Emergency Management Local Budget (General Revenue) <br />including the budget approwl date (02, any updates Q3-04) <br />T2: Submit a copy of the local EM general re%enue expenditure <br />(general ledger) report (02, any updates 03-04) <br />T3: Response Capabilities- Completean inventory of portable <br />generators owned by the local go%emmenls which are capable of <br />operating during a major disaster on the WEBEOC Equipment <br />Imentory board no later than March 31, 2023. (03, any <br />updates Q4) <br />COMMENTS <br />Use for a)planation that <br />supports Training & Exercise <br />progression. <br />By signing this report, I certify to the best ofmy knowledge and belief that the report is true, complete, accurate and the expenditures, disbursements and <br />cash receipts are for the purposes and objectives set forth in the conditions of the 2022.2023 EMPA agreement. <br />SIGNATURE: <br />AUTHORIZED REPRESENTATIVE <br />PRINTED NAME: <br />TITLE: <br />DATE: <br />53 <br />