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STATE OF FLORIDA <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />Exhibit A <br />Progress Report Form <br />DEP Agreement No.: <br />WG023 <br />Project Title: <br />Floravon Shores Septic to Sewer Conversion <br />Grantee Name: <br />Indian River County <br />Grantee's Grant Manager: <br />Reporting Period: <br />I Select Quarter - Select Year <br />Provide the followine information for all tasks identified in the Grant Work Plan: <br />Summarize the work completed within each task for the reporting period, provide an update on the estimated <br />completion date for each task, and identify any anticipated delays or problems encountered. Use the format <br />provided below and use as many pages as necessary to cover all tasks. Each quarterly progress report is due <br />no later than twenty (20) days following the completion of the quarterly reporting period. <br />Task 1: Select Task Title <br />■ Progress for this reporting period: <br />■ Identify delays or problems encountered: <br />Task 2: Select Task Title <br />■ Progress for this reporting period: <br />■ Identify delays or problems encountered: <br />Task 3: Select Task Title <br />■ Progress for this reporting period: <br />■ Identifv delays or problems encountered: <br />Task 4: Select Task Title <br />■ Progress for this reporting period: <br />■ Identify delays or problems encountered: <br />Task 5: Select Task Title <br />■ Progress for this reporting period: <br />■ Identify delays or problems encountered: <br />Exhibit A, Page 1 of 2 <br />Rev. 2/3/22 <br />