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ATTACHMENT E <br />JUSTIFICATION OF ADVANCE PAYMENT <br />SUB -RECIPIENT: <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />,YAN L. BUTLER, CLERK <br />Requests for an advance shall be submitted at the time of agreement execution or approval of the EHP, <br />if required. If you are requesting an advance, indicate same by checking the box below and completing <br />the Estimated Expenses table. <br />[ ] ADVANCE REQUESTED (Maximum request amount may not exceed fifty percent.) <br />Advance payment of $ is requested. Balance of payments will be made on a reimbursement <br />basis. This advance will be used on equipment specific projects within the budget of the agreement. We would <br />not be able to operate the program without this advance. <br />ESTIMATED EXPENSES <br />Project Days to complete Funding amount requested <br />LINE -ITEM JUSTIFICATION (For each line item, provide a detailed justification explaining the need for the <br />cash advance. The justification shall include supporting documentation that clearly shows the advance shall <br />be expended within the first ninety (90) days of the contract term or approval of the EHP, if required. Support <br />documentation should include but is not limited to the following: quotes for purchases, delivery timelines, <br />salary and expense projections, etc. to provide the Division reasonable and necessary justification. Any <br />advance funds not expended within the specified timeframe shall be returned to the Division Cashier, 2555 <br />Shumard Oak Boulevard, Tallahassee, Florida 32399, within thirty (30) days, along with any interest earned on <br />the advance) <br />*REQUESTS FOR ADVANCE PAYMENTS SHALL BE CONSIDERED ON A CASE-BY-CASE BASIS* <br />**EHP SHALL BE COMPLETED AND APPROVED BY FEMA PRIOR TO ADVANCE** <br />Signature of Sub -Recipient <br />Name and Title of Sub -Recipient <br />63 <br />Date: <br />