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2009-292
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2009-292
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Last modified
3/16/2016 10:40:52 AM
Creation date
10/1/2015 3:57:44 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Second Amendment
Approved Date
11/10/2009
Control Number
2009-292
Agenda Item Number
8.J.
Entity Name
Florida Department of Environmental Protection
Subject
Amendment to Grant Agreement Ambersand Beach Nourishment
Area
Ambersand Beach Sectors 1 and 2
Project Number
Grant #071R3
Supplemental fields
SmeadsoftID
10864
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Lv C_- - <br /> ATTACHMENT D,31a <br /> FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION <br /> BEACH MANAGEMENT FUNDING ASSISTANCE PROGRAM <br /> REQUEST FOR PAYMENT — PART I <br /> PAYMENT SUMMARY <br /> Name of Project : AMBERSAND BEACH NOURISHMENT <br /> Grantee : INDIAN RIVER COUNTY DEP Contract Number : 07IR3 <br /> Billing Number : Billing Period : <br /> Billing Type : ❑ Interim Billing ❑ Final Billing <br /> Costs Incurred This Payment Request : <br /> Federal Share * State Share Local Share Total <br /> * if applicable <br /> Cost Summary : <br /> State Funds Obligated $ Local Funds Obligated $ <br /> Less Advance Pay $ Less Advance Pay $ <br /> Less Previous Payment $ Less Previous Credits $ <br /> Less Previous Retained $ <br /> Less This Payment $. Less This Credit $ <br /> Less This Retainage ( 10%) $ Local Funds Remaining $ <br /> State Funds Remaining $ <br /> Certification : I certify that this billing is correct and is based upon actual obligations of record <br /> by the grantee ; that <br /> payment from the State Government has not been received ; that the work and/or services are in accordance <br /> with the <br /> Department of Environmental Protection , Bureau of Beaches and Coastal Systems approved Project Agreement including <br /> any amendments thereto ; and that progress of the work and/or services are satisfactory and are consistent with the amount <br /> billed . <br /> Name of Project Administrator Signature of Project Administrator Date <br /> Name of Project Financial Officer Signature of Project Financial Officer Date <br /> DEP Agreement No . 071R3 , Amendment No . 2 , Attachment D -2 , Page I of 3 <br />
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