QUARTERLY PROJECT PROGRESS REPORT - DOC by veb95503

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									                                                                                                                                    1
 Mail Completed Report to:                                                              P&E Reports available online at:
Crista Hosmer                                                                           http://www.flheritage.com/grants/
Grants and Education Section
Bureau of Historic Preservation
Division of Historical Resources
500 South Bronough Street
Tallahassee, Florida 32399-0250

Your Grant Manager is:           Crista Hosmer, Historic Preservation Grants Specialist
                                 (850) 245-6359 or Toll Free at (800) 847-PAST
                                 FAX: (850) 245-6437 EMAIL: CMHosmer@dos.state.fl.us

                                     SPECIAL CATERGORY GRANTS
                               PROJECT PROGRESS & EXPENDITURE REPORT

                           SC600s, SC500s, SC400s, SC300s, SC200s, & SC100s Grants
                                                         REPORTING PERIOD
                                                             (PLEASE CHECK ONE)


   1st/ Begin Date-Dec.          2nd/ Jan.-June                3rd/ July-Dec      FINAL/ Jan.-June       Other:
         Due Jan. 31.               Due July 31.                   Due Jan. 31.       Due July 31.          ______________


Grant Number: SC___________
Grantee Name (Organization): __________________________________
Grant Project Title: __________________________________
Grant Award Amount: $ _____________________________
Required Local Cost Share: $ _________________________
Grant Award Agreement Beginning Date: ________________
Date of Initiation of Project Work: ________________
Scheduled Project Completion Date: ________________
Grant End Date: _________________
Are you requesting grant payment at this time? Check  Yes OR  No.
If “Yes,” you must submit a separate written request stating (1) the amount you are requesting, (2) what the requested funds will
be used to pay for, and (3) a description of the current status of the grant project.
 ______________________________________________________________________________________________

Please Provide Official Grant Contact (Project Manager) Information:
(Update as needed. Also indicate if there is a change in the data below.)

                              ____________________ Changed? Yes 
Grant Contact (Project Manager):
Address: __________________________________________ Changed? Yes 
__________________________________________________
Daytime Phone Number:_________________________________ Changed? Yes 
FAX Number: ______________________________________ Changed? Yes 
E-mail Address: ________________________________________ Changed? Yes 
                                                                                                Form HR3E0330103 / SC600s >
                                                                                                    Revised CMH January 10, 2008
                                                                                                                                    2
Special Category Project Progress & Expenditure Report
Page Two
                            Special Category Progress and Expenditure Report Instructions
                                               Documentation Procedures
I.   Cover Page
     The report cover page provides important information for the Grantee and Department grant managers. The first portion of
     the page provides the address to which the report should be sent, phone number and fax number for the Bureau of Historic
     Preservation. In the area below this information, we have asked you to indicate the reporting period for which your
     organization is submitting the report. Next is information on your project: the grant number, Grantee name, project title and
     amount of the grant, required Local Cost Share, and critical project dates. The last item on this page identifies and provides
     contact information for the Official Grant Contact (Grant Project Manager.) The Official Grant Contact is the Grantee’s
     representative for all routine administrative matters relating to the grant. Take this opportunity to update Official Grant
     Contact information. Please indicate in the checkboxes when contact information has changed.
II. Progress Report
     1.   Project Status
          Please indicate the Project Work that was undertaken during the reporting period. Check all items that are applicable.
     2.   Description of Project Work
          In this section, the Grantee must provide a brief description of all project related work initiated, in-progress and
          completed during this reporting period. Where applicable, photographs of the grant assisted work must be attached.
     3.   Project Related Documents
          In this section, the Grantee must describe any project documents submitted to the Department during the reporting
          period. Indicate the date of submission for each. Draft contracts for consultant or contractor services, or archaeological
          research designs, construction documents (plans and specifications), project specifications, museum exhibit planning
          and design documents, and documentation of bidding or selection processes are examples of the kinds of documents
          that must be submitted to the grants manager for Department review and approval prior to execution or implementation.
     4.   Project Work Accomplished (Final Report Only)
          This area of the report is used to describe the project work was accomplished with the grant funds and required Local
          Cost Share contribution. Grantees must also attach photographs of the completed work with “before and after” views of
          the project where possible. Remember that this section is only to be used for the Final Report.
III. Expenditure Report
     Please note that detailed backup documentation for all expenditures -- grant funds expenditures and Local Cost
     Share (cash, in-kind services, donated materials and volunteer labor) -- claimed for the reporting period must be
     attached to each expenditure report. Also, please note that grant-related financial records must be retained for five years
     after the end of the grant period or until the completion of any audit or litigation initiated before the end of the five year
     period.
     1.   Total Amount Claimed for Period:
          A. Enter the total Grant Funds expended this Reporting Period. This total is from the corresponding Detail Sheet
             (see Page Seven).
          B.   Enter the Local Cost Share Contributions expended or claimed during this Reporting Period. Itemize these
               contributions in the four categories indicated: cash, in-kind services, donated materials and volunteer labor. For
               each type of contribution, attach the corresponding Detail Sheet (see Pages Eight through Eleven) and the
               supporting documentation indicated. Add the Local Cost Share values for each of the four Local Cost Share
               categories and enter the total Local Cost Share contribution for this Reporting Period.
          C. Add the totals from “A” and “B” for the Total Expenditures/Contributions claimed in this report.



                                                                                                  Form HR3E0330103 / SC600s >
                                                                                                      Revised CMH January 10, 2008
                                                                                                                                 3

Special Category Project Progress & Expenditure Report
Page Three
              Note:
                    For Local Cost Share purposes, property value must be prorated to only the value of the historic building
                    and its footprint or the documented area of the archaeological site. See the Grant Award Agreement
                    (GAA.)
    2.   Cumulative Grant Summary
         A. Enter the Total Grant Funds you have expended to date (total of all of the grant funds you have spent throughout
            the grant period).
         B.   Enter the Total Local Cost Share Contributions to date (total of all of the Local Cost Share contributions
              expended or incorporated into the Project throughout the grant period).
         C. Enter the total amount from “A” and “B” for Total Expenditures to date.
    3.   Interest
         A. Enter the total amount of interest earned on advanced payment funds this reporting period. Please note that
            interest earned on advanced grant funds must be remitted on a QUARTERLY basis. Please make all interest
            checks payable to The Florida Department of State. Please note that the interest earned on advanced funds
            cannot be claimed as either Grant Funds Expenditure or Local Cost Share.
                                          Schedule for Interest Submission:
                                           1. Interest earned October-December- due January 31

                                           2. Interest earned January-March - due April 30

                                           3. Interest earned April-June - due July 31

                                           4. Interest earned July-September - due October 31

         B.   Enter the rate at which the advanced payment funds earned interest. Please attach copies of bank statements or
              other comparable documentation to verify the interest earned on advanced grant funds.
IV. Grant and Local Cost Share Expenditure/Contribution Documentation
    1.   Detail Sheet: Grant Funds Expenditures this Reporting Period
         A. List the information in the proper columns of the report.
         B.   For cash expenditures, information to be provided includes payee/vendor, check number, date of check, payee
              amount, the work item within the Approved Scope of Work (ASOW) to which the expenditure contributes (see
              Section 1. of the Grant Award Agreement (GAA)), and a brief description of the expenditure and its purpose. The
              purpose of each expenditure must be stated clearly and in sufficient detail for the Division to determine if it is
              allowable.
         C. Required Backup Documentation
              (1) For Cash Expenditures please attach a copy of each vendor's invoice (a paid invoice is preferred) and a copy
                  of the corresponding cancelled check.
              (2) Please attach a copy of the bank statements or cancelled checks to show that the claimed check numbers have
                  been paid.
              (3) Please attach invoices marked paid for those items that were paid for in cash.
              (4) Please attach itemized invoices for construction services when available to document that the expenditures
                  were within the project scope of work.

                                                                                                Form HR3E0330103 / SC600s >
                                                                                                    Revised CMH January 10, 2008
                                                                                                                                    4
Special Category Project Progress & Expenditure Report
Page Four
    2.   Detail Sheet: Cash Local Cost Share Expended This Reporting Period
         List the information requested in the form on Page Eight. The purpose of each listed expenditure must be stated clearly
         and in sufficient detail for the Division to determine that the expenditure Local Cost Share is an approved work item in
         the ASOW. Each expenditure listed must be allocated to an item within the ASOW. Attach copies of invoices and
         corresponding cancelled checks (or equivalent documentation approved by the Division) for all listed Local Cost Share
         Cash expenditures.
    3.   Detail Sheet: In-Kind Services Contributed this Reporting Period
         List the information requested in the form on Page Nine. All In-Kind Services contributions must be documented in
         detail. Each contribution listed must be allocated to an item within ASOW. Please attach a signed statement or invoice
         from the person or firm providing each claimed in-kind services contribution describing the services provided and
         valuing them. This statement must clearly indicate the basis for the value indicated (for example, the number of hours
         contributed x the contributor's standard fee) and must clearly indicate that the services provided (in whole or in part)
         were a contribution to the Project. Each such statement or invoice must also be signed by the Project Manager.
         Overhead allowances are not acceptable as a contribution to the required Local Cost Share.
    4.   Donated Materials Contributed this Reporting Period
         List the information requested in the form on Page Ten. All Donated Materials contributions must be documented in
         detail. Each contribution listed must be allocated to an item within ASOW. Please attach a signed statement or invoice
         from the contributor describing the materials donated and valuing them. This statement must clearly indicate the basis
         for the value indicated (for example, current retail price of equal materials) and must clearly indicate that the materials
         donated were a contribution to the Project. Each such statement or invoice must also be signed by the Project Manager.
    5.   Volunteer Labor Contributed this Reporting Period
         List the information requested in the form on Page Eleven. All Volunteer Labor contributions must be documented in
         detail. All Volunteer Labor contributions listed must be allocated to one or more of the work items within ASOW.
         Please attach a signed statement or Volunteer Log indicating the date(s) of work, describing the work accomplished,
         and valuing the contribution. Except as noted below, Volunteer Labor contributions shall be valued at the current State
         of Florida Minimum Wage rate ($6.67 per hour).
         Exception: If the volunteer is performing labor for which he or she is routinely paid, the contribution shall be valued at
         his or her salary. The higher value of such contributions must be documented by a letter from the volunteer indicating
         the salary he or she is paid for the same type of work as that contributed to the Project. This letter must also signed by
         the Project Manager. Documentation for these volunteers (signed Volunteer Log) is the same as for those whose
         contributions must be valued at the Minimum Wage.
         Volunteer mileage must be calculated at $.445 / mile. Destination, purpose of travel, and number of miles driven must
         be listed.
 V. Florida Single Audit Act
         After review of your organization's expenditure of state grant funds (all sources), if you answer "yes" to the two
    questions in this section, your organization will be responsible for an audit consistent with the requirements of the Florida
    Single Audit Act and the Florida Auditor General. A copy of the required audit must be submitted to the Department
    (through your Grant Manager) within six months following the close of the Grantee’s fiscal year, or within six months of the
    ending of the Grant Period. All audits or attestations must cover each of the Grantee’s fiscal years for which grant funds
    were received or expended under this Agreement. Visit the web site listed for more information.

VI. Report Certification
    This certification must be signed and dated by the Official Grant Contact (Grant Project Manager). If the P&E Report was
    prepared by someone else, that individual must also sign and date the certification. For the Final Report, in addition being
    signed by the Official Grant Contact and the individual completing the report (if different from the Official Grant Contact),
    the certification must also be signed by the head of the Grantee organization (board chairperson, president, mayor, agency
    head).
                                                                                                 Form HR3E0330103 / SC600s >
                                                                                                     Revised CMH January 10, 2008
                                                                                                                      5

Special Category Project Progress & Expenditure Report
Page Five
                                            Progress Report

  1. PROJECT STATUS:
  Please Indicate Below the Project Work that was undertaken during this reporting period:
    Project Planning      Advertising for      Architectural        Advertising for or
   or Research            or Selection of       Planning:             receipt of Bids for
                          Architect,               In progress       Contractor or
                          Engineer, or             Completed         Construction Manager
                          Consultant                                  selection

    Construction:   Archaeological             Other Project-       Grant Project
      In progress  Field Work                  related activities    Completed
      Completed                                (describe):
                                                __________________
                                                __________________




  2. DESCRIPTION OF PROJECT WORK:
  Please describe in space provided below the project related work undertaken during
  this reporting period. Indicate the status of each work item described (eg., initiated,
  50% complete, completed). Attach photographs documenting the work
  accomplished where applicable.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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________________________________________________________________________
________________________________________________________________________



                                                                                        Form HR3E0330103 / SC600s >
                                                                                            Revised CMH January 10, 2008
                                                                                                                             6
Special Category Project Progress & Expenditure Report
Page Six

  3. PROJECT RELATED DOCUMENTS:

  Please list below ALL documents that have been sent to the Division during
  this reporting period. Please note that the Division staff must review and approve all draft
  work contracts (architect, contractor, consultant, etc.), construction drawings, project specifications,
  museum exhibit plans, and archaeological research designs. If not submitted previously, architectural
  planning documents, museum exhibit design documents, or other documentation reflecting the
  current status of your project must be submitted with this report as well. Signed and executed work contracts
  whose drafts had been approved in advance by the Division must also be submitted to the Division
   for compliance with this grant. Any documents to be reviewed should be sent to the attention
   of your Grant Manager at the address on the cover sheet of this report form.

  1. ____________________________________________Approved by Division?______ Date: ____
  2. ____________________________________________Approved by Division?______ Date: _____
  3. ____________________________________________Approved by Division?______ Date: _____
  4.____________________________________________ Approved by Division?______ Date: _____
  5. ____________________________________________Approved by Division?______ Date: _____
  6._____________________________________________Approved by Division?______ Date: ____
  7._____________________________________________Approved by Division?______ Date: _____
  8._____________________________________________Approved by Division?______ Date:______
  9._____________________________________________Approved by Division?______ Date: _____
  10.____________________________________________Approved by Division?______ Date: ______
  11.____________________________________________Approved by Division?______ Date: ______
  12.____________________________________________Approved by Division?______ Date: _____
  13.____________________________________________Approved by Division?______ Date: ______
  14.____________________________________________Approved by Division?______ Date: ______
  15.____________________________________________Approved by Division?______ Date: ______


  4. PROJECT WORK ACCOMPLISHED (FINAL REPORT ONLY):
   Provide a detailed description of all project work accomplished and indicate
   any deviations from that originally planned. Attach photographs of the finished work
   for Acquisition and Development and Museum Exhibit projects. Labeled photographs
   showing “before and after” views of the project work are required. For Archaeological
   Excavation projects, attach photographs showing significant features discovered
  and artifacts conserved.
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____ ________________________________________________________________________

                                                                                               Form HR3E0330103 / SC600s >
                                                                                                   Revised CMH January 10, 2008
                                                                                                                      7
Special Category Project Progress & Expenditure Report
Page Seven
                                                Expenditure Report
                       Grant No. ______ Grant Period: _________ Grant Period Dates: ____________

1.   Total Amounts Claimed for Period:
     (Enter total amounts from attached Detail Sheets)

     A. Grant Funds Expended this Reporting Period:                                  $_________________

     B. Local Cost Share Contributed this Reporting Period:

              (1) Local Cost Share Cash expended               $_________________

              (2) Value of In-Kind Services contributed        $_________________

              (3) Value of Donated Materials contributed       $_________________

              (4) Value of Volunteer Labor contributed         $_________________

         Total Local Cost Share Contributed this Reporting Period:                   $_________________
          (Total items 1, 2, 3, & 4 above)

     C. Total Expenditures Claimed for Period: (total of A & B above)                  $_________________

  _________________________________________________________________________________________
2. Cumulative Amounts Claimed (All Periods):

     A. Total Grant Funds expended to date                                          $_________________

     B. Total Local Cost Share expended to date                                     $_________________

     C. Total Expenditures to date (Total of A&B above)
                                                                       $_________________
___________________________________________________________________________________________
3. Interest:

     A. Interest earned on advanced payment funds this Reporting Period                    $_________________
        (Interest earned must be remitted Quarterly. Please make interest
        checks payable to the Florida Department of State)

    B. Rate at which interest was earned: ____________%
       Please attach bank statement or equivalent documentation to verify interest earned on advanced grant funds.
____________________________________________________________________________________________
                                     REQUIRED Expenditure Documentation:
Please attach specified documentation to verify all grant expenditures and Local Cost Share contributions claimed in the
following Detail Sheets. See instructions for more information.

                                                                                        Form HR3E0330103 / SC600s >
                                                                                            Revised CMH January 10, 2008
                                                                                                                                               8
Special Category Project Progress & Expenditure Report
Page Eight
Grant No.:____________ Grant Period: __________ Grant Period Dates:_____________________
1.   DETAIL SHEET: GRANT FUNDS EXPENDED THIS REPORTING PERIOD
     (DO NOT CLAIM OR LIST INTEREST EARNED ON ADVANCED FUNDS)
       VENDOR NAME                      PURPOSE OF                    ASOW       DOCUMENTATION                 CHECK         AMOUNT
                                       EXPENDITURE*                   ITEM         ATTACHED*                  NUMBER         CLAIMED
                                                                        #                                     & DATE
     1.                                                                           Invoice AND
                                                                                  Cancelled Check

     2.                                                                           Invoice AND
                                                                                  Cancelled Check

     3.                                                                           Invoice AND
                                                                                  Cancelled Check

     4.                                                                           Invoice AND
                                                                                  Cancelled Check

     5.                                                                           Invoice AND
                                                                                  Cancelled Check

     6.                                                                           Invoice AND
                                                                                  Cancelled Check

     7.                                                                           Invoice AND
                                                                                  Cancelled Check

     8.                                                                           Invoice AND
                                                                                  Cancelled Check

     9.                                                                           Invoice AND
                                                                                  Cancelled Check

     10.                                                                          Invoice AND
                                                                                  Cancelled Check

     11.                                                                          Invoice AND
                                                                                  Cancelled Check

     12.                                                                          Invoice AND
                                                                                  Cancelled Check

     TOTAL GRANT FUNDS EXPENDED THIS PERIOD



     Attach additional pages for Grant Funds Expended as necessary.
     * The purpose of each expenditure must be stated clearly and in sufficient detail for the Division to determine that the expenditure is
           approved work item in the Approved Scope of Work in Section 1 of the Historic Preservation Grant Award Agreement. Attach
           copies of invoices and corresponding cancelled checks (or equivalent documentation approved by the Division) for all grant funded
           expenditures listed above.

                                                                                                         Form HR3E0330103 / SC600s >
                                                                                                             Revised CMH January 10, 2008
                                                                                                                                                       9
Special Category Project Progress & Expenditure Report
Page Nine
Grant No.:____________ Grant Period: __________ Grant Period Dates:_________________

2.   DETAIL SHEET: LOCAL COST SHARE IN CASH EXPENDED THIS REPORTING PERIOD
       VENDOR NAME                         PURPOSE OF                      ASOW        DOCUMENTATION                   CHECK          AMOUNT
                                          EXPENDITURE*                     ITEM          ATTACHED*                    NUMBER          CLAIMED
                                                                             #                                        & DATE
     1.                                                                                 Invoice AND
                                                                                        Cancelled Check

     2.                                                                                 Invoice AND
                                                                                        Cancelled Check

     3.                                                                                 Invoice AND
                                                                                        Cancelled Check

     4.                                                                                 Invoice AND
                                                                                        Cancelled Check

     5.                                                                                 Invoice AND
                                                                                        Cancelled Check

     6.                                                                                 Invoice AND
                                                                                        Cancelled Check

     7.                                                                                 Invoice AND
                                                                                        Cancelled Check

     8.                                                                                 Invoice AND
                                                                                        Cancelled Check

     9.                                                                                 Invoice AND
                                                                                        Cancelled Check

     10.                                                                                Invoice AND
                                                                                        Cancelled Check

     11.                                                                                Invoice AND
                                                                                        Cancelled Check


     12.                                                                                Invoice AND
                                                                                        Cancelled Check

     TOTAL LOCAL COST SHARE CASH EXPENDED THIS PERIOD



     Attach additional pages for Local Cost Share Cash Expended as necessary.
     * The purpose of each Local Cost Share CASH expenditure must be stated clearly and in sufficient detail for the Division to determine that the Local
           Cost Share expenditure is an approved work item in the Approved Scope of Work in Section 1 of the Historic Preservation Grant Award
           Agreement. Attach copies of invoices and corresponding cancelled checks (or equivalent documentation approved in advance by the Division) for
           all Local Cost Share Cash expenditures listed above.
                                                                                                                 Form HR3E0330103 / SC600s >
                                                                                                                     Revised CMH January 10, 2008
                                                                                                                              10
Special Category Project Progress & Expenditure Report
Page Ten
Grant No.:____________ Grant Period: __________ Grant Period Dates:___________________

3. DETAIL SHEET: IN-KIND SERVICES CONTRIBUTED THIS REPORTING PERIOD
      CONTRIBUTOR           DESCRIPTION OF            ASOW      DOCUMENTATION              DATE OF               VALUE
                           IN-KIND SERVICES           ITEM        ATTACHED               CONTRIBUTION           CLAIMED
                                                         #
     1.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     2.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     3.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     4.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     5.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     6.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     7.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     8.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     9.                                                          Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     10.                                                         Invoice/statement
                                                                indicating services
                                                                donated and
                                                                 basis for value
     TOTAL IN-KIND SERVICES CLAIMED THIS PERIOD


     Attach additional pages for In-Kind Services documentation as necessary.

     * All In-Kind Services contributions must be documented in detail. Please attach a signed statement or invoice from the
       person or firm providing the service describing the services provided and valuing them. This statement must clearly
       indicate the basis for the value indicated (for example, the number of hours contributed x the contributor's standard fee)
       and must clearly indicate that the services provided (in whole or in part) were a contribution to the Project. Please see
       the report instructions for further information.




                                                                                               Form HR3E0330103 / SC600s >
                                                                                                   Revised CMH January 10, 2008
                                                                                                                               11
Special Category Project Progress & Expenditure Report
Page Eleven
Grant No.:____________ Grant Period: __________ Grant Period Dates:______________

4.   DETAIL SHEET: DONATED MATERIALS CONTRIBUTED THIS REPORTING PERIOD
           DONOR             DESCRIPTION OF            ASOW       DOCUMENTATION               DATE OF               VALUE
                                DONATED                ITEM         ATTACHED                CONTRIBUTION           CLAIMED
                               MATERIALS                 #
      1.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      2.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      3.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      4.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      5.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      6.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      7.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      8.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      9.                                          Invoice or statement
                                                   confirming donation
                                                   and value
      10.                                         Invoice or statement
                                                   confirming donation
                                                   and value
      11.                                         Invoice or statement
                                                   confirming donation
                                                   and value
      12.                                         Invoice or statement
                                                   confirming donation
                                                   and value
      TOTAL DONATED MATERIALS CLAIMED THIS PERIOD


     Attach additional pages for In-Kind Services documentation as necessary.
     * All Donated Materials contributions must be documented in detail. Please attach a signed statement or invoice from the
       contributor describing the materials donated and valuing them. This statement must clearly indicate the basis for the
       value indicated (for example, current retail price of equal materials) and must clearly indicate that the materials donated
       were a contribution to the Project. Please see the report instructions for further information.




                                                                                                Form HR3E0330103 / SC600s >
                                                                                                    Revised CMH January 10, 2008
                                                                                                                                                           12
Special Category Project Progress & Expenditure Report
Page Twelve
Grant No.:____________ Grant Period: __________ Grant Period Dates:______________
5.   DETAIL SHEET: VOLUNTEER LABOR CONTRIBUTED THIS REPORTING PERIOD
           VOLUNTEER              DESCRIPTION OF                        ASOW          DOCUMENTATION                   DATE OF            VALUE
             NAME                     WORK                              ITEM            ATTACHED                       WORK             CLAIMED
                                   CONTRIBUTED                            #
      1.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      2.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      3.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      4.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      5.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      6.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      7.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      8.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      9.                                                                             Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      10.                                                                            Signed Volunteer
                                                                                      Log OR
                                                                                     signed statement

      TOTAL VOLUNTEER LABOR CLAIMED THIS PERIOD


     Attach additional pages for Volunteer Labor documentation as necessary.
       * All Volunteer Labor contributions must be documented in detail. Please attach a signed statement or volunteer log from the person providing the
         volunteer labor describing the work accomplished and valuing the contribution. Except as noted below, Volunteer Labor contributions shall be
         valued at the Florida Minimum Wage rate ($6.67 per hour) for the grant period. If the volunteer is performing labor for which he or she is
         routinely paid, the contribution shall be valued at his or her salary. This must be documented by a letter from the volunteer. Please see the report
         instructions for further information.

                                                                                                                     Form HR3E0330103 / SC600s >
                                                                                                                         Revised CMH January 10, 2008
                                                                                                                       13
Special Category Project Progress & Expenditure Report
Page Thirteen

    FLORIDA SINGLE AUDIT ACT
                                                                                           CIRCLE ONE
    A. Are you a non-state entity?                                                         Yes       No

    B. Did you expend $500,000 or more in State funds (from all sources)
       during the fiscal year (your organization's fiscal year) in which you
       expended funds from this grant?                                                     Yes       No

    If you answered "yes" to both questions, State law requires that you comply with the Florida Single Audit Act,
    sections 215.97(2)(a) and 215.97(8)(a), Florida Statutes. More information is available on the Florida Auditor
    General website www.state.fl.us/audgen/.


    REPORT CERTIFICATION:
    I affirm, under penalty of perjury, that this report represents an accurate and complete description of the
    grant activity within the report dates above, that the organization I represent will comply with the
    requirements of the Florida Single Audit Act, and that the conditions of the grant, as set forth in the
    Historic Preservation Grant Award Agreement, have been complied with.



    ______________________________________________                _____________________
    Signature of Official Grant Contact (Grant Project Manager)   Date
    (Please sign in ink. Original signatures only)

    ______________________________________________
    Print Name, Title



    ______________________________________________                _____________________
    Name of person filling out report (if different from above)   Date

    ______________________________________________
    Signature

__________________________________________________________________________________________

   FOR FINAL REPORT ONLY:

    ______________________________________________ _____________________
    Signature of Authorized Official/Organization Head            Date

    ______________________________________________
    Print Name, Title




                                                                                          Form HR3E0330103 / SC600s >
                                                                                              Revised CMH January 10, 2008
                                                                                                                    14
    Special Category Project Progress & Expenditure Report
    Page Fourteen

    Attachments to this Report:

   Remember to attach all required progress and expenditure documentation for the period to this report.
   Please list the items you have attached below and assign page numbers to each document as
   attachments to this report.

   1. ____________________________________________________ Attachment page # _____
   2. ____________________________________________________ Attachment page # _____
   3. ____________________________________________________ Attachment page # _____
   4. ____________________________________________________ Attachment page # _____
   5. ____________________________________________________ Attachment page # _____
   6. ____________________________________________________ Attachment page # _____
   7. ____________________________________________________ Attachment page # _____
   8. ____________________________________________________ Attachment page # _____
   9. ____________________________________________________ Attachment page # _____
   10. ___________________________________________________ Attachment page # _____
   11. ___________________________________________________ Attachment page # _____
   12. ___________________________________________________ Attachment page # _____
   13. ___________________________________________________ Attachment page # _____
   14. ___________________________________________________ Attachment page #_____
   15. ___________________________________________________ Attachment page # _____


Thank you for submitting your grant’s Progress and Expenditure Report to the Bureau of Historic Preservation.




                                                                                       Form HR3E0330103 / SC600s >
                                                                                           Revised CMH January 10, 2008

								
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