ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION STATE-FUNDED GRANT AGREEMENT EXHIBIT D RECIPIENT RESOLUTION 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION STATE-FUNDED GRANT AGREEMENT EXHIBIT F 525-011-0F PROGRAM MANAGEMENT CONTRACT PAYMENT REQUIREMENTS Florida Department of Financial Services, Reference Guide for State Expenditures Cost Reimbursement Contracts Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: Salaries: Timesheets that support the hours worked on the project or activity must be kept. A payroll register, or similar documentation should be maintained. The payroll register should show gross salary charges, fringe benefits, other deductions and net pay. If an individual for whom reimbursement is being claimed is paid by the hour, a document reflecting the hours worked times the rate of pay will be acceptable. Fringe benefits: Fringe benefits shoul...
ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: EXHIBIT D STATE FINANCIAL ASSISTANCE (FLORIDA SINGLE AUDIT ACT) THE STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: Awarding Agency: Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Insert Program Name, Insert CSFA Number *Award Amount: $300,000.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: xxxxx://xxxx.xxxxx.xxx/fsaa/searchCatalog.aspx
ENGINEER’S CERTIFICATION OF COMPLIANCE. PUBLIC TRANSPORTATION GRANT AGREEMENT BETWEEN THE STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION and PROJECT DESCRIPTION: DEPARTMENT CONTRACT NO.: FINANCIAL MANAGEMENT NO.: In accordance with the Terms and Conditions of the Public Transportation Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification, the Agency shall furnish the Department a set of “as-built” plans for construction on the Department’s Right of Way certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: EXHIBIT D AGENCY RESOLUTION PLEASE SEE ATTACHED EXHIBIT E PROGRAM SPECIFIC TERMS AND CONDITIONS - AVIATION AVIATION PROGRAM ASSURANCES
ENGINEER’S CERTIFICATION OF COMPLIANCE. The Agency shall complete and submit and if applicable Engineer’s Certification of Compliance to the Department upon completion of the construction phase of the Project.
ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the Shared-Use Nonmotorized (SUN) Trail Program Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification, the Agency shall furnish FDOT a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: AUDIT REQUIREMENTS FOR AWARDS OF STATE FINANCIAL ASSISTANCE THE STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: SUBJECT TO SECTION 215.97, FLORIDA STATUTES: Awarding Agency: Florida Department of Transportation State Project Title: FLORIDA SHARED-USE NONMOTORIZED (SUN) TRAIL NETWORK PROGRAM CSFA Number: 55.038 *Award Amount: $ *The award amount may change with supplemental agreements. Specific project information for CSFA Number 55.038 is provided at: xxxxx://xxxx.xxxxx.xxx/fsaa/searchCatalog.aspx COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT: State Project Compliance Requirements for CSFA Number 55.038 are provided at: xxxxx://xxxx.xxxxx.xxx/fsaa/searchCompliance.aspx The State Projects Compliance Supplement is provided at: xxxxx://xxxx.xxxxx.xxx/fsaa/compliance.aspx EXHIBIT E AGENCY RESOLUTION PLEASE SEE ATTACHED EXHIBIT F CONSTRUCTION TERMS AND CONDITIONS The provisions contained in this Exhibit “F” apply to any and all portions of the Project that are constructed on the Department’s right-of-way.
ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the Florida Job Growth Grant Fund Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification, Grantee shall furnish DEO a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name:
ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the JOINT PARTICIPATION AGREEMENT, the undersigned hereby certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification, the LOCAL GOVERNMENT shall furnish the DEPARTMENT a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Exhibit “E” RESOLUTION
ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the JOINT PARTICIPATION AGREEMENT, the undersigned hereby certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification, the LOCAL GOVERNMENT shall furnish the DEPARTMENT a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: EXHIBIT “E” RESOLUTION Financial Management Number: 430293 1 38/48 01 EXHIBIT “F” STATE RESOURCES AWARDED TO THE LOCAL GOVERNMENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: SUBJECT TO SECTION 215.97, FLORIDA STATUTES: State Project: Transportation Infrastructure Program State Awarding Agency: Florida Department of Transportation Catalog of State Financial Assistance (CSFA) Number: 55.029 Amount: $461,114.00 COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: Authority: The General Appropriations Act for Fiscal Year 2010-11 from funds in Specific Appropriation 2112.
ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the Shared-Use Nonmotorized (SUN) Trail Program Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification, the Agency shall furnish FDOT a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: EXHIBIT D STATE FINANCIAL ASSISTANCE (FLORIDA SINGLE AUDIT ACT) THE STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: SUBJECT TO SECTION 215.97, FLORIDA STATUTES: Awarding Agency: State Project Title: Florida Department of Transportation FLORIDA SHARED-USE NONMOTORIZED (SUN) TRAIL NETWORK PROGRAM CSFA Number: 55.038 *Award Amount: $1,653,896.00 *The award amount may change with supplemental agreements. Specific project information for CSFA Number 55.038 is provided at: xxxxx://xxxx.xxxxx.xxx/fsaa/searchCatalog.aspx
ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the Economic Development Transportation Project Fund Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification, the Agency shall furnish FDOT a set of “as- built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Exhibit “G” SINGLE AUDIT STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: SUBJECT TO SECTION 215.97, FLORIDA STATUTES: State Project: Economic Development Transportation Projects – Road Fund State Awarding Agency: Florida Department of Transportation Catalog of State Financial Assistance (CSFA) Number: 00-000 Xxxxx Xxxxxx: $ 2,800,000.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number 55.032 is provided at: xxxxx://xxxx.xxxxx.xxx/fsaa/searchCatalog.aspx COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: Objectives of the Project: Alleviate transportation problems that adversely affect the decision of a specific company to locate or expand in the State of Florida. Project Restrictions: Eligibility for Economic Development Transportation Projects funding is limited to the direct cost of transportation projects that:
