Common use of Identify Source of Funds Amount Identify Items Amount Clause in Contracts

Identify Source of Funds Amount Identify Items Amount. State Funds Items Paid for with Grant Funds Grant $__________ ____________ $__________ Other State Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ ____________ $__________ Subtotal $__________ Items Paid for with Non-Grant Funds Matching Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ Subtotal $__________ Other Public Entity Funds ____________ $__________ ____________ $__________ Subtotal Loans ____________ $__________ ____________ $__________ Subtotal $__________ Other Funds ____________ $__________ ____________ $__________ Subtotal $__________ - Prepaid Project Expenses ____________ $__________ ____________ $__________ Subtotal $__________ TOTAL FUNDS $__________ TOTAL PREDESIGN/ DESIGN COSTS $__________ Attachment III - JOBS REPORTING

Identify Source of Funds Amount Identify Items Amount. State Funds Ownership Acquisition and Other Items Paid for with Grant Funds Grant $__________ ____________ Other State Funds Purchase of Ownership Interest $__________ Other State Funds ____________ $__________ ____________ $__________ Other Items of a Capital Nature: ____________ $__________ Subtotal $__________ ____________ $__________ ____________ $__________ Matching Funds ____________ $__________ ____________ $__________ Subtotal $__________ ____________ $__________ Subtotal $__________ Items Paid for with Non-Grant Funds Matching Other Grant Recipient Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ Subtotal $__________ Other Public Entity Funds ____________ $__________ ____________ $__________ Subtotal Loans ____________ $__________ ____________ $__________ Subtotal $__________ Other Funds ____________ $__________ ____________ $__________ Subtotal $__________ - Prepaid Project Expenses ____________ $__________ ____________ $__________ Subtotal $__________ TOTAL FUNDS $__________ TOTAL PREDESIGN/ DESIGN PROJECT COSTS $__________ Attachment III IV - JOBS REPORTINGPROJECT COMPLETION SCHEDULE «27» Generic General Fund Grant Agreement Ver - 11/23/20

Identify Source of Funds Amount Identify Items Amount. State Funds Items Paid for with Grant Funds Grant $__________ ____________ $__________ Other State Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ ____________ $__________ Subtotal $__________ Items Paid for with Non-Grant Funds Matching Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ Subtotal $__________ Other Public Entity Funds ____________ $__________ ____________ $__________ Subtotal Loans ____________ $__________ ____________ $__________ Subtotal $__________ Other Funds ____________ $__________ ____________ $__________ Subtotal $__________ - Prepaid Project Expenses ____________ $__________ ____________ $__________ Subtotal $__________ TOTAL FUNDS $__________ TOTAL PREDESIGN/ DESIGN COSTS $__________ Attachment III - JOBS REPORTINGGeneric XX Xxxxx Agreement Ver – 11/23/20

Identify Source of Funds Amount Identify Items Amount. State Funds Ownership Acquisition and Other Items Paid for with Grant Funds Grant $__________ ____________ Other State Funds Purchase of Ownership Interest $__________ Other State Funds ____________ $__________ ____________ $__________ Other Items of a Capital Nature: ____________ $__________ Subtotal $__________ ____________ $__________ ____________ $__________ Matching Funds ____________ $__________ ____________ $__________ Subtotal $__________ ____________ $__________ Subtotal $__________ Items Paid for with Non-Grant Funds Matching Other Public Entity Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ Subtotal $__________ Other Public Entity Funds ____________ $__________ ____________ $__________ Subtotal Loans ____________ $__________ ____________ $__________ Subtotal $__________ Other Funds ____________ $__________ ____________ $__________ Subtotal $__________ - Prepaid Project Expenses ____________ $__________ ____________ $__________ Subtotal $__________ TOTAL FUNDS $__________ TOTAL PREDESIGN/ DESIGN PROJECT COSTS $__________ Attachment III - JOBS REPORTINGGeneric GO Bond Proceeds i Ver – 11/23/20

Identify Source of Funds Amount Identify Items Amount. State Funds Ownership Acquisition and Other Items Paid for with Grant Funds Grant $__________ ____________ Other State Funds Purchase of Ownership Interest $__________ Other State Funds ____________ $__________ ____________ $__________ Other Items of a Capital Nature: ____________ $__________ Subtotal $__________ ____________ $__________ ____________ $__________ Matching Funds ____________ $__________ ____________ $__________ Subtotal $__________ ____________ $__________ Subtotal $__________ Items Paid for with Non-Grant Funds Matching Other Public Entity Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ Subtotal $__________ Other Public Entity Funds ____________ $__________ ____________ $__________ Subtotal Loans ____________ $__________ ____________ $__________ Subtotal $__________ Other Funds ____________ $__________ ____________ $__________ Subtotal $__________ - Prepaid Project Expenses ____________ $__________ ____________ $__________ Subtotal $__________ TOTAL FUNDS $__________ TOTAL PREDESIGN/ DESIGN PROJECT COSTS $__________ Attachment III IV - JOBS REPORTINGPROJECT COMPLETION SCHEDULE «27» Generic General Fund Grant Agreement Ver - 11/23/20

Identify Source of Funds Amount Identify Items Amount. State Funds Ownership Acquisition and Other Items Paid for with Grant Funds Grant $__________ ____________ Other State Funds Purchase of Ownership Interest $__________ Other State Funds ____________ $__________ ____________ $__________ Other Items of a Capital Nature: ____________ $__________ Subtotal $__________ ____________ $__________ ____________ $__________ Matching Funds ____________ $__________ ____________ $__________ Subtotal $__________ ____________ $__________ Subtotal $__________ Items Paid for with Non-Grant Funds Matching Other Public Entity Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ Subtotal $__________ Other Public Entity Funds ____________ $__________ ____________ $__________ Subtotal Loans ____________ $__________ ____________ $__________ Subtotal $__________ Other Funds ____________ $__________ ____________ $__________ Subtotal $__________ - Prepaid Project Expenses ____________ $__________ ____________ $__________ Subtotal $__________ TOTAL FUNDS $__________ TOTAL PREDESIGN/ DESIGN PROJECT COSTS $__________ Attachment III IV - PROJECT COMPLETION SCHEDULE «27» Attachment V - JOBS REPORTING

Identify Source of Funds Amount Identify Items Amount. State Funds Ownership Acquisition and Other Items Paid for with Grant Funds Grant $__________ ____________ Other State Funds Purchase of Ownership Interest $__________ Other State Funds ____________ $__________ ____________ $__________ Other Items of a Capital Nature: ____________ $__________ Subtotal $__________ ____________ $__________ ____________ $__________ Matching Funds ____________ $__________ ____________ $__________ Subtotal $__________ ____________ $__________ Subtotal $__________ Items Paid for with Non-Grant Funds Matching Other Grant Recipient Funds ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ ____________ $__________ Subtotal $__________ Subtotal $__________ Other Public Entity Funds ____________ $__________ ____________ $__________ Subtotal Loans ____________ $__________ ____________ $__________ Subtotal $__________ Other Funds ____________ $__________ ____________ $__________ Subtotal $__________ - Prepaid Project Expenses ____________ $__________ ____________ $__________ Subtotal $__________ TOTAL FUNDS $__________ TOTAL PREDESIGN/ DESIGN PROJECT COSTS $__________ Attachment III - JOBS REPORTINGGeneric GO Bond Proceeds i Ver – 11/23/20