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Home My WebLink AboutBack-Up DocumentsCustomer Invoice Salesperson Details Name: Cesar Gomez Prone: (305) 798-3357 Email: cesar@ericsoutboard.com Eric's Outboard Marine Service 8755 SW 129th Street Miami„ FL 33176 305-251-4067 1-888-832-1426 Buyer Information City of Miami PO# 1707985P Accounts Payable 305-329-4763 444SW 2nd Avenue, 6th Floor 561-351-0077 Miami, FL 33130 payables rniiamigov.corrr ;Nlll Year Make Model Stock # VINtIiIN New 2021 YAMAHA LF300XCB LF300XCB New 2021 YAMAHA F300XCB F300XCB " tlil nbfa turer O tions,`Parts and Labor P Pricing Details Repower-Twin DEC 6YC(L) Manufacturer Base Price $57,940.00 TWIN MAIN DEC REM, CNTRL(P) Price as Equipped $66,150.20 CL5 DISPLAY KNIT KIT- DEC ENG(P) Discount ($12,151.00) SWS2 WISDS (3 x 15-114 x 19)(P) Unit Subtotal $53.999.20 SWS2 W/SDS (3 x 15-114 x 19-L)(P) Net Selling Price $53,999.20 Main ENG Harness. 10M(P) fAmount Financed $53,999.20 START SW KIT,TW1N EN(P) CL71CL5 INSTALL KIT DEC(P) 1 OFT MAIN BUS(P) 6FT Pigtail Bus(P) IOM FUEL FLTR E Customer Date Dealer Representative oate Printed 04105/2021 RECIPIENT ! GRANTEE DIVISION OF EMERGENCY MANAGEMENT Financial Historyland Performance Tracking FORM 1A 1 AGREEME T FY19 OPSG- R0078 QUARTERLY REPORTING DUE DATES (tiro bcx list below select the quarter cif activii y being reported along with year) Period: ' January 1 - March 31 - Due no later than April 30. 1 2021 5 Financial History Report Shaded cells are calculated for vou- You do not need to enter nnvthina intc them Category' Total Allocated Quarterly Fund Expended - - Total Funds Expended Expenditure(s) Completion percent Remaining Balance Planning Gusts $ - Training Costs i $ - Exercise Costs i Organization Costs $ e Equipment Costs $54,137.63 1 0% $ 54,137.63 M&A Costs $ (limited up to 5% of Total Award) i $ - Total Expenditures $ 54,137.63 $ , _ - $ 54,137.63 Performance Tracking Project Title Category Start Date Projected PercentageEnd Date Completed Funds Allocated (Budget) project Status Operation Stonegarden Organization Costs € $ - Other Operation Stonegarden Equipment Costs M&A Costs 7/1312020 3/31/2021 0% - $ 54,137-63 Other Operation Stonegarden $ { Other _. _..... .... . I $ - 1 $ TOTAL (or Average Percentage) sa>".:.�-,.�-,.. +�z-.�.,e_ ..�a�v� �.---x.... �Q , :. -. $ 54 137.63,..;' 3 °a2-...._.�:._�.. de ems. Cumulative Amount Previously Submitted for Reimbursement I hereby certify that the above cost are true and valid cost incurred in accordance v Signed: Grant Manager I hereby certify that the above costs are true and valid costs incurred in Signed: Total Received the project agreement. the project agreement Financial Officer By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious„ or fraudulent inform�tion, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-37130 and 3801-3812). Recipient DIVISION OF EMERGENCY MANAGEMENT I Quarterly Status Report FORM 1B AGREEMENT#1 FY19 OPSG- R0078 PROJECT STATUS (Equipment, Tlning, Exercise, Organization, Pla TIMELINE OF EVENTS FOR REPORTING PERIOD ,OTHER (Pptjioqqj),- qaP_report internal expenditures not yet_clairned and/c..r. ---- TECHNICAL ASSISTANCE Is technical assistance needed- If "yes", are you re I nesting, onsite visit or phone call I hereby certify that the above information provided are true and the cost(s) are va Signed: Grant Manager By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, the terms and conditions of the Federal award. I am aware that any fafse, fictitious, or fraudulent inforr statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-c ) incurred in accordance with the project agreement. curate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud. false d 3801-3812). DIVISION OF EMERGENCY MANAGEMENT REIMBURSEMENT REQUEST Form 2 RECIPIENT/ GRANTEE AGREEMENTO FY19 OPSG- POC 'Phone agreement ,Amount hbmission Date 'a ment 'ayment Arriaunt ICOSTS INCURRED DURING THE PERIOD OF: THROUGH Shaded cells are calculated for you. You do not need to enter anything into shaded cells. THIS MUST. BE ACCOMPANIED BYTHE DETAIL OF CLAIMS FORMA TOTAL EXPENDITURES i hereby certify that the above costs are true and valkd costs incurred In accordance with the project agreement. .... ........ .._............................ ............. _......... _ .. ............_. ........._....._..._..__ . _........_ _. _. _. hereby certify that the above costs are true and valid costs Incurred In accordance with the project agreement. Signed: pale: Financial Officer By signing [his repod, I cortify to the best of my knowledge and belief that the report Is true, compiele, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false,. fictitious, or fraudulent Information, or the omission of any material tact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. TO BE COMPLETED BY DEM STAFF AGREEMENT AMOUNT PREVIOUS PAYMENT(S) THIS PAYMENT REMAINING BALANCE TOTAL AMOUNT TO BE PAID ON THIS INVOICE DEM FORM OPB - 15 9114 DATE SUBMITTED TO FDEM i, DIVISION OF EMFF>,GENCY MANAGEMENT DETAIL OF CLAIMS FORM 3 SCROLL DOWN TO THE APPROPRIATE CATEGORY AND CQMPLETE A FORM FOR EACH BEING CLAIMED AGAINST [ SHORTCUT LINK TO EACH CATEGORY 1. Planning Expenditures CATEGORY 2. Training Expenditures 3. Exercise Expenditures 4. Organizational Expenditures EQUIPMENT 5. Equipment Expenditures 5. Management and Administration Expenditures {limited up to S % of the total award if passing through funds, sub. awards) {GRANTEE: AGREEMENT # FY19 OPSG- R0078 COST INCURRED DURING THE PERIOD OF: tHROUGH i AMOUNT (Requested VENDOR DATE PAID CHECK # i DESCRIPTION for reimbursement) _ Issue Number s® TOTAL EXPENDITURES $0.00 -- FORM MUST ACCOMPANY THE REIMBURSEMENT REQUEST DIVISION OF EMERGENCY MANAGEMENT REIMBURSEMENT BUDGET BREAKDOWN FORM 4 Tutc F!]RM fC A,5 rKfIP A N'r) PAINT Arr ()MPAI4'Y THf-'RFIRfRi/F2SFh1FNP RFOI/F"ST' 1FORM 21 ANt) °OEML OF OLAl1JS' 1F0RM 3J 13UDGET LTolalAllocated Current Glalm,Amoun Prewlous Claians)Total Remalning Balance LlnaItem Allowable Plannin Costs Quantit UnitCost IssuelJ Hdglbi} 6q A YA qR� IbGPbI} dv wn< J n:<bt� rJR I.., £ c •�sL}IC,�cl a+R-a Lwsc^s Lrd-rvas tv..�m s. i'uYe.. n... at .a.�=1 x+..,. ..r wnl rrd va aPwmm:a+• 1aun.Ea•bs •aauP.+a.-¢F<`a }szry toKvzMaaa.T p W .. a},}tlrw Pltl°X'c:Y £cp,Rrra�,L $0.00 $ $ $0.00 $ S $ EaP asF,v Err-caR':g]!°en L¢d RdYlda:'en E«.i'prcant $003 S $ S $3.w S $ S CeAFlE s?pav ca Sesrch Pni R--EWFarmY SO-tJQ S $ $ 4,.=e+ma:zn Tmc.F.-c.`tl9'! S0.OD $ .. $ -... $ _ $0.00 $ S Cyr S kf EWu,tl— Lq.-p x-t $0.00 S $ S $0.00 S $ 5 uwsfal.,tia C«rm a, cYm,a Eq'pr. t $0,00 $ S _. _. _ ..... .... ............$0.0o $ - _-. _$_ -.. S. Ckx+:Ctn Equr—t $0,00 $ .. $ .. S $0.00 $ S $ Eq�p-14 $0.00 $ $ $ S0.00 S S $ $0.00 $ S $ Poea $O,DO $ $ $ $OM S $ $ GeRUE RE,- SO.00 $ - S... _ $ $0.00 $ S C@ANF: Incier4 Avsps:naaWMebs $D.Dtl $ $.. $ 0.00 $ $ Tesrism tr,tl.' t. Pre. Gi Eq if-. 14 $0.00 $.. - S $0.00 S $ .. ph,}a,r S..Itf erA.ancaF.a A Egdp—a $0,00 $ $ S $0.00 $ $ S hupe¢lon aad ScrEMr�.Sy,'ems Luc) $ $. u. $ $0.00 $ - S ............ _..........� $ Aq&OLTa T.,,.e m Pue.svu,i Respc-., vrid Ax.ga:<n Egvprr+erk $O.OQ $ $ $ $0.00 S $ S CeRUE Pa¢.M; rard Rop—e Wefat 1 s 54,131.63 $54.137.63 S $ - S 54,137.53 $0.00 S $ 5 CeRJ1EA.,11_-Fgdpm t $0..00 $ _ S _ S $0.00 $ $ 5 CSR6:E lagit<a15 ce1 Egvfrrerl $0.00 $ $ S $0.00 $ $ $ inxnen:'cn Egdc,.d $0.00 S, $ S $0.00 $ $ $ otu ALthAld Eq+rc'rv` 1tatr\a3r anp CtttSbUClCa6 C+cosh fn Wsca',xxrr:00 xpp—A rtersl ra p— dad by FELIA rnu b da u1P cJ arrp M11.ds Pca [onsLu:r<n fr lcrsva:mt S0.00 $ S SD.OD $ $ $ Equipment -SUB TOTALI $54.137.63 $0.00 $ $ 54,137.63 TO EXPENDITURES 554,137;63 S SO.aO $ 54,137.63 DIVISION OF EMERGENCY MANAGEMENT Procurement Method Report Form 5 Vendor Name: Agreement 11: FY19 OPSG- R0078 Invoice 9: invoice Amount: Attach to Applicable Invoice This report must be used to summarize methodology for all procurements. All forms mentioned are available at: hfto'Ativv.flioridadis h1m Sub -grantee must check the federally debarred1suspandod vendors at System for Avrard Management (previously called Excluded Parties List System) at l,v%,Aj. sam.gov prior to execution of any procurement or contract. Check appropriate boxes below 0 Checked System for Award Management (SAM) for debarmenUsuspension (Print page and attach) Sole Source and Single Vendor Response to a Competitive Bid Ali sole source procurements and single vendor response to a competitive bid require pre -approval by the Florida Division of Emergency Management Domestic Security Unit and use of the Sole Source Form (PUR 7776). FDEM's sole source approval documentation will be maintained In both the Jurisdictional and FOEM grant files. State Term Contract State Term Contract is available for commodity and service purchases, Discretionary Purchases Purchases up to $2,499: shall be carried out using good purchasing practices which may Include written quotations orwrJtten record of telephone quotes. El $0 - $2,499 — Self-assurance and adequate competition Must be documented for jurisdictiods grant files. Purchases greater than $2,500 but less than $35,000: Requires at least three (3) written quotations or written record of telephone quotes that must be documented. $2,500 - $34,999 — Codification Statement required for reimbursement (for each procurement). Written quotes from at least three vendors. Written documentation attached. 1. Vendor Name 2. Vendor Name 3. Vendor Name Amount: Amount. Amount: ........... . . . . . . . . . ........... . ............ . ... . . .... . ............... . ............. . . ...... — .. . ................... . . ........ . ..... . ....... . ........... . . . . . ...... . .... —.— .. . . . .... . ............ . . --.— . . ..... . . . . . .............. . ........ . . ........ ... . . .. . ............ ARach Add [Ilona I Page(a) as Needed for explanation. Of Salacllon PfocV55 Mined And Jusbricallon for Set ection Formal Solicitations Scope ofWork (SOW) must be provided. E $35,000 - Greater — Written solicitation required and pfc-approval from FDEM, FDEM Pre -Approval received date Invitation to Bid or Request for Proposal documents Published advertisement andlor solicitations. List all submitted proposaIsNendor and the bid amounts Vendor award/selection criteria, Justification statement as to why vendor was chosen Contract awardlChange OrderstRevisions/Amendmenisletc. Alternative Contract Source Commodities or Services available to the State via outside contract vehicle. Only GSA Schedules 70 & 84 are available to the state, C Sourcing from a General Services Adminisration approved vendor lists ($C-$50,000) 1. Applicable Government Contract 2, Vendor Name Local form demonstrating procurement is acceptable in lieu of this report. I certify the above Information Is true and accurate and documentation related to this procurement Is on file and available upon request. Grant Manager Signature Print Name and THic Date By signing flils report, I certify to (lie best of my knowledge and ballef that the report Is true, complete, and accurate, and the expenditures, disbursements and cash recolpts are for the purposes and objectives set forth In the terms and conditions of the FerforA award, I am aware Ill any false, 111cliflous, or fraudulent Information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties fraud, false statements, false claims or otherwise, (U.S, Code Title 18, Section fool and Title 31, Sections 3729.3730 and 3801-3812), Podarat)State Procurement References 60-A 1.002 Florida Administrative Code i t F_ 1 2137-057 FJ9. State of Florida Slatuto This report must be used to summarize the rnetliodology for all procurements 44CFRi3.36 Code of Federal RegulaUctis