HomeMy WebLinkAboutExhibit 6ATTACHMENT F
PROPERTY REPORTING FORM FOR DEP AGREEMENT NO. CZ###
(For Property With Grantee/Contractor Assigned Property Control Numbers)
GRANTEE/CONTRACTOR: List non -expendable equipment/personal property* costing $1,000 or more purchased under the above Contract. Also list all upgrades* under this
contract, costing $1,000 or more, of property previously purchased under a DEP contract (identify the property upgraded and the applicable DEP contract an a separate sheet).
Complete the serial no/cost, location/address and property control number columns of this form. The Grantee/Contractor shall establish a unique identifier for tracking all personal
property/equipment purchased under this Contract and shall report the inventory of said property, on an annual basis, to the Department's Project Manager, by DEP Contract
number, no later than January 31'1 for each year this Contract is in effect.
DESCRIPTION
SERIAL NO./COST*s
LOCATION/ADDRSS
E
GRANTEE/CONTRACTOR
ASGNED PROPERTY
'CONTROL NUMBER
*Not including software. **Attach copy of invoice, bill of sale, or other documentation to support purrhace.
GRANTE.EJCONTRACTOR:
Grantee's/Contractor's Project Manager:
Date:
DEP CONTRACT MANAGER
DEP Contract Manager Signature::
.MAINTAIN THIS DOCUMENT WITH.A COPY OF mg INVOICES SUPPORTING THRCOS • Ok EACH ITEM IDENTIFIED ABOVE IN YOUR CONTRACT FILL
IF THE' CONTRACT IS A COST REIMBURSEMENT CONTRACT,, MARE SURE_TO: SEND INVOICES SUPPORTING THE COST OF THE ITEMS TO FINANCE
AND ACCOUNTING FOR THE PROCESSING OF THE GRANTEE'S/CONTRACTOR'S INVOICE. FOR PAYMENT: REFER TO DEP DIRECTIVE 320 FOR
PROPERTY GUIDELINES
Date:
DF,P FINANCE AND ACCOUNTING: No processing required by Finance & Accounting as the Grantee/Contractor is responsible for retaining ownership of the equipment/property upon satisfactory completion
of the Contract.
DEP PROPERTY MANAGEMENT: No processing required by the Property Management section as the Grantee/Contractor will retain ownership of the equipment/property upon satisfactory completion of the
Contract.
DEP Agreement No. CZ610, Attachment F, Page 1 of 1