HomeMy WebLinkAboutExhibit 10ATTACHMENT F
PROPERTY REPORTING FORM FOR DEP AGREEMENT NO. CZ###
(For Property With Grantee/Contractor Assigned Property Control Numbers)
GRANTEEICONTRACTOR: List non -expendable equipment/personal property" costing S 1,000 or more purchased under the above Contract_ Also list all upgrades' under this
contract, costing S 1,000 or more, of property previously purchased under a DEP contract (identify the property upgraded and the applicable DEP contract on a separate sheet)_
Complete the serial no/cost, location/address and property control nuns cohnntss of this fortn_ The Grantee/Contractor shall establish a unique ideentrfier 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° for each year this Contract is in effect.
DESCRIPTION. -
SF.RLAL:NOJCOST"'
LOCATION/ADDRESS
GRANTEE/CONTRACTOR
ASSIGNED PROPIItTY
CONTROL NUMBER
'Not including software. **Attach copy of invoice, bill of sale, or other documentation to support purchase.
F GRANTEE/CONTRACi'OR:
l Grantee's/Contractor's Project Manager
Date:
1
DEP CONTRACT MANAGER MAINTAIN THIS DOCT#MENT WITH A COPY OF THE INVOICES SUPPORTING THECOST OF EACH ITEM ]DE TIF1ED ABOVE IN -YOUR CONTRACT FILE.
IP'Iag CONTRACT IS A COST REIMBURSEMENT COIPLRACT,.040 3'UR£'2'OSEND tIV-D1CPS SUPPORTING COST D!+'FIIE)r['t;IKS TO FYNANGE
AND ACCOUNI1NG FOR THE PROCESSING OF THE GRArairs/CONTRACTOIrS INVOICE. FOR PAYMENT REFER TO DEP DIRECTIVE 320 - FOR
PROPERTY GUIDEL INE
DEP Contract Manager Signature;:
Date:
DEP FINANCE AND 6CCOUNT ING: No processing required by Finance &Accounting as the Comte a oq t actor is responsible for retaining ownership of the equipment/property upon satisfactory completion
n
of the Contract_ -
DEP PROPERTY MANAGEMENT: No processing required by the Property Management section as the Grantee/Contractor will rain ownership of theP V tY upon satisfactory completion of the
Contract
DEP Agreement Na CZ610, Attachment F, Page I of 1