HomeMy WebLinkAboutExhibit 16ATTACHMENT G
PROPERTY REPORTING FORM FOR DEP AGREEMENT NO. LP6755
(For Propert;,' With Grantee Assigned Property Control Numbers)
GRANTEE: List non -expendable equipmendpersonal property* costing S 1,000 or more purchased under the above Agreement. Also list all upgrades* under this Agreement, costing S 1,000 or more,
of property previously purchased under a DEP Agreement (identify the property upgraded and the applicable DEP Agreement on a separate sheet). Complete the serial no./cost, location/address and
property control number columns of this form. The Grantee shall establish a unique identifier for tracking all personal property purchased under this Agreement and shall report the inventory of said
property, on an annual basis, to the Department's Grant Manaer,by DEP Agreement number, no later than January 3Is' for each year this Agreement is in effect.
DESCRIPTION
SERIAL NO./COST**
LOCATION/ADDRESS
GRANTEE ASSIGNED PROPERTY
CONTROL NUMBER
*Not including software. **Attach copy of invoice, bill of sale, or other documentation to support purchase.
GRANTEE:
Grantee's Grant Manager:
I Date:
DEP GRANT MANAGER:
BELOW FOR DEP USE ONLY
Maintain this document with a copy of the invoices supporting the cost of each item identified above in your Agreement file. If the Agreement is a cost
reimbursement Agreement, make sure to send invoices supporting the cost of the items to Finance and Accounting for the processing of the Grantee's
invoice for payment.
DEP Grant Manager Signature: Date:
DEP FINANCE AND ACCOUNTING: No proreesing required by Finance & Accounting as the Grantee is responsible for retaining ownership of the equipment/property upon satisfactory completion of the Agreement.
DEP PROPERTY MANAGEMENT: No processing required by the Property Management section as the Grantee will retain ownership of the equipment/property upon satisfactory completion of the Agreement.
DEP Agreement No. LP6755, Attachment G, Page 1 of 1