2009/06/24 Council Agenda Packet

INSTRUCTIONS For using the BILLING FORM This form is intended for use either quarterly or at a minimum yearly for billing purposes. It is for reimbursement of costs incurred I the execution of the Marine Law enforcement Grant. Make copies as needed. The Final billing is due NO LATER THAN JULY 15. Agency Name, Address, Amount, and Date of Agreement—This section is pre-printed from the information supplied on the Federal Financial Assistance Grant application and Special Emphasis Grant Application form, if applicable. Please verify that all information is correct. (1) Expenditures Reported — Federal assistance grant - Record the reimbursement request in the appropriate quarter column. Breakout expenditures by on-the-water patrol and Adventures in Boating classes. If you bill quarterly, expenditures are to be totaled cumulatively. Attach back-up information that includes vendor, date of payment, document# and amount. Allowable expenditures include on-the-water Patrol Officer Salaries (while on patrol, in court, in office, or other costs associated with increase), operating costs (such as fuel, oil, maintenance), costs associated with increased boating safety education courses taught (trainer costs, materials costs, etc.). (2) Expenditures Reported — Special Emphasis Grant- Record the reimbursement request in the appropriate quarter column. Attach back-up information that includes vendor, date of payment, document#and amount. Also, attach a copy of Report of Activities for this grant. Note: this is not the SOAR report that you report your quarterly activities— but it is similar! Allowable expenditures include on-the-water Patrol Officer Salaries (while on patrol, in court, in office, or other costs associated with increase),operating costs (such as fuel, oil, maintenance). SIGN THE VENDOR'S CERTIFICATE—TYPE OR PRINT YOUR NAME AND TITLE. Enter the date. For Patrol Officers, be sure to maintain officer timesheets and vessel logbooks. For Boating Education Courses, be sure to maintain all course records, outlines and student rosters. Submit the completed Reimbursement billing to: Washington State Parks Boating Program PO Box 42650 Olympia, WA 98504-2650 AGENCY INFORMATION ONLY Reimbursement questions? Contact: Toni Lick (360) 902-8843 Do not write in this area. Specific E-mail: Toni.Lick(c,parks.wa.gov codes have been established for Program Management questions? individual grants Contact Mark Kenny(360) 902-8835; E-mail: Mark. Kennveparks.wa.gov 2009-66 Page 8 cc 155L0 19