Common use of ENGINEER’S CERTIFICATION OF COMPLIANCE Clause in Contracts

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156, L.O.F, (CSFA 55.039) *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations devi ations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. SEAL: By: , P.E. SEAL: Name: Date: , P.E. Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0D STATE-FUNDED GRANT AGREEMENT PROGRAM MANAGEMENT MANAGEMENT05/21 Page 1 of 1 The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0F PROGRAM MANAGEMENT Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Alt Form 525-010-60eJ STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0J STATE-FUNDED GRANT AGREEMENT PROGRAM MANAGEMENT MANAGEMENT09/20 Page 1 of 1 EXHIBIT J Awarding Agency: Florida Department of Transportation State Project Title County Incentive Grant Program (CIGP), (CSFA 55.008) and CSFA Small County Outreach Program (SCOP), (CSFA 55.009) Number: Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Insert Program Name, L.O.F, (Insert CSFA 55.039) Number *Award Amount: $1,218,600.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspxsearchCatalog.aspx COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT: State Project Compliance Requirements for CSFA Number are provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCompliance.aspx The State Projects Compliance Supplement is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/compliance.aspx Alt Form 525-010-60eO STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0O STATE-FUNDED GRANT AGREEMENT PROGRAM MANAGEMENT05/21 Page 1 of 3 EXHIBIT O

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific FY 2023/2024 General Appropriation 1988A of Chapter 2022-156Act (GAA) Line number 2042A, L.O.F, (CSFA 55.039) 55.039 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT Awarding Agency: Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Insert Program Name, L.O.F, (Insert CSFA 55.039) Number *Award Amount: $569,369.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Alt Form 525-010-60eJ STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Insert Program Name, L.O.F, (Insert CSFA 55.039) Number *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT Awarding Agency: Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A 2042A of Chapter 2022Ch. 2023-156239, L.O.FL.O.F., (CSFA 55.039) Local Transportation Projects, 55.039 *Award Amount: $2,500,000.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/docs-sf/AAaccounting-and-auditing-libraries/Manualsstate- agencies/documents/ReferenceGuideforState Expenditures.pdfreference-guide-for-state-expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Local Transportation Project, L.O.F, (CSFA 55.039) 55.039 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Local Transportation Projects, L.O.F, (CSFA 55.039) 55.039 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT Awarding Agency: Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Insert Program Name, L.O.F, (Insert CSFA 55.039) Number *Award Amount: $5,733,308.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. SEAL: By: , P.E. SEAL: ‌ Name: Date: , P.E. Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0D EXHIBIT D RECIPIENT RESOLUTION‌ PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this this‌ Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0F PROGRAM MANAGEMENT Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: Salaries: Timesheets that support the hours worked on the project or activity must be kept. A payroll register, or similar documentation should be maintained. The payroll register should show gross salary charges, fringe benefits, other deductions and net pay. If an individual for whom reimbursement is being claimed is paid by the hour, a document reflecting the hours worked times the rate of pay will be acceptable. Fringe benefits: Fringe benefits should be supported by invoices showing the amount paid on behalf of the employee, e.g., insurance premiums paid. If the contract specifically states that fringe benefits will be based on a specified percentage rather than the actual cost of fringe benefits, then the calculation for the fringe benefits amount must be shown. Exception: Governmental entities are not required to provide check numbers or copies of checks for fringe benefits. Travel: Reimbursement for travel must be in accordance with s. 112.061, F.S., which includes submission of the claim on the approved state travel voucher along with supporting receipts and invoices. Other direct costs: Reimbursement will be made based on paid invoices/receipts and proof of payment processing (cancelled/processed checks and bank statements). If nonexpendable property is purchased using state funds, the contract should include a provision for the transfer of the property to the State when services are terminated. Documentation must be provided to show compliance with DMS Rule 60A-1.017, F.A.C., regarding the requirements for contracts which include services and that provide for the contractor to purchase tangible personal property as defined in s. 273.02, F.S., for subsequent transfer to the State. Indirect costs: If the contract stipulates that indirect costs will be paid based on a specified rate, then the calculation should be shown. Indirect costs must be in the approved agreement budget and the entity must be able to demonstrate that the costs are not duplicated elsewhere as direct costs. All indirect cost rates must be evaluated for reasonableness and for allowability and must be allocated consistently. Contracts between state agencies may submit alternative documentation to substantiate the reimbursement request, which may be in the form of FLAIR reports or other detailed reports.‌‌‌‌ The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Alt Form 525-010-60eJ STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0J 0J‌‌‌‌ PROGRAM MANAGEMENT Awarding Agency: Florida Department of Transportation State Project Title County Incentive Grant Program (CIGP), (CSFA 55.008) and CSFA Small County Outreach Program (SCOP), (CSFA 55.009) Number: Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-15655.026)‌ Insert Program Name, L.O.F, (Insert CSFA 55.039) Number‌ *Award Amount: $1,218,600.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. ‌‌ In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. CEI.‌ By: , P.E. P.E.‌ SEAL: Name: ‌ Date: ‌ Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION STATE-FUNDED GRANT AGREEMENT 525-011-0D PROGRAM MANAGEMENT 05/21 Page 1 of 1 RECIPIENT RESOLUTION‌‌‌‌‌‌‌‌‌ The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Agreement.‌‌‌ EXHIBIT F‌ CONTRACT PAYMENT REQUIREMENTS‌ Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. provided.‌ Listed below are types and examples of supporting documentation for cost reimbursement agreementsagreements:‌ Salaries: Timesheets that support the hours worked on the project or activity must be kept. A payroll register, or similar documentation should be maintained. The payroll register should show gross salary charges, fringe benefits, other deductions and net pay. If an individual for whom reimbursement is being claimed is paid by the hour, a document reflecting the hours worked times the rate of pay will be acceptable.‌ Fringe benefits: Fringe benefits should be supported by invoices showing the amount paid on behalf of the employee, e.g., insurance premiums paid. If the contract specifically states that fringe benefits will be based on a specified percentage rather than the actual cost of fringe benefits, then the calculation for the fringe benefits amount must be shown. Exception: Governmental entities are not required to provide check numbers or copies of checks for fringe benefits.‌ Travel: Reimbursement for travel must be in accordance with s. 112.061, F.S., which includes submission of the claim on the approved state travel voucher along with supporting receipts and invoices.‌ Other direct costs: Reimbursement will be made based on paid invoices/receipts and proof of payment processing (cancelled/processed checks and bank statements). If nonexpendable property is purchased using state funds, the contract should include a provision for the transfer of the property to the State when services are terminated. Documentation must be provided to show compliance with DMS Rule 60A-1.017, F.A.C., regarding the requirements for contracts which include services and that provide for the contractor to purchase tangible personal property as defined in s. 273.02, F.S., for subsequent transfer to the State.‌ Indirect costs: If the contract stipulates that indirect costs will be paid based on a specified rate, then the calculation should be shown. Indirect costs must be in the approved agreement budget and the entity must be able to demonstrate that the costs are not duplicated elsewhere as direct costs. All indirect cost rates must be evaluated for reasonableness and for allowability and must be allocated consistently.‌ Contracts between state agencies may submit alternative documentation to substantiate the reimbursement request, which may be in the form of FLAIR reports or other detailed reports.‌‌‌‌ The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Expenditures.pdf.‌‌ Alt Form 525-010-60eJ‌‌‌ STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION STATE-FUNDED GRANT AGREEMENT‌ 525-011-0J PROGRAM MANAGEMENT MANAGEMENT‌ 09/20 Page 1 of 1‌ EXHIBIT J‌‌‌ STATE FINANCIAL ASSISTANCE (FLORIDA SINGLE AUDIT ACT)‌ THE STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING:‌‌‌ Awarding Agency:‌ Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) 55.009)‌‌‌ Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Insert Program Name, L.O.F, (Insert CSFA 55.039) Number‌‌ *Award Amount: $537,967.00‌‌ *The state award amount may change with supplemental agreements agreements‌ Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspxsearchCatalog.aspx‌‌

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT Awarding Agency: Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Insert Program Name, Insert CSFA Number *Award Amount: $1,953,091.00 *The Recipient’s Resolution state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT: State Project Compliance Requirements for CSFA Number are provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCompliance.aspx The State Projects Compliance Supplement is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/compliance.aspx The Recipient Resolution, or other official authorization, authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156, L.O.F, (CSFA 55.039) *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156, L.O.F, (CSFA 55.039) *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/docs-sf/AAaccounting-and-auditing-libraries/Manualsstate- agencies/documents/ReferenceGuideforState Expenditures.pdf. 525reference-011guide-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022for-156, L.O.F, (CSFA 55.039) *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇state-expenditures.pdf.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Alt Form 525-011010-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. 60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Alt Form 525-010-60eJ STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Local Transportation Projects, L.O.F, (CSFA 55.039) 55.039 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0F PROGRAM MANAGEMENT Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Alt Form 525-010-60eJ STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Insert Program Name, L.O.F, (Insert CSFA 55.039) Number *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT Awarding Agency: Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Local Transportation Projects, L.O.F, (CSFA 55.039) 55.039 *Award Amount: $1,000,000.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Alt Form 525-010-60eJ STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Local Transportation Projects, L.O.F, (CSFA 55.039) 55.039 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. 525-011-0J PROGRAM MANAGEMENT Awarding Agency: Florida Department of Transportation State Project Title and CSFA Number: County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A of Chapter 2022-156Insert Program Name, L.O.F, (Insert CSFA 55.039) Number *Award Amount: $537,967.00 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx

ENGINEER’S CERTIFICATION OF COMPLIANCE. In accordance with the Terms and Conditions of the State-Funded Grant Agreement, the undersigned certifies that all work which originally required certification by a Professional Engineer has been completed in compliance with the Project construction plans and specifications. If any deviations have been made from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient shall furnish the Department a set of “as-built” plans certified by the Engineer of Record/CEI. By: , P.E. SEAL: Name: Date: Alt Form 525-010-60eD STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0D PROGRAM MANAGEMENT The Recipient’s Resolution authorizing entry into this Agreement is attached and incorporated into this Agreement. Alt Form 525-010-60eF STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation shall be submitted for each amount for which reimbursement is being claimed indicating that the item has been paid. Documentation for each amount for which reimbursement is being claimed must indicate that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures for categories in the approved agreement budget may be reimbursed. These expenditures must be allowable (pursuant to law) and directly related to the services being provided. Listed below are types and examples of supporting documentation for cost reimbursement agreements: The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this web address ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Division/AA/Manuals/documents/ReferenceGuideforState Expenditures.pdf. Alt Form STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0J PROGRAM MANAGEMENT County Incentive Grant Program (CIGP), (CSFA 55.008) Small County Outreach Program (SCOP), (CSFA 55.009) Small County Road Assistance Program (SCRAP), (CSFA 55.016) Transportation Regional Incentive Program (TRIP), (CSFA 55.026) Specific Appropriation 1988A 1915A of Chapter 2022▇▇. ▇▇▇▇-156▇▇, L.O.F▇.▇.▇., (CSFA 55.039) ▇▇▇▇ 55.039 *The state award amount may change with supplemental agreements Specific project information for CSFA Number is provided at: ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/fsaa/searchCatalog.aspx