Common use of Budget Detail Worksheet Clause in Contracts

Budget Detail Worksheet. [Budget detail worksheet submitted with the application, subject to any changes based on the award letter, will be inserted in the final grant agreement] Attachment 5, Invoice Department of Conservation Date: Division of Land Resource Protection Email required invoice documents to: Grant Manager Invoice Number: Grantee Name: Grant Number: Project Name: Invoice Period (Start Date) (End Date) Cost Category Task #1 Task #2 Task #3 Task #4 Total Staff Current Total Cumulative Total Allocated Total Cost Category Total Administration (not to exceed 20%) Travel Cumulative Total Allocated Total Work Plan Task # Description of Work Completed Please refer to specific deliverables in the Budget and Work Plan. Status Update Work Plan Task # On Schedule (Y/N) Within Budget (Y/N) Corrective Plan or Action, if needed CERTIFICATION: By my signature below, I certify that I have full authority to execute this payment request on behalf of Grantee. I declare under penalty of perjury, under the laws of the State of California, that this invoice for reimbursement, and any accompanying supporting documents, are true and correct to the best of my knowledge, an all disbursements have been made for the purposes and conditions as outlined in the Grant Agreement. Print Name: Print Title: Signature: Date: Attachment 6, Invoice Dispute Notification Exhibit C, General Terms and Conditions

Budget Detail Worksheet. [Budget detail worksheet submitted with the application, subject to any changes based on the award letter, will be inserted in the final grant agreement] Attachment 5, 6: Invoice Templates Land Improvement Invoice Template Submit all invoice documents electronically To: [Grant Manager Email Address] and XXXXxxxxxxx@xxxxxxxxxxxx.xx.xxx Date: California Department of Conservation Date: Division of Land Resource Protection Email required invoice documents toAttn: Grant Manager Invoice Number: Grantee Name: [grant manager] 000 X Xxxxxx, XX #0000 Xxxxxxxxxx, XX 00000 Grant Number: Project NameInvoice # Invoice Period: Total Invoice Period (Start Date) (End Date) Amount: Remit to: [Grantee name] [Grantee mailing address] Cost Category Task #1 Task #2 Task #3 Task #4 Task #5 Task #6 Total Staff Subcontractor Travel Indirect Costs Current Total Cumulative Total Allocated Total Cost Category Total Administration (not to exceed 20%) Travel Cumulative Total Allocated Total Work Plan Task # Description of Work Completed 1 Please refer to specific deliverables in the Budget and Work Plan. Status Update Work Plan Task # On Schedule (Y/N) Within Budget (Y/N) Corrective Plan or Action, if needed 4 CERTIFICATION: By my signature below, I certify that I have full authority to execute this payment reimbursement request on behalf of GranteeXxxxxxx. I declare under penalty of perjury, under the laws of the State of California, that this invoice for reimbursement, and any accompanying supporting documents, are true and correct to the best of my knowledge, an all disbursements have been made for the purposes and conditions as outlined in the Grant Agreement. Print Name: Print   Title:   Signature:   Date:  Attachment 6: Invoice Templates Acquisition Invoice Template Submit all invoice documents electronically To: [Grant Manager Email Address] and XXXXxxxxxxx@xxxxxxxxxxxx.xx.xxx TO: Department of Conservation Date: Attachment 6  Division of Land Resource Protection Attn:   (grant manager) 715 P Street, Invoice Dispute Notification Exhibit CMS 1904 Xxxxxxxxxx, General Terms and ConditionsXX 00000

Budget Detail Worksheet. [Budget detail worksheet submitted with the application, subject to any changes based on the award letter, will be inserted in the final grant agreement] Attachment 5, 6: Invoice Department of Conservation All invoices must itemize expenses consistent with the line items identified in the BUDGET DETAIL. All invoices itemize administrative costs. Submit all invoice documents electronically To: [Grant Manager Email Address] and XXXXxxxxxxx@xxxxxxxxxxxx.xx.xxx Date: Division of Land Resource Protection Email required invoice documents to: Grant Manager Invoice Number: Grantee Name: Grant Number: Project Name: Invoice Period (Start Date) (End Date) Cost Category Task #1 Task #2 Task #3 Task #4 (Line Item) Hourly Cost/Unit Rate Number of Hours/Units Total Staff Current Costs Total Cumulative Budgeted Remainder Other (specify) Total Allocated Total Cost Category Total Administration (not to exceed 20%) Travel Cumulative Total Allocated Total Work Plan Task # Description of Work Completed Please refer to specific deliverables actions in the Budget and Work Plan. Status Update Work Plan Task # On Schedule (Y/N) Within Budget (Y/N) Corrective Plan or ActionIs the project on track? Accomplishments, if needed challenges, and anticipated changes should be detailed sufficiently for tracking progress. Description of Activities CERTIFICATION: By my signature below, I certify that I have full authority to execute this payment reimbursement request on behalf of Grantee. I declare under penalty of perjury, under the laws of the State of California, that this invoice for reimbursement, and any accompanying supporting documents, are true and correct to the best of my knowledge, an all disbursements have been made for the purposes and conditions as outlined in the Grant Agreement. Print Name: Print Title: Signature: Date: Attachment 6, Invoice Dispute Notification Exhibit C, : General Terms and Conditions

Budget Detail Worksheet. [Budget detail worksheet submitted with the application, subject to any changes based on the award letter, will be inserted in the final grant agreement] Attachment 56, Invoice Department of Conservation Date: Division of Land Resource Protection Email required invoice documents to: Grant Manager Invoice Number: Number   Grantee Name: Name   Date Submitted   Grant Number: Number   Project Name: Name   Invoice Period (Start Date) (End Date) From   to   Cost Category Task #1 Task #2 Task #3 Task #4 Total Staff Current Total Cumulative Total Allocated Total Cost Category Total Administration (not to exceed 20%) Travel Cumulative Total Allocated Total Work Plan Task # Description of Work Completed Please refer to specific deliverables in the Budget and Work Plan. Status Update Work Plan Task # On Schedule (Y/N) Within Budget (Y/N) Corrective Plan or Action, if needed CERTIFICATION: By my signature below, I certify that I have full authority to execute this payment request on behalf of Grantee. I declare under penalty of perjury, under the laws of the State of California, that this invoice for reimbursement, and any accompanying supporting documents, are true and correct to the best of my knowledge, an all disbursements have been made for the purposes and conditions as outlined in the Grant Agreement. Name:   Title:   (Type or Print Name: Print Title: ) Signature: ________________________________ Date: Attachment 6, Invoice Dispute Notification   Exhibit C, General Terms and ConditionsConditions Approval This Grant Agreement is of no force or effect until signed by both parties. Grantee may not commence performance until such approval has been obtained. Amendment No change to this Grant Agreement shall be valid unless made in accordance with Exhibit A, Section 3 or 4, or Exhibit B, Section 7. No oral understanding or change not incorporated in this Grant Agreement is binding on any of the parties.