Common use of CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT Clause in Contracts

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Attachment 1-A – Invoice: Grantee’s Subcontractor(s) (Contractual Services) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Attachment 1-B – Invoice: Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0402 Attachment 1-A – Invoice: Grantee’s Subcontractor(s) (Contractual Services) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0402 Attachment 1-B – Invoice: Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0402 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Agreement # P0402 Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx Dane Eagle EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement #P0496 Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity Commerce [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxxx Xxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement #P0496 Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity Commerce [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxxx Xxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement #P0496 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity Commerce [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxxx Xxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Agreement #P0496 Attachment 1-D – Grant Agreement Final Closeout Form Xxx Xxxxxx EXECUTIVE DIRECTOR XxXxxxxx GOVERNOR GRANT AGREEMENT FINAL CLOSEOUT FORM J. Xxxx Xxxxx SECRETARY FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0310 Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0310 Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0310 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Agreement # P0310 Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM Grant Agreement Final Closeout Form FLAIR Contract ID: Recipient Name: Contract Amount $0.00 Vendor ID: Deobligated Funds $0.00 Contract End Date: Final Contract AmountAmount $0.00

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR Dane Eagle SECRETARY GRANT AGREEMENT FINAL CLOSEOUT FORM FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Attachment 1-D – Grant Agreement Final Closeout Form Xxx Xxxxxx EXECUTIVE DIRECTOR XxXxxxxx GOVERNOR GRANT AGREEMENT FINAL CLOSEOUT FORM Dane Eagle SECRETARY FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0312 Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0312 Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0312 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Agreement # P0312 Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM Grant Agreement Final Closeout Form FLAIR Contract ID: Recipient Name: Contract Amount $0.00 Vendor ID: Deobligated Funds $0.00 Contract End Date: Final Contract AmountAmount $0.00

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0402 Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0402 Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0402 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Agreement # P0402 Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx Dane Eagle EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0327 Attachment 1-A – Invoice: Grantee’s Subcontractor(s) (Contractual Services) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0327 Attachment 1-B – Invoice: Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0327 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Agreement # P0327 Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM Grant Agreement Final Closeout Form FLAIR Contract ID: Recipient Name: Contract Amount $0.00 Vendor ID: Deobligated Funds $0.00 Contract End Date: Final Contract AmountAmount $0.00

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx Dane Eagle EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement #P0501 Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity Commerce [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxxx Xxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement #P0501 Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity Commerce [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxxx Xxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement #P0501 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity Commerce [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxxx Xxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx XxxxxxxxBuilding, MSC 160 000 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Agreement #P0501 Attachment 1-D – Grant Agreement Final Closeout Form Xxx Xxxxxx EXECUTIVE DIRECTOR XxXxxxxx GOVERNOR GRANT AGREEMENT FINAL CLOSEOUT FORM J. Xxxx Xxxxx SECRETARY FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Attachment 1-A – Invoice: Grantee’s Subcontractor(s) (Contractual Services) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Attachment 1-B – Invoice: Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries $ Fringe Benefits $ Travel $ Postage $ [other direct costs: identify them] $ $ $ $ $ TOTAL $ Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ Salaries $ Fringe Benefits $ Travel $ Postage $ [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM Grant Agreement Final Closeout Form FLAIR Contract ID: Recipient Name: Contract Amount $0.00 Vendor ID: Deobligated Funds $0.00 Contract End Date: Final Contract AmountAmount $0.00

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0312 Attachment 1-A – Invoice: Grantee’s Subcontractor(s) (Contractual Services) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0312 Attachment 1-B – Invoice: Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries $ Fringe Benefits $ Travel $ Postage $ [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0312 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ Salaries $ Fringe Benefits $ Travel $ Postage $ [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Agreement # P0312 Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM Grant Agreement Final Closeout Form FLAIR Contract ID: Recipient Name: Contract Amount $0.00 Vendor ID: Deobligated Funds $0.00 Contract End Date: Final Contract AmountAmount $0.00

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0379 Attachment 1-A – Invoice: GranteeXxxxxxx’s Subcontractor(s) (Contractual Services) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0379 Attachment 1-B – Invoice: GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0379 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and GranteeXxxxxxx’s Employee(s) INVOICE GRANTEEXXXXXXX’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Agreement # P0379 Xxx XxXxxxxx GOVERNOR Attachment 1-D Xxx Xxxxxx Dane Eagle EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM FLAIR Contract ID: Recipient Name: Contract Amount Vendor ID: Deobligated Funds Contract End Date: Final Contract Amount

CONFLICTS BETWEEN SCOPE OF WORK AND REMAINDER OF AGREEMENT. In the event of a conflict between the provisions of this Scope of Work and other provisions of this Agreement, the provisions of this Scope of Work shall govern. Agreement # P0310 Attachment 1-A – Invoice: Grantee’s Subcontractor(s) (Contractual Services) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services $ TOTAL $ Agreement # P0310 Attachment 1-B – Invoice: Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ TOTAL $ Agreement # P0310 Attachment 1-C – Invoice: Combination of Grantee’s Subcontractor(s) and Grantee’s Employee(s) INVOICE GRANTEE’S NAME: FEIN: INVOICE NO.: INVOICE DATE: Agreement No.: TO: FOR: Florida Department of Economic Opportunity [Grantee name] Division of Community Development [Grantee address] Attn.: Xxxxxx Xxxxx Xxxxxxxxx [Grantee phone number] 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxx Xxxxxxxx, MSC 160 Xxxxxxxxxxx, XX 00000 DESCRIPTION AMOUNT Dates of Service: Deliverable Completed: [copy description of the deliverable from Scope of Work, Section 3] Category expenditures: Contractual Services Salaries Fringe Benefits Travel Postage [other direct costs: identify them] $ $ $ $ $ $ TOTAL $ Xxx XxXxxxxx GOVERNOR Agreement # P0310 Attachment 1-D Xxx Xxxxxx EXECUTIVE DIRECTOR GRANT AGREEMENT FINAL CLOSEOUT FORM Grant Agreement Final Closeout Form FLAIR Contract ID: Recipient Name: Contract Amount $0.00 Vendor ID: Deobligated Funds $0.00 Contract End Date: Final Contract AmountAmount $0.00