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STATE OF FLORIDA <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br /> <br />Exhibit A <br />Progress Report Form <br />DEP Agreement No.: LPA0391 <br />Project Title: <br />Grantee Name: <br />Grantee’s Grant Manager: <br /> <br />Reporting Period: Select Quarter -Select Year <br />Provide the following information for all tasks identified in the Grant Work Plan: <br />Summarize the work completed within each task for the reporting period, provide an update on the estimated <br />completion date for each task, and identify any anticipated delays or problems encountered. Use the format <br />provided below and use as many pages as necessary to cover all tasks. Each quarterly progress report is due <br />no later than twenty (20) days following the completion of the quarterly reporting period. <br /> <br />Task 1: Construction <br /> Progress for this reporting period: <br /> <br /> Identify delays or problems encountered: <br /> <br /> <br />Completion Status for Tasks <br />Indicate the completion status for the following tasks, if included in the Grant Work Plan. For construction, <br />the estimated completion percentage should represent the work being funded under this Agreement. <br /> <br />Design (Plans/Submittal): 30% , 60% , 90% , 100% <br /> <br />Permitting (Completed): Yes , No <br /> <br />Construction (Estimated): % <br /> <br />This report is submitted in accordance with the reporting requirements of the above DEP Agreement number <br />and accurately reflects the activities associated with the project. <br /> <br />Signature of Grantee’s Grant Manager Date <br />(Original Ink or Digital Timestamp) <br />Exhibit A, Page 1 of 1 <br />Rev. 2/3/22 <br /> <br />