HomeMy WebLinkAboutSTU.23-09 - Midterm ReportStewardship Grant Progress Report, Page 1 of 10
OFFICIAL USE ONLY:
PO No.
Vendor #
Rcv’d:
Approved for payment:
___________________
Dated: _____________
County of Hawai‘i
Department of Finance
Property Management Division
25 Aupuni Street, Suite 1101
Hilo, HI 96720
Telephone: (808) 961-8069
PLEASE CHECK TYPE OF PROGRESS REPORT: SEMI-ANNUAL ANNUAL
ENTER INFORMATION IN THE FIELDS PROVIDED.
1.NAME AND ADDRESS OF ORGANIZATION:
2.PERSON TO CONTACT:
3.CONTRACT NO.:
4.CONTRACT AWARD AMOUNT:
5.PROJECT NAME (same name used on contract):
6.PROJECT PERIOD:
7.PROGRESS REPORT PERIOD:
8.PROJECT LOCATION (list all TMKs from the contract):
9.CERTIFICATION:
The Applicant certifies that the information contained in this report is true and correct to the best of
his/her knowledge.
NAME OF AUTHORIZED OFFICIAL:
TITLE OF AUTHORIZED OFFICIAL:
SIGNED:___________________________ DATE:___________________________
STEWARDSHIP GRANT PROGRESS REPORT
Stewardship Grant Progress Report, Page 2 of 10
A.PROJECT OVERVIEW:
B.PROJECT ACCOMPLISHMENTS
C.PROJECT CHALLENGES
D.FUTURE PLANS RELATING TO THE PROJECT
E.PHOTOGRAPHS, MAPS, AND OTHER EXHIBITS (These must be attached at the
end of the report as a Word document. If you attach photos, be sure to caption each photo with
a date and subject. If it is a group picture, please identify the group and date photo was taken.
No need to name the individuals in the photo. There is no need for the same location maps that
were attached in the original application. Maps can be sketches and/or drone photos
illustrating before and after activities.)
Stewardship Grant Progress Report, Page 3 of 10
(Use the table format below for details on your project’s activities. Use more than 1 page, if needed. See examples in
Instructions.)
Type of Activity Completion
Date and/or
% Complete
Contractors/Collaborators
F. PROJECT ACTIVITIES FOR CONTRACT NO.
Stewardship Grant Progress Report, Page 4 of 10
Type of Activity Completion
Date and/or
% Complete
Contractors/Collaborators
F. PROJECT ACTIVITIES FOR CONTRACT NO. (Continued)
Stewardship Grant Progress Report, Page 5 of 10
(Please be prepared to provide documentation upon request to the Dept. of Finance.)
HI County
Charter 10-
16(g)
Date(s) of
Payment Type of Expense Vendor Number of
Receipts
Total
Amount
TOTAL AMOUNT FOR THIS PAGE
G.PROJECT RECEIPTS (GRANT FUNDS ONLY) FOR CONTRACT NO.
Stewardship Grant Progress Report, Page 6 of 10
HI County
Charter 10-
16(g)
Date(s) of
Payment Type of Expense Vendor Number of
Receipts
Total
Amount
TOTAL AMOUNT FOR THIS PAGE
G.PROJECT RECEIPTS (GRANT FUNDS ONLY) FOR CONTRACT NO.
(Continued)
Stewardship Grant Progress Report, Page 7 of 10
HI County
Charter 10-
16(g)
Date(s) of
Payment Type of Expense Vendor Number of
Receipts
Total
Amount
TOTAL AMOUNT FOR THIS PAGE
TOTAL AMOUNT OF GRANT FUNDS ENCUMBERED/SPENT FOR REPORTING PERIOD
GRAND TOTAL OF GRANT FUNDS ENCUMBERED/SPENT (For Annual Report Only)
G.PROJECT RECEIPTS (GRANT FUNDS ONLY) FOR CONTRACT NO.
(Continued)
Stewardship Grant Progress Report, Page 8 of 10
(Use additional pages, if needed. See Instructions.)
Date Activity Person/Organization # of
Participants
Calculation of In-
Kind Value Other Resources
TOTAL OF IN-KIND VALUES AND OTHER RESOURCES
FOR REPORTING PERIOD
H. IN-KIND SERVICES AND OTHER RESOURCES FOR CONTRACT NO.
Stewardship Grant Progress Report, Page 9 of 10
Date Activity Person/Organization # of
Participants
Calculation of In-
Kind Value Other Resources
TOTAL OF IN-KIND VALUES AND OTHER RESOURCES
FOR REPORTING PERIOD
GRAND TOTAL OF IN-KIND VALUES AND OTHER
RESOURCES (For Annual Report Only)
H. IN-KIND SERVICES AND OTHER RESOURCES FOR CONTRACT NO. (Continued)
Stewardship Grant Progress Report, Page 10 of 10
(Attach copy of any warranty documents.)
Item Description Cost Purchase Date Model/Serial No. Location
TOTAL COST
I. EQUIPMENT INVENTORY ≥ $1,000.00 (GRANT FUNDS ONLY) FOR CONTRACT NO.