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c.Ineligible expenses include hand tools, consumables, grantee direct staffing, <br />time and materials from subcontractors, etc. without prior written approval <br />from DBW. <br />d.Other expenses may be considered with advance written approval from <br />DBW. <br />2.Reimbursement claim forms: <br />Reimbursement claim forms are available in DBW’s Online Grant Application System <br />(OLGA) or upon request. Grantee must sign and date each reimbursement claim form <br />in blue ink and submit with the following documents to DBW: <br />i.Invoices from service providers, contractors and/or subcontractors to <br />Grantee: <br />Invoices must contain the following: <br />a.Name and address of Grantee <br />b.Contract or invoice number <br />c.Description of service performed <br />d.Date the service was performed <br />e.Location of each service <br />f.Vessel name, CF# or HIN# if available; otherwise, description of vessel <br />ii.Proof of payment for all invoices. <br />The following acceptable forms of proof are: <br />a.Cancelled check (with bank’s cancelled stamp on back of check copy) <br />b.Credit card statement with charge and payment posted, along with <br />copy of charge slip <br />c.Invoices from service provider showing zero balance. <br />d.Proof of Accounting Clearing House (ACH) or Electronic transfer <br />showing date, amount and transaction confirmation number. <br />iii.10% in-kind match contribution statement: <br />a.If Grantee is matching the 10% requirement with in-kind services, <br />complete the DPR265 Itemized 10% In-kind Contribution Statement <br />located in OLGA or available upon request. <br />b.Only net hourly rates will be accepted. Grantee must include <br />verification of net rates with first claim and each time rates change. <br />iv.Photos of vessels (Required) <br />1.One photo showing CF number (if available). If the CF number is not <br />visible/available, photo must show description used on clam form. <br />v.For Surrendered Vessels ONLY: <br />Statement of Vessel Release of Interest and Ownership: to be completed <br />and signed by vessel owner(s) and SAVE agency representative (SAVE <br />AGENCY ONLY section). Grantee may use their own release form ONLY if <br />DBW approved the grantee's release form. DBW release form can be <br />downloaded from OLGA. <br />One proof of vessel ownership must be provided. This can be a copy of the <br />Certification of Ownership (title/pink slip or Coast Guard document) signed <br />by the owner, a pre-printed DMV form Reg138 completed and signed by <br />vessel owner; DMV registration form; or a DMV issued junk slip. Power of <br />Date: 09/10/2021 Contract # C21S0606, City of San Leandro Marina, Surrendered and Abandoned Vessel <br />Exchange (SAVE) Fiscal Year 2021/2022 <br />__________________________________________________________________________ <br />Page: 13 of 4040