Reso 2021-173 Accept Grant Funds for Redevelopment of Memorial Park 1105 Bancroft

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Status Report To monitor progress, every six months OGALS will send Status Reports to GRANTEE to complete for each PROJECT. GRANTEE must return Status Reports to OGALS within thirty days from receipt. This requirement continues until OGALs receives GRANT COMPLETION PACKETS. Payment requests will not be processed if Status Reports are overdue. See the sample Status Report below, which is subject to change. Status Report Grantee: Project Number: Project Name: Advances to date without documentation (attach a Grant Expenditure Form documenting expenditure of the balance, if applicable): If a portion of the advanced funds have not been spent, and more than six months have passed since the Grantee received the advanced funds, the balance must be spent on eligible costs or returned to OGALS within 60 days from receipt of this form. Briefly describe completed work funded by the grant since the last Status Report [DATE]: (Continue on another sheet if needed.) Pre-Construction/Pre-Acquisition (Planning, CEQA, etc.): 1) Acquisition and/or Construction -- and Provide photos showing work completed since [DATE] 2) Potential Obstacles Affecting Completion 3) 4) Total Funds Spent To Date Using This Grant $ 5) Percentage of Project Complete: 6) Estimated Date of Project Completion: 7) On Time: Yes / No If not, explain: 8) Within Budget: Yes / No If not, explain: 9) Within Scope: Yes / No If not, explain: I represent and warrant that I have full authority to execute this Grant Progress Status Report on behalf of the Grantee. I declare under penalty of perjury, under the laws of the State of California, that this status report, and any accompanying documents, for the above -mentioned Grant is true and correct to the best of my knowledge. Authorized Representative* Title Date (*Certification to above information requires a signature by a person authorized in the resolution) 29