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Agmt16 State of CA- Dept of Parks and Recreation, Division of Boating and Waterways
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Agmt16 State of CA- Dept of Parks and Recreation, Division of Boating and Waterways
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9/22/2016 8:49:24 AM
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9/22/2016 8:48:25 AM
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Agreement
Contractor Name
State of CA- Dept of Parks and Recreation, Division of Boating and Waterways
PROJECT NAME
Surrendered and Abonded Vessel and Ecchange (SAVE)
RMP File Number
304
Date
9/22/2016
MO Ref
16-170
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kind match, include hours, purpose or action, date of action, and/or other as <br /> requested by DBW . Only net, raw hours will be accepted . Please use the <br /> form provided on DBW's website at www.dbw.ca.gov under Grants & Loans, <br /> or the online grant system , OLGA, available on DBW website. <br /> 4. Photos of vessels with CF numbers (if available) <br /> 5. Department of Motor Vehicles (DMV) documents (if available) <br /> e. VTIP Claim Requests to Include (Use the VTIP claim form provided on <br /> DBW's website at www.dbw.ca.gov under Grants & Loans, or the online grant <br /> system , OLGA, available on DBW's website): <br /> 1 . Name and address of Grantee <br /> 2. Contract or invoice number <br /> 3. Description of service performed <br /> 4. Date the service was performed <br /> 5. Location of each service <br /> 6. Vessel name, CF# or HIN# <br /> f. Documents to submit with VTIP reimbursement claims: <br /> 1 . Invoices from subcontractors to Grantee <br /> 2. Proof of payment by Grantee to subcontractors for services received <br /> 3. Statement of 10% match contribution if using in-kind services , <br /> with supporting verification of in-kind contribution. If using personnel <br /> hours for in-kind match, include hours, purpose or action, date of action, <br /> and/or other as requested by DBW . Only net hourly rates (no benefits <br /> included) hours will be accepted . Please use form provided on <br /> DBW's website at www.dbw.ca.gov under Grants & Loans, or the online <br /> grant system, OLGA, available on DBW website. <br /> 4. Photos of vessels (if available) <br /> 5. Statement of Release completed and signed by owner(s). A sample of <br /> thi <br /> s form is provided on DBW's website at www.dbw.ca .gov under Grants <br /> & Loans , or the online grant system , OLGA. <br /> 6. Department of Motor Vehicles (DMV) documents: Certificate of Ownership <br /> signed by owner, or DMV Notice of Transfer and Release of Liability Form , <br /> completed and signed by owner(s). <br /> g. Reimbursement claims and support documents (as indicated above) are to <br /> be submitted to DBW at: : <br /> Division of Boating and <br /> Waterways One Capitol Mall, Suite <br /> 500 Sacramento, CA 95814 <br /> Attention : AWAF Unit <br /> h. Submission of fraudulent invoices or other claim documentation is a breach of this <br /> Agreement, which shall result in forfeiture of all funds advanced and provided under <br /> ATTY/AGR/2016.249/STATE OF CALIFORNIA DEPARTMENT OF PARKS & RECREATION DIVISION OR BOATING & WATERWAYS <br /> REV: 09-01-16 RL <br /> Page 13 of 33 <br />
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