Item 35 - FY 2022 Emergency Management Performance Grant

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CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES) Ledger Column Name Instructions Project Select the project letter from the drop-down list that corresponds with the Project Ledger. Direct/Subaward Use the drop-down list to identify if the Project is Direct or Subaward Project Title Enter the name of the project. Match Description Enter the description of the Match activity. Solution Area Select a Solution Area from the drop-down list that aligns to the activities/costs used to meet the EMPG Match Requirement. Solution Area Sub-Category Select a Solution Area Sub-Category from the drop-down list that aligns to the activities/costs used to meet the EMPG Match Requirement. This list is dependent on a selection from the Solution Area Category drop-down list. The Solution Area Sub-Category will not display the drop-down list unless a Solution Area Category is selected. Type of Match Select the Type of Match: Cash or In-Kind Total Budgeted Match Enter the total budgeted match amount for this project in this column. Previously Approved Amount This field auto-populates with the cumulative match expenditures as of the reimbursement request prior to the current request. Current Match This field is for Cash Requests only: Enter the match amount for the line item. Total Match Expended This field auto-populates with the total match expenditures to-date for the line item. Remaining Balance This field auto-populates with the remaining match balance for the line item. Percentage Expended This field auto-populates with the match amount expended, to-date, as a percentage of the budgeted match amount. Form Field Instructions Request Type Enter the type of request that is being made. Use one of the following types: INITIAL APPLICATION, REIMBURSEMENT REQUEST, FINAL REIMBURSEMENT REQUEST and MODIFICATION Performance Period This field is auto-populated with the grant Performance Period as described on the Face Sheet Tab Request #Enter the "Cash Request" or "Modification" number associated with this request. Amount This Request This field is for Cash Requests only: Enter the requested dollar amount for this request. Authorized Agent Enter the Name and Title of Authorized Agent. Sign and date. Ledger Column Name Instructions Period Enter the time period for which the indirect cost rate is valid. Use the format: Month/Year through Month/Year. Indirect Cost Rate for Period Enter the indirect cost rate for period ICR Base Select ICR Base from the drop-down Total Costs Enter Total Costs. Less Distorting Costs Enter Less Distorting Costs. Costs Applicable to ICR This field auto-populates. Total Direct Costs This field auto-populates. Total Allowable Indirect Costs This field auto-populates. Total Budgeted Indirect Costs Enter Total Indirect Costs Budgeted; this value should be not be greater than the Total Allowable Indirect Costs. Section 16: ICR SUMMARY Spacing Spacing Section 14: MATCH Spacing Section 15: AUTHORIZED AGENT The Authorized Agent sheet must accompany ALL Reimbursement Requests, Modifications, and the Initial Application. Spacing FY 2022 EMPG FMFW (Macro) v.22 11 of 26 Instructions