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DocuSign Envelope ID: FD7BD1FO-F1BB-4DB5-9733-C8B1E292E083 <br />Exhibit A — Quarterly Reporting <br />Boulder County Sustainability Matching Grant Program <br />Local Funding and Cash Match Reporting <br />Grantee: <br />Fund <br />Source <br />Approved <br />Budget (Adjust According <br />to Approved Budget) <br />Grant Year: 2016 <br />Project Tdle: <br />C <br />Total <br />Expenditures <br />to Date (A + B) <br />Project Duration: <br />Start: <br />End: <br />Prepared by: <br />Date: <br />$ - <br />Phone: <br />Which Calendar Quarter does this Report cover? <br />01 (Jan - Mar) <br />Q2 (Apr . Jun) <br />03 (Jul - Sep) <br />04 (Oct- Dec) <br />Type of Report <br />(Circle one) <br />Quarterly <br />Progress <br />Reoort <br />Final <br />Report <br />"`REQUIRED GRANTEE SIGNATURES: I certrfy that, to the best of my knowledge and belief, this report is correct and complete, and that all expenditures and <br />unpaid obligations are for the purposes set forth in the grant award documents. I, hereby, also certify that the content of this form, other than the data entry <br />required, has not been altered. <br />Financial Officer's Signature/Date <br />Quarterly reports are due 14 days following each calendar quarter. <br />Reports should be submitted via email to lyancey@bouldercounty.org. <br />February 2016 revision <br />Project Director's Signature/Date <br />Fund <br />Source <br />Approved <br />Budget (Adjust According <br />to Approved Budget) <br />A <br />Expenditures <br />beginning of quarter <br />(C on previous report) <br />5 <br />Expenditures <br />This Quarter <br />C <br />Total <br />Expenditures <br />to Date (A + B) <br />Project A <br />Grant <br />$ 15,000.00 <br />$ - <br />$ <br />- <br />$ <br />Cash Match <br />$ 3,750.00 <br />$ <br />$ <br />$ <br />- <br />Other Contribution, optional <br />Project Total <br />$ 18,750.00 <br />$ - <br />$ <br />- <br />$ <br />- <br />"`REQUIRED GRANTEE SIGNATURES: I certrfy that, to the best of my knowledge and belief, this report is correct and complete, and that all expenditures and <br />unpaid obligations are for the purposes set forth in the grant award documents. I, hereby, also certify that the content of this form, other than the data entry <br />required, has not been altered. <br />Financial Officer's Signature/Date <br />Quarterly reports are due 14 days following each calendar quarter. <br />Reports should be submitted via email to lyancey@bouldercounty.org. <br />February 2016 revision <br />Project Director's Signature/Date <br />