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DocuSign Envelope ID: OD76CAD9-D659-4605-AA04-76D615C9OFCE <br />Exhibit A — Quarterly Reporting <br />Grantee <br />Protect Title! <br />Prepared by. <br />Date; <br />Boulder County Sustainability Matching Grant Program <br />Local Funding and Cash Match Reporting <br />Phone: <br />Type or Report Qu.merty <br />(Circle one) Progress <br />Reonrt <br />Final <br />Report <br />E5(PENDITUR <br />Grant Year: 2017 <br />iProject Duration: <br />:Start: <br />End: <br />thlth Calendar Quailer does this Report Cover? <br />Q1 (Jan - Mar) <br />Q2 (Apr• Jun) <br />03 (Jul - Sep) <br />04 (Oct - Dec) <br />Protect A <br />Fund <br />Source <br />Grant <br />Cash Match <br />Other Contribution <br />Project Total <br />Approved Budget <br />(Adjust According to <br />Your Approved Budget) <br />$ 15,000.00 <br />$ 3,750.00 <br />$ 18,750.00 <br />A <br />Expenditures <br />beginning of quarter <br />(C on previous report) <br />B <br />Expenditures <br />This Quarter <br />$ <br />C <br />Total <br />Expenditures <br />to Date (A + B) <br />'REQUIRED GRANTEE SIGNATURES: I certify that, to the best of rnyknowledge and belief, this report is correct and complete, end 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 font), other ihan the data entry <br />required, has not been altered <br />Financial Officer's Signature/Date Project Director's Signature/Date <br />Quarterly reports are due 14 days following each calendar quarter. <br />Reports should be submitted via email to lyanceyfabouldercounty.org. <br />November 2009 <br />dcjrlav2 xis <br />