FEMA Public Assistance Program FEMA- -DR- Prepared By: Cost Estimating Format (CEF) - Large Project Report Declaration Date: Date Prepared: [First report due 30 days after completion of large projects that were estimated using the CEF] Applicant Name PA ID Number Project Worksheet Number Category of Permanent Work (C, D, E, F, or G) CEF Estimated Cost CEF Actual Post-Construction Cost Dollar Amount of Obligation or Deobligation Reason for Cost Reconciliation Primary Function of Facility Instructions for Completion (APPLY THE "SAVE-AS" FEATURE, FOR ADDITIONAL USE, WHEN THE REPORT HAS BEEN COMPLETED): Starting at the top-middle field, enter the required information and press the tab key to progress to the next field (or the shift-tab key to return to the previous field) - 1- Enter the disaster number and the name of PA Group Supervisor preparing the report 2- Enter the disaster declaration date and the date that this report was prepared 3- Enter the Applicant Name 4- Enter the PA ID # for the Applicant 5- Enter the Project Worksheet number for each large project estimated using CEF 6- Enter the large project category for permanent work SUBMIT THIS REPORT TO: 7- Enter the estimated large project cost for eligible work (from the CEF template) 8- Enter the actual, final post-construction cost for eligible work Anthony Ndum, P.E. 9- Enter the cost reconciliation calculation. Use the minus sign for negative numbers Disaster Assistance Directorate (will display $ in parenthesis). Infrastructure Support Division 10- Enter a short description of the reason for cost reconciliation (i.e. the variation Federal Emergency Management Agency between estimated and actual costs). Use a separate, attached sheet of paper Federal Center Plaza if more space is needed and so note in the comment field as necessary. 500 C Street S.W., Room 414 11- Enter a short description of the function of the facility Washington, D.C. 20472