Performance Validation Form Construction Recipients

Performance Validation Form_Construction Recipients_03-18.xls

Requirements for Approved Construction Investments

Performance Validation Form Construction Recipients

OMB: 0610-0096

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EDA GPRA PERFORMANCE VALIDATION FORM FOR INVESTMENT RECIPIENTS
For EDA Infrastructure and RLF investments reporting $6 million and over in private sector investment





Project Number:
Fiscal Year Awarded:
Applicant Name:
Project Close-out Date:
EDA Investment $:







Investor/Company Name
Regional Office staff person name
Date contacted by Grantee

Amt of Private Investment Reported: No. of Jobs Created Reported: No. of Jobs Retained Reported: Collection Methodology by Grantee: per phone call, letter, etc. Verification Methodology by Regional Office Staff Person: per phone call, letter, etc.










Investor/Company Name
Regional Office staff person
Date contacted by Grantee

Amt of Private Investment Reported: No. of Jobs Created Reported: No. of Jobs Retained Reported: Collection Methodology by Grantee: per phone call, letter, etc. Verification Methodology by Regional Office Staff Person: per phone call, letter, etc.










Investor/Company Name
Regional Office staff person
Date contacted by Grantee

Amt of Private Investment Reported: No. of Jobs Created Reported: No. of Jobs Retained Reported: Collection Methodology by Grantee: per phone call, letter, etc. Verification Methodology by Regional Office Staff Person: per phone call, letter, etc.





File Typeapplication/vnd.ms-excel
Authorvhendershot
Last Modified ByKorbas, Trisha
File Modified2018-07-13
File Created2003-01-29

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