SLIGP Closeout Report

OMB Control No. ####-####
Expiration Date: XX/XX/XXXX
2. Award or Grant Number:

SLIGP 2.0 Grant Closeout Report

4. EIN:

1. Recipient Name

6. Report Date
(MM/DD/YYYY)

3. Street Address

7. Reporting Period End
Date: (MM/DD/YYYY)

5. City, State, Zip
Code

8. Final Report
Yes
No

9. Project/Grant Period
9a. Start Date:
9b. End Date:
(MM/DD/YYYY)
(MM/DD/YYYY)
11. Program Activities
11a. Identify the activities you performed during SLIGP2.0 grant period of performance
Was this Activity
Total Project
Activity Type (Planning, Governance
Performed during
Deliverable Quantity
Meetings, etc.)
the grant period?
(Number)
(Yes/No)
1

Governance Meetings

3

Individuals Sent to Broadband
Conferences
Convened Stakeholder Events

4

Staff Hired (Full-Time Equivalent)(FTE)

5
6

Contracts Executed
Subrecipient Agreements Executed
Data Sharing Policies/Agreements
Developed
Further Identification of Potential Public
Safety Users
Plans for Emergency Communications
Technology Transitions
Identified and Planned to Transition PS
Apps & Databases
Identify Ongoing Coverage Gaps
Data Collection Activities

2

7
8
9
10
11
12

10. Reserved for
Reviewer

Description of Activity Deliverable Quantity
Cumulative number of governance, subcommittee, or working group meetings related to the NPSBN held during the
grant period
Cumulative number of individuals sent to national or regional third-party conferences with a focus or training track
related to the NPSBN using SLIGP 2.0 grant funds during the grant period
Cumulative number of events coordinated or held using SLIGP 2.0 grant funds during the grant period, as requested by
Cumulative number of state/territory personnel FTEs who began supporting SLIGP 2.0 activities during the grant period
(may be a decimal).
Cumulative number of contracts executed during the grant period.
Cumulative number of agreements executed during the grant period.
Yes or No if data sharing policies and/or agreements were developed during the grant period.
Yes or No if further identification of potential public safety users occurred during the grant period.
Yes or No if plans for future emergency communications technology transitions occurred during the grant period.
Yes or No if public safety applications or databases within the State or territory were identified and transition plans
were developed during the grant period
Yes or No if participated in identifying ongoing coverage gaps using SLIGP 2.0 funds during the grant period.
Yes or No if participated in data collection activities as requested by FirstNet

OMB Control No. ####-####
Expiration Date: XX/XX/XXXX
11b. Please provide a description of each activity reported in response to Question 11; any challenges or obstacles encountered and mitigation strategies you employed; and any additional project milestones or information.

11c. Did you perform activities during the last quarter of the grant that haven't been reported previously (i.e., new programmatic activities, staffing changes)? If so, please describe.

11d. Please share any lessons learned or best practices that your organization implemented during your SLIGP 2.0 project.

OMB Control No. ####-####
Expiration Date: XX/XX/XXXX
12. Personnel
12a. Staffing Table - Please include all staff that contributed time to the project with utilization. Please only include government staff employed by the state/territory NOT contractors.
Project (s) Assigned
Job Title
FTE%

13. Contractual (Contract and/or Subrecipients)
13a. Contractual Table – Include all contractors. The totals from this table should equal the “Contractual” in Question 14f.
Type
RFP/RFQ Issued
Contract Executed
Name
Subcontract Purpose
(Contract/Subrec.)
(Y/N)
(Y/N)

Total Funds Allocated to Contracts

Start Date

End Date

Total Federal Funds
Allocated

Total Matching Funds
Allocated

$0.00

$0.00

OMB Control No. ####-####
Expiration Date: XX/XX/XXXX
14. Budget Worksheet
Columns 2, 3 and 4 must match your project budget for the entire award and your final SF 424A. Columns 5, 6, and 7 should list your final budget figures, cumulative through the last quarter
Final Approved
Federal Funds
Approved Matching
Final Federal Funds
Project Budget Element (1)
Total Budget (4)
Final Total funds Expended (7)
Matching Funds
Awarded (2)
Funds (3)
Expended (5)
Expended (6)
a. Personnel Salaries
$0.00
$0.00
b. Personnel Fringe Benefits
$0.00
$0.00
c. Travel
$0.00
$0.00
d. Equipment
$0.00
$0.00
e. Materials/Supplies
$0.00
$0.00
f. Contractual
$0.00
$0.00
g. Other
$0.00
$0.00
h. Indirect
$0.00
$0.00
i. Total Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
j. Proportionality Percent
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
15. Additional Questions: Read each statement below. Rate your level of agreement or disagreement with each statement and answer follow-up questions to provide additional information.
Statement
Additional Questions
Response
Agree/Disagree

15a. SLIGP 2.0 funds were helpful in
planning for the integration with the
NPSBN.

What was most helpful? What challenges
did you encounter?

15b. I plan to continue any SLIGP 2.0
program activities beyond the SLIGP 2.0
period of performance.

What do you plan to accomplish after the
period of performance?

15c. SLIGP 2.0 funds were helpful in
informing my stakeholders about FirstNet.

What was most helpful? What challenges
did you encounter?

OMB Control No. ####-####
Expiration Date: XX/XX/XXXX
Statement

Agree/Disagree

Additional Questions

15d. SLIGP 2.0 funds were helpful in
maintaining a governance structure for
broadband in my state/territory.

What was most helpful? What challenges
did you encounter?

15e. SLIGP 2.0 funds provided resources
that were helpful in preparing for FirstNet
planning activities in my state/territory (e.g.
staffing, attending broadband conferences,
participating in training, procuring contract
support etc.).

What was most helpful? What challenges
did you encounter?

15f. Overall, SLIGP 2.0 funds were helpful in
preparing for FirstNet.

What was most helpful? What challenges
did you encounter?

Response

16. Certification: I certify to the best of my knowledge and belief that this report is correct and complete for performance of activities for the purpose(s) set forth in the award documents.
16a. Typed or printed name and title of Authorized Certifying Official:
16c. Telephone:
16b. Signature of Authorized Certifying Official:
cl

16d. Email Address:
16e. Date: