Attachment J.3 Annual Inventory Report Template.docx

[PROGRAM TITLE]

ANNUAL INVENTORY REPORT

MMMM DD to MMMM DD, YYYY

Submission Date: MMMM DD, YYYY

[Contract/Agreement] Number: [insert number] Activity Start Date and End Date: MMMM DD, YYYY to MMMM DD, YYYY [COR/AOR/Activity Manager] Name: [insert name]

Submitted by: [insert name], [insert title] [Name of Prime Implementing Partner] [Insert address] Tel: [insert number] Email: [insert email]

This document was produced for review by the United States Agency for International Development Zambia (USAID/Zambia).

1. PROGRAM OVERVIEW/SUMMARY

Program Name:

Activity Start Date and End Date:

Name of Prime Implementing Partner:

[Contract/Agreement] Number:

Name of Subcontractors/Subawardees:

Major Counterpart Organizations

Geographic Coverage (cities and or countries)

Reporting Period:

Funding source/spigot: (if multiple sources, give percentage of each)

Planned LOP ($):

Mortgage ($):

Obligations as of {add date here}

Does this activity have a costed work plan?

Average monthly expenditures ($):

Accrued expenditures ($):

Pipeline ($):

Pipeline months:

ANNUAL REPORT OF GOVERNMENT PROPERTY IN CONTRACTOR'S CUSTODY

A. (Name of Contractor) As of (End of Contract Year), 20xx Motor Vehicles Furniture and furnishings Other non-expendable property Office Living quarters

B. Value of property as of last report.

C. Transactions during this reporting period.

1. Acquisitions (add):

· Purchased by contractor (1).

· Transferred from USAID (2).

· Transferred from others, without reimbursement (3).

2. Disposals (deduct):

a. Returned to USAID

b. Transferred to USAID-contractor purchased

c. Transferred to other Government agencies (3).

d. Other disposals (3).

D. Value of property as of reporting date.

E. Estimated average age of contractor held property.

1. Property which is complete in itself, does not lose its identity or become a component part of another article when put into use; is durable, with an expected service life of two years or more; and which has a unit cost of more than $500.

2. Government furnished property listed in this Contract as nonexpendable.

3. Explain if transactions were not processed through or otherwise authorized by USAID.

PROPERTY INVENTORY VERIFICATIONS

I attest that (1) physical inventories of Government property are taken not less frequently than annually; (2) the accountability records maintained for Government property in our possession are in agreement with such inventories; and (3) the total of the detailed accountability records maintained agrees with the property value shown opposite line C above, and the estimated average age of each category of property is as cited opposite line D above.

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