ESBD_404455_1749755339133_Exhibit 8 - Reimbursement Request Checklist.pdf
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- Attached to
- Home Energy Rebates
- Solicitation number
- 907-25-1902KW
- Issued by
- Texas
About this file
This document is a Successful Respondent Reimbursement Request Document Submittal Checklist that outlines the comprehensive documentation requirements for a state or local contract reimbursement process. The checklist details the specific documents and forms that must be submitted by both the Successful Respondent (primary contractor) and Subcontractors when requesting reimbursement, including a signed cover letter, Voucher Information Summary Sheet (VISS) forms, disbursement summary spreadsheets, and supporting invoice documentation.
The checklist mandates additional specialized documentation from Subcontractors, such as Contract Attachment C-2 (Nondiscrimination) forms, Texas Historical Commission (THC) requirements, National Environmental Policy Act (NEPA) documentation, flood and wetland maps of the project site, and waste disposal confirmation letters. Each document must meet specific formatting and content requirements, such as being on official letterhead, clearly itemized, showing billed amounts, and providing detailed descriptions of work performed. The process appears designed to ensure thorough financial accountability, environmental compliance, and proper documentation for a complex multi-party project involving subcontractors.
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Text version
# Document Who Completes the Form? Yes/No
1 Adminstrator VISS Form Successful Respondent
2 VISS Forms from each Subcontractor Subcontractor
1 Administrator Disbursement Summary Spreadsheet Successful Respondent
Disbursement Summary Spreadsheets from each Subcontractor
Subcontractor
1 Be on Administrator letterhead
2 Be clearly itemized
3 Show amounts being billed/paid
Give a description of the work performed for all applicable activites
1 Be on Subcontractor letterhead
2 Be clearly itemized
3 Show amounts being billed/paid
Give a description of the work performed for all applicable activites
E Contract Attachment C-2 Subcontractor
F Texas Historical Commission (THC) Subcontractor
G National Environmental Policy Act (NEPA) Subcontractor
H Flood Map of Project Site Subcontractor
I Wetland Map of Project Site Subcontractor
J Waste Disposal Subcontractor
Subcontractor
THC requirements must be met before project commencement. If applicable, Successful Respondent must compile and provide THC approval or exemption documentation from each Subcontractor.
NEPA requirements must be observed and carried out prior to project implementation. Subcontractor shall contact SECO to receive a NEPA document. Subcontractor shall review pages 2 and 3 of the document to determine Bounded Category of their project. After your review, email a statement to SECO stating your category.
Successful Respondent must compile and provide NEPA acknowledgements from each Subcontractor.
Subcontractor shall enter their project location into the FEMA website at https://msc.fema.gov/portal. If the project is located in a flood plain, that location will be highlighted. Subcontractor shall submit a screenshot of the map to the Successful Respondent.
Successful Respondent must compile and provide Flood Maps from each Subcontractor.
Invoice Support DocumentationD All invoices from Subcontractors supporting the reimbursement amount must be submitted. The invoices must:
Subcontractor shall enter the project location address into the U.S.
Fish and Wildlife Service website at https://fwsprimary.wim.usgs.gov/wetlands/apps/wetlands-mapper/. If the project is located in a wetland, that location will be highlighted. Subcontractor shall submit a screenshot of the map to the Successful Respondent. Successful Respondent must compile and provide Wetland Maps from each Subcontractor.
Successful Respondent to compile and provide letters confirming proper disposal of waste from each Subcontractor.
Successful Respondent
Successful Respondent to submit all Contract Attachment C-2 (Subcontractor Nondiscrimination) Forms from each Subcontractor.
Successful Respondent Reimbursement Request Document Submittal Checklist (Successful Respondent to submit checklist and all of the following documents with each reimbursement request)
Description/Details
A Cover Letter Successful Respondent Signed cover letter
The VISS forms must be completely filled out, signed and dated.
The disbursement summary sheet must be completely filled out and signed by the appropriate authority.
B Voucher Information Summary Sheet (VISS) Forms
All invoices from Administrator supporting the reimbursement amount must be submitted. The invoices must:
Disbursement Summary SpreadsheetC
Sheet1
File details come from the government source that posted it. Updated .