EXHIBIT J Financial Reports of Actual Expenses and Income.xlsx

XLSX spreadsheet 40 KB Posted

Attached to
RFP 26-17 Visitor Assistance Program - Hawai‘i Island
Solicitation number
P26002868
Issued by
Hawaii County, Hawaii

About this file

This is a Quarterly Financial Report template (Exhibit J) issued by the Hawai'i Tourism Authority (HTA) for tracking actual expenses and income related to the Visitor Assistance Program (VAP) contract on Hawai'i Island. The document provides standardized reporting templates for multiple reporting periods spanning from July 1, 2026, through December 31, 2027, including quarterly reports for fiscal years 2027 and 2028, as well as a final consolidated report. Each template requires contractors to report expenses and income across two primary categories: Administrative and Operations, with separate columns for budgeted versus actual amounts under HTA Award, Other, and In-Kind funding sources. The report templates include certification language requiring the contractor to attest that all financial statements are accurate and that state funds have been expended in accordance with the contract agreement provisions.

The financial reporting templates contain no predetermined budget amounts, with all line items showing $0.00 placeholders, indicating this is a blank template to be completed by the selected contractor upon contract execution. Contractors must complete signature lines including project title, print name, date signed, and signatory title for each quarterly submission. The final report consolidates the entire contract performance period from July 1, 2026, through December 31, 2027, providing a comprehensive accounting of all expenses and income. The templates establish the financial accountability framework required under the HTA contract but contain no specific funding amounts, pricing terms, or budget parameters at this stage of the procurement process.

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Text version

Q1 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:July 1, 2026 - September 30, 2026
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q2 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:October 1, 2026 - December 31, 2026
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q3 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:January 1, 2027 - March 31, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q4 FY2027 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:April 1, 2027 - June 30, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q1 FY2028 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:July 1, 2027 - September 30, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Q2 FY2028 Template

EXHIBIT J: QUARTERLY FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:October 1, 2027 - December 31, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this quarterly report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

Final Report Template

EXHIBIT J: FINAL FINANCIAL REPORT OF ACTUAL EXPENSES & INCOME

CONTRACT NUMBER:
REPORTING PERIOD:July 1, 2026 - December 31, 2027
HTA AWARDOTHERIN-KINDTOTALNARRATIVE
BUDGETEDACTUALBUDGETEDACTUAL
Administrative
$0.00
$0.00
$0.00
$0.00
$0.00
Total Administrative$0.00$0.00$0.00$0.00$0.00$0.00
Operations
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Operations$0.00$0.00$0.00$0.00$0.00$0.00

TOTAL EXPENSES $0.00

INCOMEHTA AWARDIN-KINDTOTAL
BUDGETEDACTUAL
$0.00
$0.00
$0.00
TOTAL INCOME$0.00$0.00$0.00$0.00

I hereby certify that all financial statements represented in this final report to the HTA relating to Contract/Agreement Number ______ (Agreement),and that State funds allocated through the HTA under this Agreement have been expended in accordance with the provisions set forth in this Agreement, including the budget that was made a part of said Agreement.

Organization/Contractor Signature

Project Title Print Name

Date Signed Title

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