NEIGHBORHOODACTIONMATCHPROGRAM
(NAMP)
InstructionsandFormsfor
RequestingaReimbursement
Lexington-Fayette Urban County Government
200 East Main St., 6
th
Floor - Lexington, KY 40507
Ph (859) 258-3072 Fax (859) 258-3081
Lexington-Fayette Urban County Government
Division of Grants and Special Programs
Horse Capital of the World
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REQUESTINGAREIMBURSEMENT
The grant award shall require a contract between the Urban County Government and the
neighborhood association through which each party accepts certain obligations to the other
regarding the disbursement and use of funds.
LFUCG will not disburse funds for expenses incurred by the neighborhood association
prior to the execution of a contract signed by both the mayor and an authorized
representative of the neighborhood association, as awarded by the Urban County Council.
Grant awards are not disbursed up front, but on a reimbursement basis.
The treasurer of the neighborhood association or the authorized official identified in the application
will submit a Reimbursement Request to the Division of Grants and Special Programs of the
Lexington-Fayette Urban County Government
Email submissions are preferred. In order to request a reimbursement from NAMP, please submit
the following to Celia Moore at cmoore@lexingtonky.gov:
The Reimbursement Request must include:
cover letter or email reporting the activity progress,
full color pictures (electronic preferred),
the reimbursement amount requested (ROUNDED TO THE NEAREST DOLLAR),
attached expenditure and match forms,
attached invoices/receipts
attached documentation of payment of invoice which includes a cancelled check, and
documentation of match such as volunteer sign-in sheet or letters documenting donations.
Each request for payment must show that the Neighborhood Association has expended cash
equal to or more than the amount of reimbursement requested. Additionally, the match requirement
must also be met. For every $1 requested in NAMP funding, an additional $1 of match must be
documented, unless located in an eligible census tract. If located in an eligible census tract,
associations must document at least 10% of the grant award in match.
The Division of Grants and Special Programs will review each Reimbursement Request and
forward to the Division of Accounting for payment. All payments shall be issued directly to the
designated neighborhood association representative. LFUCG will not make any payments to
suppliers or contractors.
Should the Division of Grants and Special Programs determine that project progress and/or the
project management of the neighborhood association do not satisfy the terms of the grant award, the
Grants Manager shall contact the Neighborhood Association’s representative for the information
necessary prior to approving the reimbursement request. The Division may also notify the Mayor's
Office and appropriate district Councilperson and arrange a meeting with the Neighborhood
Association to seek to resolve the problems and/or issues identified which prevent approval of the
Request for Reimbursement.
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If you have any questions, please contact Celia Moore, Grants Manager at (859) 258-3072 or
cmoore@lexingtonky.gov.
If you are unable to email your Request for Reimbursement to cmoore@lexingtonky.gov, you may send it
to:
LFUCG DIVISION OF GRANTS AND SPECIAL PROGRAMS
ATTN: CELIA MOORE, GRANTS MANAGER
200 EAST MAIN STREET, 6
TH
FLOOR
LEXINGTON, KENTUCKY 40507
REPORTINGREQUIREMENTS
The neighbo
rhood association must submit a Project Completion Report with the submission of the final
request for payment. The report shall:
(1) describe the projects and the benefits derived from its implementation;
(2) include (electronic) full color photographs of the completed project;
The Project Completion Report shall be submitted via email to Celia Moore
at cmoore@lexingtonky.gov. If
email is not an option, reports may be mailed to the address above.
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NEIGHBORHOOD ACTION MATCH PROGRAM
Reimbursement Request Form
Nei
ghborhoodAssociationName:
Con
tactPersonNameandTitle:
Add
ress:
Pho
ne: Email:
Req
uest#: ProjectComplete:YesNo
Pro
jectTitle:
Contractexpirationdate:Extensionneeded?YesNo
Ifanextensionisneeded,pleasecontacttheGrantsManagerassoonaspossible.
Grant Award Amount Grant Request Balance Match
(Pleaseroundnumberstothenearestdollar)
Includeacoverletter/emailreportingtheactivityprogress,theapplicableexpenditureandmatch
forms,alongwithinvoices,receipts,checkcopies,pictures,anddocumentationofmatch.
PrintNameandTitle Signature Date
LFUCGOfficialUseOnly
Approvedby:_____________________Date:____________________
$ 0
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DocumentationofGrantExpenditures
Indicatebelowthenameofvendorandeligibleexpendituresforgrantproject.
(Attachapplicableinvoicesandreceipts)
Description of Materials and
Supplies/Services
(List Vendor Names, if applicable)
NAMP Request Cash Match
Donated
Services/
Materials
Match
Total
Totals:
PrintNameandTitle Signature Date
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
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DocumentationofIn‐Kind/DonationMatch
Indicate below the name, number of hours and activity volunteers have spent participating in
activitiesordonationinformationrelativetothegrantproject.
(Attachapplicabledonationlettersorreceipts.)
DescriptionofIn‐kindActivityorDonatedMaterials #ofhours$Rate
$Inkind/
DonationTotal
TOTAL
PrintNameandTitle Signature Date
$ 0.00
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VolunteerSign‐InSheet
Duplicatethisformasneeded.
Neighborhood Association:
First and Last Name Address Signature Date
Time
In
Time
Out
# of
hours
$ Rate $ Total
1
$7.25
2
$7.25
3
$7.25
4
$7.25
5
$7.25
6
$7.25
7
$7.25
8
$7.25
9
$7.25
10
$7.25
$7.25