AG 2014 01 21 - Laserfiche WebLink

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Certification of Application I certify that to the best of my knowledge the information provided in this application is true. I understand that if awarded a CDBG grant, my agency will follow federal regulations and be responsible for significant reporting requirements. I understand all CDBG funded activities will directly benefit City of Kannapolis residents. I understand project funding is contingent of receiving funds from HUD through the CDBG Program. (name of organization requesting CDBG funds) hereby proposes to provide the services or project in accordance with this application for Community Development Block Grant Funds. If this application is approved and this organization for receives CDBG funding from the City of Kannapolis, this organization agrees to adhere to all relevant Federal, State and local regulations and other assurances as required by the City. Furthermore, as the duly authorized representative of the organization, I certify that the organization is fully capable of fulfilling its obligation under this application as stated herein. I further certify that this application and the information contained herein are true, correct and complete. I also authorize the following person(s) to have signatory authority regarding this grant: Completed by: Signature: Title: Date: If selected, your agency must be prepared to submit the following: 1) Copy of your current 501(c)(3) nonprofit status certification letter 2) List of Board of Directors 3) Organizational Chart g) Current copy of agency's by -laws and articles of incorporation 5) Copy of current detailed budget 6) Most recent copy of the organization's independently audited financial statement (which should include both a Schedule of Expenditures of Federal and State Awards, if rewards exceed $500,000 in one fiscal year, and a Schedule of Findings and Questioned Costs. The audit should include a copy of the Corrective Action Plan, if the organization received a finding during the previous year's audit and a Summary Schedule of Prior Audit Findings, if applicable) Do not submit this information until requested We anticipate contacting you to request this 12 Attachment number 2 F -7 Page 123