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4. Summary of Proposed Budget: <br /> <br /> AMOUNT <br />TOTAL COST OF PROPOSED PROGRAM > $104,810.00 <br />Total Number of Proposed Tra~nincj Slots :> 10 <br />Cost Per Training Slot :~ $10,481.00' <br /> <br />*SW will do more than develop OJT slots. Will work with individuals with home businesses to <br />develop these into self-supporting businesses. <br />Are funds from other funding sources being requested in order to implement this proposed WIA program? <br /> <br />YES__ NO X If the answer to the above question is yes, please complete the following to indicate <br />sources, arflounts and expected dates of funding approval. <br /> <br />OTHER EXPECTED FUNDING SOURCES EXPECTED EXPECTED <br /> AMOUNT DATE OF <br /> APPROVAL <br />NONE <br /> <br />TOTAL OTHER FUNDS EXPECTED ====> I ~ <br /> <br />CERTIFICATION: I certify that the information contained ~n this proposal, fairly represents this entity and <br />its operating plans and budget necessary to conduct the proposed WIA Employment, Training and <br />Services Program Activities described herein. I acknowledge that I have read and understand the <br />requirements of the Request For Proposal (RFP) and that this entity is prepared to implement the <br />proposed activities as described herein. I further certify that I am authorized to sign this proposal and any <br />contractual agreement emanating therefrom on behalf of the entity submitting the proposal. This <br />PROPOSAL or OFFER is firm for a period of at least ninety (90) days from the closing date for <br />sul3mission, which is Fnday May 17, 2002, at 4:00 PM. This Response Package Cover Sheet has the <br />following PARTS attached: <br /> <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br /> <br />Statement of Work Narrative with all appropriate attachments. <br />Program and Financial Management Form <br />Assurances and Certification Form (SIGNED & DATED) <br />Statement of Compliance Form (SIGNED & DATED) <br />Certificate Regarding Debarment, Suspension, etc., (SIGNED & DATED) <br />Interagency Coordination and Linkages Form <br />Job Description(s) <br />Budget Summary and Worksheets <br /> <br /> 9. ~ms as requested <br />(SlGNA~-~ <br /> James F. ook, Jr. / Director <br />(Typed or Printed NAME and JOB TITLE of Signatory Official) <br /> <br />WIA Title I Adult/Dislocated Worker RFP <br />Apdl 2004 <br /> <br /> <br />