HomeMy WebLinkAboutApplication for SF-424SF -424
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C00 -"'PS Hiring Recovery Program (C
Application for Federal Assistance SF -424
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the st
are true, complete and accurate to the best of my knowledge. I also provide the required assurances"* and agree to
resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subj
civil, or administrative penalties. (U. S. Code, Title 218, Section 1001)
By clicking this box and typing my name below,;.) also'certify that I have been legally and officially authorized by the
governing body to submit this application and act on behalf of the grant applicant entity. I certify that I have read, unc
agree, if awarded, to abide by all of the applicable grant compliance terms and conditions as outlined in the COPS A
the COPS Grant Owner's Manual, assurances, certifications and all other applicable program regulations, laws, orde
addition, I certify that the information provided on this form and any attached forms is true and accurate to the best o
understand that false statements or claims made in connection with COPS programs may result in fines, imprisonme
participating in federal grants, cooperative agreements, or contracts, and/or any other remedy available by law to the
government.
tl **I AGREE
**The certifications and assurances as well as grant terms and conditions can be found at the end of the application
*First Robert
Prefix: Mr. Name:
Middle Name:
*Last Name: Ruano
Suffix:
*Title: Director, Grants and Susi
*Telephone Fax 305-416-1
Number: 305-416-1532 „ _ µ ..: Number:
*Email: rruano@miamigov.com
*Signature of Robert Ruano *Date 04/09/200
Authorized
Representative: Signed:
*Applicant Federal Debt Delinquency Explanation
The following should contain an explanation if the Applicant organization is delinquent of any Federal Debt.
https://www.cops,Lisdoj.gov/chrp/SF424=7.aspx :~
SF -424
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Helpful Hints ( CH_RP Nome I Application Guide 1 424 Instructions CHRP Application PDF) Nonsupplanting FAQ
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littps://www.cops.usdoj.gov/chrp/SF424-7.aspx