HomeMy WebLinkAboutCertification19. Certification:
My signature below certifies the following.
am aware that any omissions, falsifications, misstatements, or misrepresentations in this application may
disqualify me for this grant and, if funded, may be grounds for termination at a later date. I understand that
any information I give may be investigated as allowed by law. I certify that to the best of my knowledge
rand belief all of the statements contained herein and on .eny attachments are true, correct, complete, and
made in good faith.
I agree that any and all information submitted in this application will become a public document pursuant
to Section 119.07, F.S. when received by the Florida Bureau of EMS. This includes material which the
applicant might consider to be confidential or a trade secret. Any claim of confidentiality is waived by the
applicant upon submission of this application pursuant to Section 119.07,F.S., effective after opening by
the Florida Bureau of EMS.
I accept that in the best interests of the State, the Florida Bureau of EMS reserves the right to reject or
revise any and all grant proposals or waive any minor irregularity or technicality in proposals received, and
•can exercise that right.
1, the undersigned, understand and accept that the Notice of Matching Grant Awards will be advertised in
the Florida Administrative Weekly, and that 21 days after this advertisement is published I waive any right
-to challenge or protest the awards pursuant to Chapter 120, F.S.
I certify that the cash match will be expended between the beginning and ending dates of the grant and will
'be used in strict accordance with the content of the application and approved budget for the activities
identified. In addition, the budget shall not exceed, the department, approved funds for those activities
identified in the notification letter. No funds count towards satisfying this grant if the funds were also used
to satisfy a matching requirement of another state grant. All cash, salaries, fringe benefits, expenses,
equipment, and other expenses as listed in this application shall be committed and used for the activities
approved as a part of this grant.
..Acceptance of Terms and Conditions: If awarded a grant, I certify that I will comply with all of the above
and also acc t t e attache rant terms and conditions and acknowledge this by signing below.
Signature of Authorized Grant Signer
(Individual Identified in Item 2)
DlI Form 1767, Rev. June 2002
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