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Exhibit 3: COST CERTIFICATION <br /> I certify that: <br /> 1. I have authority and approval from the governing body on behalf of ^1"--"'^" "Ds4T ^4P ("Grantee") to <br /> accept proceeds from the City of Everett (the "City") per the Agreement by and between the City and Grantee <br /> from the City's allocation of the Coronavirus Local Fiscal Recovery Fund ("CLFR") as created by the Anerican <br /> Rescue Plan Act of 2021, Section 9901 ("ARPA") for eligible expenditures included on the corresponding <br /> Payment Request Form for the report period lira,-"1 L7/ :/2°22 <br /> 2. I understand that as additional federal guidance becomes available,an amendment to the Agreement between <br /> the City and Grantee may become necessary and agree to execute necessary amendments. <br /> 3. I understand the City will rely on this certification as a material representation in processing reimburses ents or <br /> payment requests. <br /> 4. I understand the Grantee receiving funds pursuant to this certification shall retain documentation of all uses of <br /> the funds, including but not limited to invoices and/or sales receipts in a manner consistent with §:100.333 <br /> Retention requirements for records of 2 CFR 200 Uniform Administrative Requirements, Cost Principles, and <br /> Audit Requirements for Federal Awards(Uniform Guidance). Such documentation shall be produced to :he City <br /> upon request and may be subject to audit by the State Auditor. <br /> 5. I understand any funds provided pursuant to this certification cannot be used for expenditures fo• which <br /> Grantee has received any other funding whether state,federal or private in nature,for that same expense. <br /> I hereby certify that I have read the above certification,and that the information and my statements provic ed herein <br /> by me are true and correct to the best of my knowledge, and by my signature on this document, acknowledge my <br /> understanding that any intentional or negligent misrepresentation or falsification of any of the informat on in this <br /> document could subject me to punishment under federal and/or civil liability and/or in criminal penalties,including <br /> but not limited to fine or imprisonment or both under Title 18,United States Code,Sec.1001,et seq.and pi nishment <br /> under federal law. <br /> s. <br /> Printed Name Si‘at <br /> Tit e Date <br /> E E R E T <br /> W ASHiNGTGN Everett Forward Grant Program Agreement Page 10 <br />