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Exhibit F: Cost Certification <br /> I certify that: <br /> 1. I have authority and approval from the governing body on behalf of ChildStrive-Village on Casino Road <br /> ("Subrecipient")to accept proceeds from the City of Everett (the "City") per the Agreement by and between <br /> the City and Subrecipient from the City's allocation of the Coronavirus Local Fiscal Recovery Fund as created <br /> by the American Rescue Plan Act of 2021,Section 9901 ("ARPA")for eligible costs included on the <br /> corresponding Reimbursement Request Form for report period 11/30/2021 <br /> through 12/31/2022 <br /> 2. I understand the City will rely on this certification as a material representation in processing reimbursements <br /> or payment requests. <br /> 3. I understand the Subrecipient receiving funds pursuant to this certification shall retain documentation of all <br /> uses of the funds, including but not limited to invoices and/or sales receipts in a manner consistent with <br /> §200.333 Retention requirements for records of 2 CFR 200 Uniform Administrative Requirements, Cost <br /> Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Such documentation shall be <br /> produced to the City upon request and may be subject to audit by the State Auditor. <br /> 4. I understand any funds provided pursuant to this certification cannot be used for costs for which the <br /> Subrecipient has received any other funding,whether public or private in nature,for that same cost. <br /> I hereby certify that I have read the above certification, and that the information and my statements provided <br /> herein by me are true and correct to the best of my knowledge, and by my signature on this document, <br /> acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of the <br /> information in this document could subject me to punishment under federal and/or civil liability and/or in criminal <br /> penalties, including but not limited to fine or imprisonment or both under Title 18, United States Code, Sec. 1001, <br /> et seq. and punishment under federal law. <br /> CItyte51 <br /> Printed f a ne Si atur <br /> e.0 1,2/O/Z1,- <br /> Title Date <br /> EVE R E TT Everett Forward Grant Program j Subrecipient Agreement Page 19 <br /> WASHINGTON <br />