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Attachment A <br />________________________________________________________________________________________________________ <br />Local Government Page 22 of 27 <br />Attachment A: Award Acceptance <br />By signing the certification below, I-- <br />A.Declare to the U.S. Department of Justice (DOJ), and COMMERCE under penalty of perjury, that <br />I have authority to make this declaration and certification on behalf of the applicant. <br />B.Certify to DOJ and COMMERCE, under penalty of perjury, on behalf of myself and the applicant, <br />to the best of my knowledge and belief, that the following are true as of the date of this award <br />acceptance: <br />1.I have conducted or there was conducted (including by applicant’s legal counsel as appropriate <br />and made available to me) a diligent review of all terms and conditions of, and all supporting <br />materials submitted in connection with, this award, including any assurances and certifications <br />(including anything submitted in connection therewith by a person on behalf of the applicant <br />before, after, or at the time of the application submission and any materials that accompany <br />this acceptance and certification); and <br />2.I have the legal authority to accept this award on behalf of the applicant. <br />C.Accept this award on behalf of the applicant. <br />D.Declare the following to DOJ and COMMERCE, under penalty of perjury, on behalf of myself and <br />the applicant: <br />1.I understand that, in taking (or not taking) any action pursuant to this declaration and <br />certification, DOJ and COMMERCE will rely upon this declaration and certification as a material <br />representation; and <br />2.I understand that any materially false, fictitious, or fraudulent information or statement in this <br />declaration and certification (or concealment or omission of a material fact as to either) may be <br />the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 34 <br />U.S.C. §§ 10271-10273), and also may subject me and the applicant to civil penalties and <br />administrative remedies under the federal False Claims Act (including under 31 U.S.C. §§ <br />3729-3730 and/or §§ 3801-3812) or otherwise. <br />Everett Police Department <br />Agency Name <br /> <br />Name of Authorized Official Title of Authorized Official <br />Signature of Authorized Official Date <br />DocuSign Envelope ID: 283F1275-62BD-41AC-A274-FA615AA9FE0A <br />MayorCassie Franklin <br />01/11/2024 <br />DocuSign Envelope ID: 7A40DF7F-9E3C-499E-913B-5D2F3F45947E