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GRANT APPLICATION <br />CERTIFICATION FORM <br /> <br /> OFFICE OF THE GOVERNOR <br /> CRIMINAL JUSTICE DIVISION <br /> P.O. BOX IZ42~ <br /> AUSTIN, TEXAS 78711 <br /> 512/463-1919 <br />F~x: 512/475-2440 <br />WWW.GQVERNOR.STATE.TX.US <br /> <br />Applicants must complete and submit this form before they will receive state and/or federal funds. <br />Recipients of state and/or federal funds must read, agree, fully understand and comply with the <br />requirements listed within In each form of this Grant Application Kit as detailed below. <br /> <br />PART I: CERTIFICATIONS <br />The grant applicant must <br />1. SELECT 'Certify' or 'Unable to Certify' for each document that has been certified as true and correct by the <br /> Authorized Official. <br />2. if you SELECTED 'Unable to Certify': <br /> a) a bdef explanation must be given why the document cannot be certified at the time the grant application kit <br /> is submitted to CJD; and <br /> b) a date must be ENTERED that notifies CJD when your organization anticipates that the Authorized Official <br /> will be able to certify and submit the document to CJD. <br /> <br /> Description of Document "1 Certify .... Unable to Explanation (ex: Incomplete, Not Date <br /> Certify" Applicable, etc.) <br />Determine Eligibility Form * [] [] <br />VAWA Project Narrative & Summary [] [] <br />Form <br />Comprehensive Certification and [] [] <br />Assurances - Federal Funds Form <br />Cooperative Working Agreement [] [] <br />Purpose and Participant Form <br />Financial Capability Questionnaire [] [] net applicable <br />Form <br />Coversheet Form [] [] <br />Bud~let Form [] [] <br />Match - GPI Form [] [] <br /> <br />' Critical: The grant applicant must comptete the Determine Eligibility Form in its entirety and submit to CJD with <br />the ~rant application kit. If any portion of the form is left incomplete and the Authorized Official is unable to certify <br />and/or submit the form, your project ~ill be considered Ineligible and will not be reviewed by CJD. <br />PART I1: ATTACH RESOLUTION FORM <br />The Resolution from the governing body must be submitted along with the Grant Application Certification Form to <br />CJD, Please indicate the status of this document below: <br /> <br /> 1. a) Is the Resolution Form attached to the certification form? [] I Yes [] I No <br /> <br /> b) If you selected 'No', PROVIDE a brief explanation for the delay and the date that your 2/12/2004 Da e <br /> organization anticipates submission to CJD: <br /> 't'he Grant Coordinator has begun closing various files in his office in preparation of impending retirement, and personnel affected by this <br /> grant who were newly assigned responsibility for this year's application were unaware of the grant deadline in enough time to have a <br /> resolution placed on the .~anuary City Council agenda. A resolution will be placed on the first agenda in Februaq,. <br /> <br />PART II1: SIGNATURE <br /> <br />The organization's Authorized Official hereby assures and certifies their authorization for the submission of <br />this grant application kit in it's entirety to the Office of the Governor, Criminal Justice Division. <br /> <br />City of Paris~ Park Texas <br />Applicant's Organization <br /> <br />Violent Crimes Against Women Unit <br />Project Title <br /> <br />Signature o~ the'Authefized Offi6ial ~ <br /> <br />111§120H <br /> <br />Michael E. Malone, City Manager <br />Name and Title of the Authorized Official Effective Data <br /> <br /> <br />