HomeMy WebLinkAboutREF VI Appendix E CertificationP.O. Box 210.149
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INSIDE PASSAGE ELECTRIC COOPERATIVE
APPENDIX E
Renewable Energy Fund Round VI
CERTIFICATION
September 20, 2012
Renewable Energy Fund Round 6
Grant Application ® ENERGY AUTHORITY
SECTION 11 — ADDITIONAL DOCUMENTATION AND CERTIFICATION
SUBMIT THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION:
A. Contact information, resumes of Applicant's Project Manager, key staff, partners,
consultants, and suppliers per application form Section 3.1 and 3.4. Applicants
are asked to separate resumes submitted with applications, if the individuals do
not want their resumes posted.
B. Letters demonstrating local support per application form Section 8,
C. An electronic version of the entire application on CD per RFA Section 1.7.
D. Governing Body Resolution or other formal action taken by the applicant's
governing body or management per RFA Section 1.4 that:
- Commits the organization to provide the matching resources for project at the
match amounts indicated in the application.
- Authorizes the individual who signs the application has the authority to
commit the organization to the obligations under the grant.
- Provides as point of contact to represent the applicant for purposes of this
application.
- Certifies the applicant is in compliance with applicable federal, state, and local,
laws including existing credit and federal tax obligations.
E. CERTIFICATION
The undersigned certifies that this application for a renewable energy grant is truthful
and correct, and that the applicant is in compliance with, and will continue to comply
with, all federal and state laws including existing credit and federal tax obligations and
that they can indeed commit the entity to these obligations.
Print Name
Jodi M. Mitchell
Signature
f
k l ` /4a6I �
Title
eneral Manager/Chief Executive Officer
Date
September 20, 2012
AEA13-006 Grant Application Page 26 of 26 7/3//2012