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City of Santa Ana <br />Main Library <br /> 2021-2022 BF-1-21-053 <br /> Page 28 <br /> <br /> <br />EXHIBIT C: CERTIFICATION OF COMPLIANCE FORM <br />1. AUTHORIZED REPRESENTATIVE: I certify that the authorized representative named <br />below is the legally designated representative of the Grantee for this Grant <br />Agreement and project and is authorized to receive and expend funds in order to <br />implement this grant-funded project. <br />I certify that all information provided to the California State Library for review in <br />association with this award is correct and complete to the best of my knowledge, <br />and as the authorized representative of the Grantee, I commit to the conditions of <br />this award, and I have the legal authority to do so. <br />I certify that any or all other participants or contractors in the grant-funded project <br />have agreed to the terms of the Award Agreement and have entered into an <br />agreement(s) concerning the final disposition of equipment, facilities, and materials <br />purchased for this project from the funds awarded for the activities and services <br />described in the attached award packet, as approved and/or as amended by the <br />California State Librarian. <br />I certify that I have reviewed and understand the list of unallowable costs and that <br />my project does not contain any of the unallowable costs listed. <br />The authorized representative, on behalf of the Grantee, certifies that the Grantee <br />will comply with all applicable requirements of State and Federal laws, regulations, <br />and policies governing this project, to include the requirements listed below in this <br />Certification of Compliance Form. <br />2. The authorized representative, on behalf of the Grantee, hereby certifies to the <br />California State Library, for an award of funds in the amount $9,329,973. This award <br />will fund library facility improvements as set forth in the list of approved outcomes, <br />Implementation Plan and Budget as approved and/or as amended by the <br />California State Librarian. <br />3. The authorized representative, on behalf of the Grantee, hereby certifies that City of <br />Santa Ana will provide a cash match in the amount of $0. The matching funds (if <br />applicable) will be expended during the grant period at the same rate as the state- <br />provided grant funds. DRAFT