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Docusign Envelope ID:3FFBBF96-531B-4F1D-BF40-09C91E8DC3B0 <br /> representations made in these assurances, These assurances are binding on Applicant, its <br /> successors, transferees, assignees, etc. as well as any of its subrecipients. Failure to comply <br /> with any of the above assurances may result in suspension, termination, or reduction of grant <br /> funds. <br /> All appropriate documentation, as outlined above, must be maintained on file by the <br /> Applicant and available for Cal DES or public scrutiny upon request, Failure to comply with <br /> these requirements may result in suspension of payments under the grant or termination of <br /> the grant or both and the Applicant may be ineligible for award of any future grants if Cal <br /> DES determines that the Applicant: (1) has made false certification, or (2) violates the <br /> certification by failing to carry out the requirements as noted above. <br /> All of the language contained within this document must be included in the award documents <br /> for all subawards at all tiers. Applicants are bound by DHS Standard Terms and Conditions <br /> 2023, Version 2, hereby incorporated by reference, which can be found at: <br /> https://www.dhs.gov/publication/fyl5-dhs- standard-terms-and-conditions. <br /> The undersigned represents that he/she is authorized to enter into this agreement for <br /> and on behalf of the Applicant. <br /> Applicant: aF LC5 OILA►M M05 <br /> Signature of Authorized Agent: <br /> Printed Name of Authorized Agent: L`"ET S M -11 O R5 <br /> Title: UTY MAMIG V- Date: <br /> Exhibit A - Page 12 of 12 Initials <br />