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FULL PACKET_2011-03-07
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FULL PACKET_2011-03-07
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Last modified
3/31/2017 11:55:40 AM
Creation date
3/7/2011 1:21:36 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Date
3/7/2011
Destruction Year
2016
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COOPERATIVE AGREEMENT NO. C-1-2447 <br />EXHIBIT J <br />OCTA PASS-THROUGH GRANTEE <br />ANNUAL FTA COMPLIANCE SELF-CERTIFICATION <br />FY 2010-2011 <br />By signing below, I, on behalf of the aforementioned subgrantee, declare that the information <br />provided within this certification is true and correct to the best of my knowledge and that I am <br />authorized to make this declaration on behalf of my agency. <br />Signature Date <br />Print Name <br />Title <br />By signing below, I, as the aforementioned subgrantee's contractor, declare that the information <br />provided as it pertains to my operations for said subgrantee is true and correct to the best of my <br />knowledge and that I am authorized to make this declaration on behalf of my firm. <br />Signature Date <br />Agency/Company Name <br />Page 8 of 8 <br />25K-60
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