Laserfiche WebLink
COOPERATIVE AGREEMENT NO. C-1-2447 <br />EXHIBIT J <br />OCPA 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 <br />Print Name <br />Title <br />Date <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 <br />Agency/Company Name <br />Date <br />Page S of 8