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Check one: ❑ No Indirect ❑ Federally negotiated indirect cost rate * please attach supporting documentation if required Description: 10% of total PT base salary total of $44,000 ELEMENT 7: ATTACHMENTS ® Indirect proposed cost rate * $65,800 1 $78,680 1 $144,480 If you have additional resources that support your grant, please attach after this page ELEMENT 8: INTERNET CERTIFICATION Check the Appropriate Library Type ® Public Library ❑ Academic ❑ K-12 ❑ Multi -Type ❑ Special/Other As the duly authorized representative of the applicant public library, public elementary school library or public secondary school library applying for LSTA funding, I hereby certify that the Library is (check only one of the following boxes) A. ® An individual applicant that is CIPA compliant. The applicant library, as a public library, a public elementary school library or public secondary school library, has complied with the requirements of Section 9134(f)(1) of the Library Services and Technology Act. B. ❑ Representing a group of applicants. Those applicants that are subject to CIPA requirements have certified they are CIPA compliant. All public libraries, public elementary school libraries, and public secondary school libraries, participating in the application have complied with the requirements of Section 9134(f)(1) of the Library Services and Technology Act. The library submitting this application has collected Internet Safety Certifications from all other applicants who are subject to CIPA requirements. The library will keep these certifications on file with other application materials, and if awarded funds, with other project records. C. ❑ Not Subject to CIPA Requirements. The CIPA requirements do not apply because no funds made available under this LSTA grant program will be used to purchase computers used to access the Internet or to pay for direct costs associated with accessing the Internet. SIGNATURE