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The undersigned represents that he/she is authorized by the above named Applicant to enter into this <br />agreement for and on behalf of the said Applicant. <br />Signature of Authorized <br />Printed Name of Authorized Agent: <br />Date: <br />Homeland Security Grant Program - 2015 Grant Assurances Pa1O 10 <br />Initi Is i�1 <br />