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36 <br /> Project Number_ F1,2911309003 <br /> Submission Project Identifier <br /> Exhibit 6 : HMIS Dedicated and Shared Projects <br /> B. Documentation of Match for Year 'l <br /> A selectee must currenfiv have firm commitments for its cash resources for Year I and must submit <br /> documentation of those resources as an attachment to this Exhibit . These firm commitments must be <br /> documented on letterhead stationery, signed and dated by, an authorized representative. and attached to this <br /> Exhibit . Each letter must. at a minimum, contain the following elements : <br /> 1 . The name of the organization providing the cash resource-.Treasure Coast Homeless Services Council. Inc. <br /> 2 . The amount: $6 ,464 . 00 <br /> 3 . The type of activity for which the funds will be used (e . g. . equipment. software, services. personnel and <br /> HMIS space and operations) :Personnel <br /> 4 . The name of the project sponsor organization to which the cash «rill be contributed and/or the name of the <br /> project: Treasure Coast Homeless Services Council Inc <br /> 5 . The date the funds will be available. l/01 /04 <br /> C. Certification of Match for Year 2 and Year 3, if applicable <br /> The following certification must be completed for Year 2 . and Year 3 if applicable, of your grant term to <br /> certify that non-SHP cash resources will be used to meet your supportive services match requirement in- each of <br /> these years . The amount specified in this certification must match the amount shown in the Selectee ' s Match <br /> on page 35 of this Exhibit. No other documentation regarding the supportive services match requirement for <br /> Year 2 and Year 3 of your grant terra is required at this time. However. match commitment for Years 2 and 3 <br /> rill be identified at time of submission of Annual Progress Reports for those years. <br /> The _Treasure Coast Homeless Services Council. Inc. (selectee organization) certifies that it will <br /> provide cash resources in the amount of $_ 12 , 928 . 00 from non-SBP funding sources for Year(s) 2 and <br /> 3 of this grant term to be used to provide services to homeless persons under HUD ' s grant munber <br /> FL29B309003 . <br /> Signature of authorized representative ( � ) <br /> Name Jacelyn Block <br /> Title President <br /> Date 3 /01/04 <br /> OMB Approval No. 2506 (exp. 8/31/2006) HUD40076-2 <br />