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A TRUE COPY <br />CE` T!FICATION ON LAST PAGE <br />",�! DUTLER, CLERK <br />11. If applicable, sole source justification must meet the state procurement <br />guidelines and chapter 287.057 (3)1, F.S. <br />N/A <br />12. If applicable, please include your previous service dates for any maintenance <br />or support services. <br />N/A <br />13. Please submit the Budget Report <br />See attached <br />14. Assurances <br />ACCEPTANCE OF TERMS AND CONDITIONS: The grantee accepts all grant terms and <br />conditions. Grantee understands that grants are contingent upon the availability of funds. <br />DISCLAIMER: The grantee certifies that the facts and information contained in this <br />application and any attached documents are true and correct. If this requirement is <br />violated, the grantee is subject to revocation of the grant and raturn *of all grant-fuhds-and <br />interest accrued (if any), pursuant to the E911 Board authority and any'ofher remedy <br />provided by law. <br />NOTIFICATION OF AWARDS: The grantee understands-and,accepts that the notice of <br />award will be advertised on the Florida E911 website. <br />MAINTENANCE OF IMPROVEMENT AND EXPANSION: The grantee agrees that any <br />improvement, expansion or other effect brought about in whole or part by grant funds will <br />be maintained. No substantial changes or departures from the original proposal shall be <br />permitted unless the E911 Board gives prior written authorization. Any unauthorized <br />change will necessitate the return of grant funds, and accrued interest (if any) to the E911 <br />Board. <br />The county certifies that all applicable state procurement rules/procedures have been met. <br />Failure to use grant funds as represented jeopardizes the grantee's eligibility to be <br />considered for future funding. <br />15. Authority <br />I hereby affirm my authority and responsibility for the use of funds requested. <br />Application and instructions for 911 Grant Programs, revised May 2023 <br />W Form 3A, incorporated by reference in Fla. Admin. Code R. 60FF1-5.003 911 Grant Programs <br />19 <br />