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This is to certify that I have reviewed the indirect cost proposal
submitted herewith and to the best of my knowledge and belief:
(1) All costs included in this proposal dated ________________________to
establish billing or final indirect costs rates for fiscal year(s) ended
_______________________ are allowable in accordance with the requirements of
the Federal award(s) to which they apply and OMB Circular A-87, "Cost
Principles for State, Local, and Indian Tribal Governments." Unallowable costs
have been adjusted for in allocating costs as indicated in the cost allocation
plan.
(2) All costs included in this proposal are properly allocable to
Federal awards on the basis of a beneficial or causal relationship between the
expenses incurred and the agreements to which they are allocated in accordance
with applicable requirements. Further, the same costs that have been treated as
indirect costs have not been claimed as direct costs. Similar types of costs
have been accounted for consistently and the Federal Government will be
notified of any accounting changes that would affect the predetermined
rate.
Subject to the provisions of the Program Fraud Civil Remedies Act of
1986, (31 USC 3801 et seq.), and the Department of Labor's implementing
regulations, (29 CFR Part 22), the False Claims Act (18 USC 287 and 31 USC
3729); and the False Statement Act (18 USC 1001), I declare to the best of my
knowledge that the foregoing is true and correct.
Governmental Unit: ___________________________________________________
Signature: ___________________________________________________
Name of Authorized Official:
___________________________________________________
Title: ___________________________________________________
Date of Execution: ___________________________________________________
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