Agenda - 12-03-2001-8l - Laserfiche WebLink

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~.~.a,ae~aaa ,f, ~d~~A.wa.~ CERTIFICATIONS ANO ASS a CES FO FY 20024009 Legal Name of Applicant Name of AUthprizetl Representative: _ Relationship/Ftlle of Amhprizetl Represenbtive' By signing betrw, I (name) On behal/ onhe Appllcanl, declare that me Applcant has tluly aumotlzed me to make mesa certlGCelipns an0 assurances antl bind the Appllwnl's wmplienos, Thus, the Apvlirant agrees to comply wlih ell Fetle21 statutes, regUlatlons, ekecutive ortlam antl atlminlstmtive guidance requiretl for the Secllon 531 i appllcatlon Fhe Nodh Carolina DeparimeM of Transportation (NCDOT) makes to the Fetlerel Tmnit gtlminlslra0on (FTA) in SFY 2002-2003 (FFy 2002). FTA antl NCOOT intend flrel Pe wtllflFatlpns antl assurances the Appllwnf salads on Nis form, az rtpresentatlsz pt Ne wrlifira0ons and awnencea d the Community Tansportation Program Appliwlion, should apPty, as required, to each project /orwhich the Applicant seeks FTA assistance through NCDOT nav, or may lateq swk FTA aeelsfenm mrpugh NCOOT tlutlng SFy2002-2003 (FFV 2002). The Applicant dfflm6 me truthfulness and awurary of the cedifio(lona ana assuranws tl has made in the statemems submMetl herein whh Nle tlowment and any eNersubmissipn made to NCDOT for inclusion In s submission b FTA, antl acknowletlges thatthe proNSions of the Program Fmutl Civil Remedies Atl o11g96. 31 U. 5. C. 39d1 et say„ as Implementetl by USDOT regubtlons, •Prpgmm Fraud Olvil Remedies,"49 CFR Part 31 apply tp any certlgwtlon, assurance or submission metle to FTA. In slgnl0g this document, I tleGare antler pemhias of perypry that The foregoing certifrations and azsumnws, and any Nher flatemeMS metle by me on bBhatt Ofthe Applldant are true and cometl, A Date: 81Anetaro of Authohzetl Represenrative of Applicant