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06/17/2004 17:46 LAW OFFICE 2140 4TH AVE + 42?5543 NO.31? P05 <br /> <br />Federal Register/Vol. 67, No. 205 tWodne~day, October 23, 2002 t Notices <br /> <br /> Appendix A <br /> <br />FEDERAL Fm$CAL YEAR 2(~1)3 FTA CERTIzqlCATION5 _A~ND ASSUIIANCE$ 51GNATIJII.E PAGE <br /> <br /> ~equ)red of ~ll.4pplicants for FZ4 a~'t.~tance and ~[[ FTA Grantee.~ with an active capital or.formula projecO <br /> <br /> AFFIRMATION OF &PPLICANT <br /> <br />Nome of Applic~ant: <br /> <br />Name and P.¢la6onship elr Authorized .Repcesema6vc: <br /> <br />BY .qlGNINO BELOW. on bgholf otlbe Appli~ntl I declare lltat ~c A~li~m has duly ~u~.l,o~v~ <br />these ~ficatio~,s ~nd a~ur~crs a~d bind ~e ApplJ.cant*s compliance. Thu~ tM Applicant a~s to ~ply <br />~11 Fcdcml smlut~, m~O~fions, cxe~dve o~d~rs, ~d Fed~al requiremems app~cable ~ c~ch appli~fion <br /> <br />rcprcsemafive of thc ccrfffications and assumncc~ m Appendix A, shotIld apply, ,~ reqtd.w,d, to ~ch projec! for <br />which the ^~plic~ml seeks now, or n~y J~er, se~lc ETA assisumcc dunng F~cletal :Fisc~3 Year 2003. <br /> <br />S~Lemcms sobmined hcrcJ~ ~ Qt[~ d.ocume~l ~d aW other mbm~ion '~de to ~& ~d ac~owl~ges tMt <br />prov~ion~ oCOm Prog~ Fraud Civil Keme~ Act 0f1986, 31 U.S.C. 3801 re seq., ns impl~md ~ U.S. DOT <br />~g~,l~o~, 'Pmg~ Fnud Civil ~mcdJcs," 49 ~ pan 3] ~pply to day cc~don, asm~n~ or <br />made {o ~A. ~ ~ufl fraud pmvjsio~ of 18 U.S.C. 1001 epp!y to any cmifi~on, ~sur~, or ~bmission <br />~ in ~cc~on wi~ ~e Urhaoiz~ ~ Fo~tda Progm~ 49 U.S.C. 5307, ~ may apply to <br />cenifi~qfio~ ~ce, ~r ~ubn~ssJo~ ~de in ~n~on ~ any other preen ~nJstc~d by <br /> <br />any other st~u,nc~i~ made by me on behalf ~f U)e kppli~a.m am true and eorre~ <br /> <br />Authodz~ lt~2resentartYe of Applicant <br /> <br />AFFI'KMATION OF APPLI [~,NT'S A1TORN~¥ <br /> <br />For (N,~nc of.~plic-~,~t): <br /> <br />AS thc tmdgrsigned AttomcT for the above named Appli~nk I hereby fffi~ to ~e Appli~nt ~al ~t <br /> <br />pagus, l ~rther ~cm atak in ,ay opinion, ~e oo~5~aio~ and assu,~ces ~qve ~ {cg~ly made <br />l~gal ~d binding obligations on ~c Appli~nt, <br /> <br />I h~nhcr a.flSrm to thc Alr~lic,'m.t thaL to the best of my b~oWledge, lhcse is no legialalion o1' litigatiof; pending oz <br />immingat that might adversely affect thc validity ofth~: certiJ'icat-ioas ,.and asmr,'mces, or of flit peffom~ance <br />prqjcm. <br /> <br />Date: <br /> <br />/kttomm,' for Applicant <br /> <br />I~ch A?pli~a~ for ~]'A lia.anc;~l aesi~nn~ (~gc~t 49 U.&C. ~312(I)) a~i~{anca) and each ~r& <br /> <br />ia lieu 0J'tha ~lorney'~ si~aturc, ~ov;dca ~ ~Dpllcant ~ on ala th4~ &nmtion, s~;aa hy tho atom~y and dat~ ~ ~c~ml fia~ y~. <br /> <br />[FR Doc, 02~2G075 Filed 10-22-02: <br />I]ILLI~ G CODE <br /> <br />-327- <br /> <br /> <br />