1-Certification Letter.docx

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Attached to
ALTSD 2028 Capital Outlay Application - Renovation|Code Compliance|New Addition - FOR TESTING
Solicitation number
ALTSD CO - Renovation|Code Compliance|New Addition DRAFT - Similar 2
Issued by
New Mexico

About this file

This is a Certification Letter from the Aging and Long Term Services Department (ALTSD) of New Mexico for capital outlay funding applications directed toward senior centers. The document serves as a fiscal agent certification form wherein applicants must acknowledge and confirm their organization's capacity to administer capital outlay projects, which may include existing-facility improvements, code and accessibility corrections, building-system modernization and replacement, or facility additions. The letter requires applicants to provide project details including the senior center facility name, application type, project title, and amount of funding requested, along with designated fiscal agent information and authorized representative credentials.

The certification letter establishes that the capital outlay appropriation is reimbursement-based, requiring the fiscal agent to demonstrate financial ability and willingness to advance project costs before reimbursement is received from the state. Applicants must commit to complying with applicable procurement, fiscal, reporting, and reimbursement requirements, submitting complete reimbursement requests with supporting documentation, and assuming full responsibility for the requested amount subject to the grant agreement and available appropriation authority. The form also requires identification of an advance-funding source to support the project during the reimbursement period. This certification ensures that only financially capable organizations with proper administrative infrastructure proceed with funded capital projects.

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File Type Posted
2-Scope of Work and Deliverables Schedule Worksheet.docx DOCX document
3-Project Budget and Funding Sources Worksheet.docx DOCX document

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Certification Letter The undersigned fiscal agent acknowledges that the requested Capital Outlay appropriation is reimbursement-based. The fiscal agent confirms that it is willing and financially able to administer the project, comply with applicable procurement, fiscal, reporting, and reimbursement requirements, pay allowable project costs before reimbursement is received, submit complete reimbursement requests and supporting documentation, and assume responsibility for the full amount requested, subject to the grant agreement and available appropriation authority.

Senior Center Facility: _________________________________________________ Application Type: _____________________________________________________ Project Title: _________________________________________________________ Amount Requested: $ _________________________________________________ Fiscal Agent: ________________________________________________________ Advance-Funding Source: ______________________________________________ Authorized Representative Name: ________________________________________ Title: _______________________________________________________ Email: ______________________________________________________________ Telephone: __________________________________________________________ Signature: ___________________________________________________________ Date: _______________________________________________________________

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