1-Certification Letter.docx
DOCX document 14 KB Posted
- Solicitation number
- ALTSD CO - Vehicles & Equipment DRAFT - Similar 3
- 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 a Capital Outlay Application pertaining to vehicles and equipment funding for senior centers. The letter serves as a fiscal certification document that acknowledges the reimbursement-based nature of the capital outlay appropriation and confirms the fiscal agent's willingness and financial ability to administer the project. The document requires completion of key project information including the senior center facility name, application type, project title, amount requested, fiscal agent name, and advance-funding source. The fiscal agent must provide authorized representative contact information, including name, title, email, telephone number, signature, and date of certification.
The fiscal agent assumes full responsibility for complying with applicable procurement, fiscal, reporting, and reimbursement requirements, including the obligation to pay allowable project costs before reimbursement is received and to submit complete reimbursement requests with supporting documentation. The funding is designated for capital outlay projects supporting senior center operations, specifically for meal-delivery vehicles, passenger vehicles, accessible vehicles, or specialized vehicles necessary for senior-center services. The certification binds the fiscal agent to the terms of the grant agreement and available appropriation authority, making this document a prerequisite component of the capital outlay application process for New Mexico senior centers seeking equipment and vehicle funding.
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Other files
| 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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Text version
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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