3-Certification Signatures.docx
DOCX document 43 KB Posted
- Solicitation number
- 551005
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is a certification document for the City of Detroit's 2026-2027 Community Development Block Grant/Neighborhood Opportunity Fund (CDBG/NOF) program. The document requires an authorized representative of an applicant organization's Board of Directors to certify compliance with multiple federal and local requirements before submission. Key certifications include adherence to HUD's Final Rule on Church and State Regulations, HUD Conflict of Interest Regulations, verification that the Board of Directors is not majority family-controlled, confirmation that all application information is accurate and truthful, authorization from the Board to submit the application, and verification that no associated persons or organizations appear on the HUD Debarment List. The signatory must acknowledge awareness of criminal, civil, and administrative penalties for providing false, fictitious, or fraudulent information under U.S. Code Title 18 and Title 31.
The certification must be executed by an authorized representative and notarized before a Notary Public. The document serves as a mandatory compliance verification mechanism for organizations seeking CDBG/NOF funding from the City of Detroit in Michigan. No specific funding amounts, pricing terms, or contract duration are outlined in this certification form, as it functions solely as a prerequisite attestation of organizational eligibility and regulatory compliance required during the application process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 8-Certification Regarding Debarment, Suspension.docx | DOCX document | |
| 7-Program Activity Budget Template.docx | DOCX document | |
| 11-Application Submittal Certification.docx | DOCX document | |
| 10-HUD Conflict of Interest Requirements.docx | DOCX document | |
| 9-CDBG Appeals Procedures.docx | DOCX document | |
| 5-Connections and Contributions Template.docx | DOCX document | |
| 2-HUD Final RULE Revised Church and State.docx | DOCX document | |
| 14-Supplier Support Bonfire Resources.pdf | ||
| 1-Attachment D-2 Grant NOFA Condition of Award (2025) (1).pdf | ||
| 4-Exhibit N.docx | DOCX document | |
| 12-2027-2028 CDBG PS Information Packet 091026.pdf | ||
| 6-Attachment D-1 Grant NOFA Required Forms Affidavits (2025) (1).pdf | ||
| 13-Submission with Solicitation Builder.pdf |
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Coleman A. Young Municipal Center 2 Woodward Avenue. Suite 908 Detroit, Michigan 48226
Phone: 313.224.6380 Fax: 313.224.1629 www.detroitmi.gov
CERTIFICATIONS
To be signed and notarized by an authorized representative of the Board of Directors
I certify that I have read the “HUD Final Rule: Revised Church and State Regulations” as printed in the appendices, and that, if funded, all proposed activities shall be carried out in full compliance with the requirements of the U.S. Constitution regarding separation of church and state, and I commit the sponsoring organization to full compliance.
I certify that I have read the “HUD Conflict of Interest Regulations” as printed in the appendices, and that, if funded, all proposed activities shall be carried out in full compliance with HUD Conflict of Interest Regulations, and I commit the sponsoring organization to full compliance.
I certify that the Board of Directors of this organization is not majority family controlled or related by blood and/or marriage.
I certify that I have read and understand the notices and warnings listed above. I certify that the information presented in this application is true.
I certify that the Board of Directors has authorized the submission of this CDBG/NOF application.
I certify that no persons or organizations associated with this CDBG/NOF application is on the HUD Debarment List.
I certify to the best of my knowledge and belief that the information provided herein is true, complete, and accurate. I am aware that the provision of false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil, or administrative consequences including, but not limited to violations of U.S. Code Title 18, Sections 2, 1001, 1343 and Title 31, Sections 3729–3730 and 3801–3812.
I further certify that I have been authorized by the Board of Directors to execute these certifications on our behalf.
Signed________________________________ Title: ____________________________
Date: ______________________ Telephone: __________________________________
The foregoing instrument was acknowledged before me this ____ day of _______, 202 , by ________________________________, the ________________________________ of Name Title
_______________________________, a non-profit Corporation on behalf of the Corporation Organization Name
Notary Public image1.png
File details come from the government source that posted it. Updated .