AIC 2020 Matching Funds Verification Template.pdf

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Agriculture Innovation Center Grant Program
Opportunity number
RDBCP-AIC-2020
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AIC 2020 Matching Funds Verification Template

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AGRICULTURE INNOVATION CENTER PROGRAM

VERIFICATION OF MATCHING FUNDS

For the purposes of carrying out the Work Plan identified in our application for the Agriculture Innovation Center Program, I verify the following information:

Legal Name of Applicant:

Proposed Start Date: Proposed End Date:

Total Project Cost: $ Matching Funds: $

As applicable, identify all sources, amounts, and uses of matching funds that your organization currently has available and committed to AIC project expenditures during the period of performance. If funds are being provided by a third party, attach a letter signed by the authorized representative of the organization that identifies the amount, use of funds, and time period of availability.

Source of Funds Amount Use of Funds

☐ Our Board of Directors has formally resolved/confirmed the matching funds amount to be contributed by this organization on [DATE].

☐ I/We do not need a resolution because it is not required by our governing body.

Name of Authorized Representative

Signature of Authorized Representative Date

Legal Name of Applicant:
Proposed Start Date:
Proposed End Date:
Total Project Cost:
Matching Funds:
Source of FundsRow1:
AmountRow1:
Use of FundsRow1:
Source of FundsRow2:
AmountRow2:
Use of FundsRow2:
Source of FundsRow3:
AmountRow3:
Use of FundsRow3:
Source of FundsRow4:
AmountRow4:
Use of FundsRow4:
Source of FundsRow5:
AmountRow5:
Use of FundsRow5:
Source of FundsRow6:
AmountRow6:
Use of FundsRow6:
Source of FundsRow7:
AmountRow7:
Use of FundsRow7:
Our Board of Directors has formally resolvedconfirmed the matching funds amount to be: Off
IWe do not need a resolution because it is not required by our governing body: Off
Name of Authorized Representative:
Date:

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