Appendix D- Attach-ment 1_Assurance of Legal Eligibility.docx

Attachment 1 – Assurance of Legal Eligibility

As the Statement of Legal Eligibility, attach either Attachment 1 or Attachment 2. If the coalition is applying for this grant on its own behalf (as the Legal Applicant eligible to receive Federal funding), use Attachment 1. If the coalition is partnering with an outside agency as its grant award recipient/legal applicant (Ineligible to receive Federal funding on its own), use Attachment 2.

A coalition applying on its own behalf must answer the following questions and sign below.

1. Is the coalition serving as its own legal grant award recipient? ☐ Yes ☐ No

2. Is the coalition’s name listed in Item #8 on the SF-424 of this application? ☐ Yes ☐ No

If the answer to both of these questions is “yes”, the applicant coalition must sign and date the Statement of Legal Eligibility below and include as Attachment 1.

If the answer to either of these questions is “no”, then the coalition must enter a relationship with an entity eligible to receive federal funds and submit a Memorandum of Understanding (MOU) (see Attachment 2) and include as Attachment 2.

PLEASE NOTE: Although your coalition may exist within another organization that is eligible to receive Federal funding, a Memorandum of Understanding may still be required. If the coalition’s name does not appear on Line #8 of the submitted SF-424 with the corresponding Employer/Taxpayer Identification Number (EIN/TIN), then a Memorandum of Understanding must be submitted as part of the coalition’s application. Not doing so will deem your application statutorily ineligible and will not move forward to peer review.

Statement of Legal Eligibility

I, [Coalition Representative] hereby certify that [Coalition Name] is legally eligible to receive federal funding.

Official Coalition Representative’s Name

Official Coalition Representative’s Signature

Title Date

NOTE: All forms must be dated between January 2020 and the deadline for the submission of this application. All forms require handwritten signatures and dates or they will be screened out and not move forward to merit review.