Attachment 1_ Certification of Cost Matching Funds Template rev.pdf
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- Opportunity number
- DOD-2024-APEX-ACCELERATOR
- Issued by
-
Department of Defense
About this file
This document is a certification of cost matching funds template for the APEX Accelerator Option Period for existing award recipients federal grant opportunity. The template requires applicants to certify the total contribution from the applicant, total in-kind from third parties, and total contributions from all sources. It also requires listing each third party contributor and the value of their in-kind donation. The certifier must attest that no federal funds are being used as match except as authorized by law, that in-kind used as match for other programs has not been used here, and that achievements will not be reported for any other federal award.
The related federal grant opportunity is solicited by the Department of Defense under number DOD-2024-APEX-ACCELERATOR and provides an option period for existing APEX Accelerator award recipients. It is assigned to federal grant program 12.002 for Procurement Technical Assistance for Business Firms. Applicants must fill out the cost matching funds template to receive consideration.
Attachment 1_ Certfication of Cost Matching Funds
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Certification of Cost Matching Funds APEX Program
This letter is to certify that matching funds as described below are available at the program level and committed to the proposed program during the proposed performance period starting and ending .
1.
Total contribution from the applicant:
Total in-kind from third parties:
Total contributions (from all sources):
2. For each individual third-party donor, list the value of the in-kind donation
Name of Third-Party Contributor Value of In-kind
3. The undersigned certifies that no federal funds are being used as match, except those that are specifically authorized by law to be used as match and that the APEX Accelerator is not part of any other federal award program.
4. The undersigned certifies that in-kind that has been used as match on any other program requiring cost match has not been used as cost match on this program.
5. The undersigned certifies that APEX Accelerator clients, counseling hours, events, and contract award achievements are not reported as achievements of any other federal award.
APEX Name:
Signature:
Name:
Title:
Date:
* Ensure consistency with other application documents. Use a continuation sheet if necessary.
| Total contribution from the applicant: |
| Total inkind from third parties: |
| Total contributions from all sources: |
| Name of ThirdParty ContributorRow1: |
| Value of InkindRow1: |
| Name of ThirdParty ContributorRow2: |
| Value of InkindRow2: |
| Name of ThirdParty ContributorRow3: |
| Value of InkindRow3: |
| Name of ThirdParty ContributorRow4: |
| Value of InkindRow4: |
| Name of ThirdParty ContributorRow5: |
| Value of InkindRow5: |
| Name of ThirdParty ContributorRow6: |
| Value of InkindRow6: |
| Name of ThirdParty ContributorRow7: |
| Value of InkindRow7: |
| Name of ThirdParty ContributorRow8: |
| Value of InkindRow8: |
| APEX Name: |
| Signature: |
| Name: |
| Title: |
| Date: |
| Text28: |
| Text29: |
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