Attachment 6_Assurance of One DFC Grant at a Time.docx

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Drug-Free Communities (DFC) Support Program
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CDC-RFA-CE21-2102
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Attachment 6_Assurance of One DFC Grant at a Time

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Attachment 6. Assurance of One DFC Grant at a Time

The legal applicant/grant award recipient must read the statement below, and sign and date this document to assure that the legal applicant/grant award recipient will not hold more than one DFC grant at any time during the FY 2021 – FY 2026 funding cycle.

Applicant Assurance of One DFC Grant at a Time

I attest that the [Legal Applicant/Grant Award Recipient] will be in receipt of only one DFC grant during the FY 2021 – FY 2026 funding cycle.

Official Coalition Representative’s Name Official Coalition Representative’s Signature

Date

Grant Award Recipient/Legal Applicant’s Name Grant Award Recipient/Legal Applicant’s Signature

Grant Award Recipient/Legal Applicant’s Title Organization Agency

Date

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

See Section H. Other Information of the NOFO for instructions to upload this attachment.

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