Certification of Cost Matching Funds Template-DLA-202002.pdf

Certification of Cost Matching Funds Procurement Technical Assistance Program (PTAP)

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.

2. For each individual third party donor list the exact amount of the cash and in-kind and the combined total of both.

Name of 3rd Party Contributor Cash In-kind Total

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 PTAC 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 PTAC clients, counseling hours, events, and contract award achievements are not reported as achievements of any other federal award.

PTAC Name:

Signature:

Name:

Title:

Date:

* Ensure consistency with other application documents. Use a continuation sheet if necessary.

7/2019

Total contributions from the applicant:

Total cash and in-kind from third parties:

Total contributions (from all sources):