FY24_RCDG_Third-party_In-KindMatchVerification_Template.docx
DOCX document 35 KB Posted
- Attached to
- Rural Cooperative Development Grant
- Opportunity number
- RBCS-RCDG-2024
About this file
This document is a template for verifying third-party in-kind contributions for the FY 2024 Rural Cooperative Development Grant (RCDG) Program. The template requires an authorized representative of the third-party organization to provide details on the nature, use, timing, and value of the in-kind goods and services to be donated to support the RCDG project activities during the proposed grant period. The document also confirms that the third-party organization's governing body has formally resolved or confirmed the cash matching contribution amount, if required.
The related federal grant opportunity is the RCDG program, which is administered by the Department of Agriculture Rural Housing Service and Rural Business Cooperative Services. The program's primary objective is to improve the economic condition of rural areas by assisting individuals or entities in the startup, expansion, or operational improvement of rural cooperatives and other business entities. Grants are awarded competitively on an annual basis to Rural Cooperative Development Centers, who in turn provide technical assistance.
FY24_RCDG_ThirdParty_in_kind Match Verification
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RCDG
Verification of Third-Party IN-KIND Contribution
For purposes of carrying out the Work Plan and Budget Activities identified in the (Center’s) FY 2024 Rural Cooperative Development Grant (RCDG) Program application, and as an Authorized Representative of the third-party organization identified below, I verify and confirm the following information:
Legal Name of Third-Party:
RCDG Grant Period:
Total Third-Party In-Kind Contribution Value: $ In the chart below for Third-Party In-Kind Contributions, describe (a) the nature of the goods and/or services to be donated to the RCDG project during the proposed grant period and how they will be used, (b) when the goods and/or services will be donated during the proposed grant period, and (c) the value of the goods and/or services.
| Description of the Goods and/or Services |
| How They Will Be Used On Project Activities |
| When They Will Be Donated (month/day/year) |
| Value of the Goods and/or Services |
| $ |
| $ |
| $ |
| $ |
| $ |
Total Value
|_| Our governing body (i.e., Board of Directors or Tribal Council) has formally Resolved / Confirmed the Cash Matching contribution amount for RCDG purposes on .
|_| I/We do not need a Resolution because it is not required by our governing body for us to authorize the Cash Matching contribution amount described above.
I/We understand the In-Kind Matching contribution amount described above is to be used for grant eligible Center expenditures and that I/we cannot limit how or where the Center uses these funds. In addition, I/we understand the In-Kind contribution amount described above cannot be used to provide services which directly benefit me/us.
Print Name of Authorized Representative:
Signature of Authorized Representative: _____________________________________ Date:
Title of Authorized Representative:
USDA is an equal opportunity provider, employer, and lender.
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