SOI 1266 Attachment 2 - NYS Grants for DPIL Participation Certification FINAL.pdf
PDF 562 KB Posted
- Solicitation number
- 2138343
- Issued by
- New York
About this file
This is a participation certification form for the New York State Office of Children and Family Services (OCFS) Dolly Parton's Imagination Library (DPIL) grant program. The form serves as the applicant's binding agreement to participate in the program, which provides free, high-quality, age-appropriate books monthly to children from birth through fifth grade. Applicants must be chief school or administrative officers certifying that their organization will comply with all applicable federal and state laws, regulations, and program guidelines. The certification confirms that the applicant's submitted information is complete and accurate and that the requested budget amounts are necessary for project implementation. Organizations must notify OCFS immediately in writing if any certified information becomes erroneous due to changed circumstances.
A critical requirement of this certification is the matching funds provision, which mandates that applicants secure funds equal to the amount requested and establish a deposit account with the Dollywood Foundation. Grant recipients must place an amount equal to the awarded grant on deposit with the Dollywood Foundation to pay for monthly DPIL invoices, with proof of deposit required before OCFS releases grant funds. All grant funds received must be placed on deposit with the Dollywood Foundation to cover monthly program invoices. The form requires the original signature of the chief administrative officer along with typed name and date, and includes spaces for applicant agency information, contact person details, address, and county designation.
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Other files
| File | Type | Posted |
|---|---|---|
| SOI 1266 Attachment 1 - Application Form LOCKED.docx | DOCX document | |
| SOI 1266 Dolly Parton's Imagination Library (Round 1.2) FINAL.pdf |
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Text version
NYS Grants for Dolly Parton’s Imagination Library Participation
Name Applicant agency: Name and Title of Contact Person:
Address:
City: ZIP Code:
County:
Telephone:
Fax:
Email:
I hereby certify that I am the applicant’s chief school/administrative officer and that the information contained in this application is, to the best of my knowledge, complete and accurate. I further certify, to the best of my knowledge, that any ensuing program and activity will be conducted in accordance with all applicable Federal and State laws and regulations, application guidelines and instructions, Assurances, Certifications, Appendix A, Appendix A-1, and that the requested budget amounts are necessary for the implementation of this project. It is understood by the applicant that this application constitutes an offer and, if accepted by the NYS Office of Children and Family Services renegotiated to acceptance, will form a binding agreement. It is also understood by the applicant that immediate written notice will be provided to the grant program office if at any time the applicant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
Matching Funds & Deposit Account It is further certified that applicant has secured an amount equivalent to the amount requested to be used as the required match for this program. It is understood that if applicant is awarded a grant, an amount equal to the grant award must be placed on account with the Dollywood Foundation to be used for Dolly Parton’s Imagination Library monthly invoices. Applicant must show proof of deposit with Dollywood before grant funds will be released. Applicant acknowledges and agrees to place all grant funds received on deposit with the Dollywood Foundation to pay monthly DPIL invoices.
Original Signature of Chief Administrative Officer: Typed Name of Chief Administrative
Officer:
Date:
Attachment 2
| Name Applicant agency: |
| Name and Title of Contact Person: |
| Telephone: |
| Fax: |
| EMail: |
| Typed Name of Chief Administrative Officer: |
| Date: |
| Street Address: |
| City: |
| Zip Code: |
| County: |
| Original Signature of Chief Administrative Officer: |
File details come from the government source that posted it. Updated .