SOI 1276 Attachment 2 - NYS Grants for DPIL Participation Certification FINAL.pdf
PDF 562 KB Posted
- Solicitation number
- 2138350
- Issued by
- Bronx County, Nissequogue Village, 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 formal application attachment requiring certification from the chief administrative officer of applicant agencies seeking to participate in or expand their involvement with DPIL, a community-based program that mails free, high-quality, age-appropriate books to registered children from birth through fifth grade. Applicants must certify that they are qualified entities capable of meeting program requirements and that all information submitted is complete and accurate. The certification confirms that the applicant will conduct all ensuing program activities in accordance with applicable federal and state laws, regulations, and program guidelines, and acknowledges that submission of the application constitutes a binding offer upon acceptance by OCFS.
The form establishes critical financial requirements for participation, including the applicant's obligation to secure matching funds equivalent to the grant amount requested and to place those funds on deposit with the Dollywood Foundation prior to grant fund release. Individual grants are limited to a maximum of $50,000, with total program funding of approximately $395,000 available to support multiple qualified organizations, with grants covering up to 50 percent of a Local Program Partner's costs. All grant funds received must be deposited with the Dollywood Foundation to pay monthly DPIL invoices. The certification requires the original signature of the chief administrative officer, typed name, date, contact information, and agency details, with applicants acknowledging that immediate written notice must be provided to the grant program office if any certification becomes erroneous or circumstances change during the grant period.
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Other files
| File | Type | Posted |
|---|---|---|
| SOI 1276 Attachment 1 - Application Form LOCKED.docx | DOCX document | |
| SOI 1276 Dolly Parton’s Imagination Library in NYC 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 .