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Okaloosa County BOCC — December 18, 2012 — Local Certification — reading text
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APPENDIX V
Certification of Local Government Approval
For Nonprofit Organizations
I, Don Amunds; Chairman , duly authorized to act on behalf
(Name and Title)
of the OKALOOSA BOARD OF COUNTY COMMISSIONS hereby approve the following
(Name of City or County Government)
emergency shelter, homeless prevention or street outreach activities proposed by
OKALOOSA WALTON CONTINUUM OF CARE, located in FORT WALTON BEACH .
(Name of Agency) (Name of City or County)
By:
(Name) (Title)
(Signature)
(Date)
Note: U.S. Department of Housing and Urban Development regulations require non-profit
organizations to receive certification of local government approval prior to accepting an
Emergency Solutions Grant award. This approval signifies the knowledge of the
referenced program operating in the local government jurisdiction.
This form MUST BE signed, dated and returned with the solicitation in order for the
solicitation to be considered for funding.
