CERTIFICATION
State of Connecticut
Sample Agency
This is to certify that I have reviewed the indirect cost proposal submitted herewith
and to the best of my knowledge and belief:
- All costs included in this proposal are based on the fiscal year ended June 30, 20xx to
establish billing or final indirect cost rates for the fiscal year from July 1, 20xx to
June 30,20xx are allowable in accordance with the requirements of the federal award(s) to
which they apply and OMB Circular A-87, "Cost Principles for State, Local, and Indian
Tribal Governments". Unallowable costs have been adjusted for in allocating costs as
indicated in the cost allocation plan.
- All costs included in this proposal are properly allocable to Federal awards on the
basis of a beneficial or causal relationship between the expenses incurred and the
agreements to which they are allocated in accordance with applicable requirements.
Further, the same costs that have been treated as indirect costs have not been claimed as
direct costs. Similar types of costs have been accounted for consistently and the Federal
government will be notified of any accounting changes that would affect the predetermined
rate.
I declare that the foregoing is true and correct.
Governmental Unit: |
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Signature: |
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Name of Official: |
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Title: |
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Date of Execution: |
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