Common use of Applicant Certification Clause in Contracts

Applicant Certification. I hereby certify and affirm that the above information, along with any additional forms, supplements, and attachments are true and correct. I understand that providing untrue or false statements in this Application/Agreement may result in the immediate denial or revocation of any authorization to use any Wakulla County Facilities. I further certify and affirm that I have reviewed all of the attached Facility Use Agreement Terms and Conditions, Chapter 23 of the Wakulla County Code of Ordinances and agree to be bound by all such provisions. I understand that the Facility Use Agreement shall not be effective and approved until execution by an authorized representative of Wakulla County. Applicant Name: Signature: Date: Approved by: County Representative: Signature: Date: Title: WAKULLA COUNTY FACILITY USE AGREEMENT TERMS AND CONDITIONS