Common use of CERTIFICATION AND AGREEMENT INSTRUCTIONS Clause in Contracts

CERTIFICATION AND AGREEMENT INSTRUCTIONS. To receive an XXXXX Fund allocation, SEAs must submit to the Department the following information: • A completed cover sheet that includes the signature of the Chief State School Officer or authorized representative. (Part A of the Certification and Agreement) • Programmatic, fiscal, and reporting assurances. (Part B of the Certification and Agreement) • Information on the uses of XXXXX funds. (Part C of the Certification and Agreement) • Other assurances and certifications. (Part D of the Certification and Agreement) For purposes of this document, the term “Certification and Agreement” is the application that an SEA is required to file under section 18003(a) of Division B of the CARES Act.

CERTIFICATION AND AGREEMENT INSTRUCTIONS. To receive an XXXXX ESSER Fund allocation, SEAs must submit to the Department the following information: • A completed cover sheet that includes the signature of the Chief State School Officer or authorized representative. (Part A of the Certification and Agreement) • Programmatic, fiscal, and reporting assurances. (Part B of the Certification and Agreement) • Information on the uses of XXXXX ESSER funds. (Part C of the Certification and Agreement) • Other assurances and certifications. (Part D of the Certification and Agreement) For purposes of this document, the term “Certification and Agreement” is the application that an SEA is required to file under section 18003(a) of Division B of the CARES Act.

CERTIFICATION AND AGREEMENT INSTRUCTIONS. To receive an XXXXX Fund allocation, SEAs must submit to the Department the following information: • A completed cover sheet that includes the signature of the Chief State School Officer or authorized representative. (Part A of the Certification and Agreement) • Programmatic, fiscal, and reporting assurances. (Part B of the Certification and Agreement) • Information on the uses of XXXXX funds. (Part C of the Certification and Agreement) • Other assurances and certifications. (Part D of the Certification and Agreement) For purposes of this document, the term “Certification and Agreement” is the application that an SEA is required to file under section 18003(a) of Division B of the CARES Act.