Common use of Duplication of Benefits Certification Clause in Contracts

Duplication of Benefits Certification. To be submitted by the Subrecipent with its reimbursement requests. The undersigned, on behalf of and as a duly authorized agent and representative of the Subrecipient, Wichita State University Campus of Applied Sciences and Technology, certifies and represents that all information contained in and enclosed with the reimbursement request is true to the best of his or her knowledge and acknowledges that the City of Wichita (City) has relied on such information to award ARPA assistance. The Subrecipient also certifies that they have not received assistance or reimbursement from any other sources of funding for the specific expenses included in this reimbursement request. The Subrecipient acknowledges that it may be prosecuted by Federal, State, or local authorities and/or that repayment of all ARPA funds must be repaid to the City in the event that it makes or files false, misleading, or incomplete statements, documents or reimbursement requests. Month of Reimbursement Request Signature of Wichita State University Campus of Applied Sciences and Technology, Signing Agent Printed Name Title

Duplication of Benefits Certification. To be submitted by the Subrecipent with its reimbursement requests. The undersigned, on behalf of and as a duly authorized agent and representative of the Subrecipient, Wichita State University Campus of Applied Sciences the Xxxxxx County Agricultural and TechnologyMechanical Society, d/b/a Ozark Empire Fair, certifies and represents that all information contained in and enclosed with the reimbursement request is true to the best of his or her knowledge and acknowledges that the City of Wichita Springfield (City) has relied on such information to award ARPA assistance. The Subrecipient also certifies that they have not received assistance or reimbursement from any other sources of funding for the specific expenses included in this reimbursement request. The Subrecipient acknowledges that it may be prosecuted by Federal, State, or local authorities and/or that repayment of all ARPA funds must be repaid to the City in the event that it makes or files falsefiles, misleading, or incomplete statements, documents or reimbursement requests. Month of Reimbursement Request Signature of Wichita State University Campus of Applied Sciences Xxxxxx County Agricultural and Technology, Mechanical Society d/b/a Ozark Empire Fair Signing Agent Printed Name Title

Duplication of Benefits Certification. To be submitted by the Subrecipent with its reimbursement requests. The undersigned, on behalf of and as a duly authorized agent and representative of the Subrecipient, Wichita State University Campus of Applied Sciences and TechnologyWomen’s Initiative Network Inc., certifies and represents that all information contained in and enclosed with the reimbursement request is true to the best of his or her knowledge and acknowledges that the City of Wichita (City) has relied on such information to award ARPA assistance. The Subrecipient also certifies that they have not received assistance or reimbursement from any other sources of funding for the specific expenses included in this reimbursement request. The Subrecipient acknowledges that it may be prosecuted by Federal, State, or local authorities and/or that repayment of all ARPA funds must be repaid to the City in the event that it makes or files false, misleading, or incomplete statements, documents or reimbursement requests. Month of Reimbursement Request Signature of Wichita State University Campus of Applied Sciences and TechnologyWomen’s Initiative Network Inc., Signing Agent Printed Name Title

Duplication of Benefits Certification. To be submitted by the Subrecipent with its reimbursement requests. The undersigned, on behalf of and as a duly authorized agent and representative of the Subrecipient, Wichita State University Campus of Applied Sciences and TechnologyXxxxxxxx Fundamental Learning Center, Inc., certifies and represents that all information contained in and enclosed with the reimbursement request is true to the best of his or her knowledge and acknowledges that the City of Wichita (City) has relied on such information to award ARPA assistance. The Subrecipient also certifies that they have not received assistance or reimbursement from any other sources of funding for the specific expenses included in this reimbursement request. The Subrecipient acknowledges that it may be prosecuted by Federal, State, or local authorities and/or that repayment of all ARPA funds must be repaid to the City in the event that it makes or files false, misleading, or incomplete statements, documents or reimbursement requests. Month of Reimbursement Request Signature of Wichita State University Campus of Applied Sciences and TechnologyXxxxxxxx Fundamental Learning Center, Inc., Signing Agent Printed Name Title

Duplication of Benefits Certification. To be submitted by the Subrecipent with its reimbursement requests. The undersigned, on behalf of and as a duly authorized agent and representative of the Subrecipient, Wichita State University Campus Down Syndrome Society of Applied Sciences and TechnologyWichita, Inc., certifies and represents that all information contained in and enclosed with the reimbursement request is true to the best of his or her knowledge and acknowledges that the City of Wichita (City) has relied on such information to award ARPA assistance. The Subrecipient also certifies that they have not received assistance or reimbursement from any other sources of funding for the specific expenses included in this reimbursement request. The Subrecipient acknowledges that it may be prosecuted by Federal, State, or local authorities and/or that repayment of all ARPA funds must be repaid to the City in the event that it makes or files false, misleading, or incomplete statements, documents or reimbursement requests. Month of Reimbursement Request Signature of Wichita State University Campus Down Syndrome Society of Applied Sciences and TechnologyWichita, Inc., Signing Agent Printed Name Title