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, ICT Food Rescue 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 ICT Food Rescue, 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, ICT Food Rescue Heartspring 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 ICT Food RescueHeartspring 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, ICT Food Rescue GraceMed Health Clinic, 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 ICT Food RescueGraceMed Health Clinic, 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, ICT Food Rescue Xxxxxxx Labs 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 ICT Food RescueXxxxxxx Labs 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, ICT Food Rescue Xxxxxxx 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 ICT Food RescueXxxxxxx Inc., Signing Agent Printed Name Title