09-24-1984 Council Packet - Laserfiche WebLink

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Note: Therapy, Instructions are pan of the documentation that supports your assurances and must be to talned for public examination on request. STATEMENT OF ASSURANCES 1. The Rwemp r Sharing Act, As amended (31 U.S.C. SMIL224 herelnetler referred to as the Act), provides that each racy plant government must "sure the Excreter, of this Treasury that 11 will comply with the slslulory provisions contained In the Act In order to quellfy to receive Revenue Shseing funds. Copy A of the Certification Form has been prepared to facilitate the submission of your assurances on behalf of your government. Copy B of the Certification Form, on the lowroonlon of the Mcloaed Direqtoi s letter, Is tow retained In your Ines. 2. The mama, score ay,, and Ravrlw Sharing account number for your government.pa( o , win of the Certification Forms. By signing In the specs provided at the wltom of the CMlflcatlpn Form (Copy A). Ne Chief Executive Officer runutr, compliance by the named government with 1M requlrrnenls descdbad in ifle enclosed Statement of Assurances. Because the Certification Form Is a legal oocumenl, It must M signed In Ink and by hand p complete IpN slpulars). Rubber stamp signatures, Initials, or pMtocoples of signatures will not be accepted. Under the ppprWons of the Act, only ten Ch*f EaeWll" 011laar It aullpdsee to alp let Cenlfiwllen Ferro. Copy B of this Canificat Ion Form should be retained for your records. J. Detach and return the Crtlll.11en Form (Copy A)with an rlglMl id"whi. In the envelope provided. to the Office of Revenue Sharing. Retain ten Dlrectoi s latter with Copy B of ten Crtlflcatlon Form for your Illee. Be sure to piece first class postage on the ernaiope. (TM Postal Service will not deliver mail wllhoul postage.) Plwee mail the takes by Saplamwr W. two to weus, that your govsnment will receive 1M first payment of Revenue Sharing lands for Entitle must Palle is In Jewry Ices. a. When your (arm has taken received and accepted by the Office of Revenue Sharing, you will receive an Acceptance Card directly from ORS. This card will M printed with the date your form was accepted and the file numwr for your form. The Acceptance Card should be mteined as pan of Your Revusw Sharing records. PUBLIC PARTICIPATION The public participation requuemants described in Sputum B of the final Revenue Sharing Regulations continue b eltect for Entitlement period 16. If you behave Your government qualities for a walvu or alternative procedure as e.- plained below. you must request a "public participation Waiver Application Form" from the 011me of Revenue Sharing Thl. weber muses M approvad by Ill Office of Ruenue Sharing Mlre Your governmwl may approprbte Revwue Senn Imp lunw. The waiver application does not replace the Statement of Assurances Certification Form. Even it you quality for a ronvr of IM pubic prtkipawn requirements, You Mal file a Crtilkatbn Form. A warve, or alamkhr a procedure may M applicable to your government Only it - The cost of wwspepr publication of the budget hearing frolics, including the budget summary, will excep 15 percent of entitlement funds in the proposed budget end an allunative method of publication will M used (see Sec. 51. U (c) OI the Regulations). Or - A newspaper publication Ir my one of the lollowing is Impractical or mfeaatbla (fora amplefew local sub scnMp or no newepaoer aodabls) all an alternative method of publication will be used to savannas - Budget hearing null. - Nonce of avrlWhty of the adopted budget - Notae of madabllity of Sure" of Eapardni IU" Report -- Notice of rrlablllly of the Audit Reports ACCEPTANCE CARD If Ou do not .scmve an Accprw. Caro, or d your form has not been nrumed 10 You by ill Office of Raven. Snaring wmmn'Our waMe Imm the date your corm was palled contact Its, Office o1 Rerpw Sharing your trm may caul l e.e bran rrerveu bit ORS It you need Wren✓ in'ormalim, cad ORS Inl✓govrnmental Relations Orvgwn at IM21 61a52op (We ......he. we an. unwl'mnLad to rcept Copp, cafe I ORS GS. Aug. 104