Res 2009-143 - Laserfiche WebLink

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ATTACHMENT J AMERICAN RECOVERY & REINVESTMENT ACT--RECIPIENT AFFIDAVIT This Affidavit must be signed and sworn (notarized) and returned with all Applications for this RFA I, Susan Narvaiz, Mayor, an authorized representative of :the City of San Marcos, a [person, sole proprietorship, partnership, corporation, limited liability company, nonprofit organization, governmental entity, political subdivision, or other entity] (circle one) that is receiving American Recovery and Reinvestment Act of 2009 (ARRA or the Act) funding, hereby swear and affirm that, to the best of my knowledge, internal controls, processes and procedures have been designed and implemented to help ensure that the recipient and its use of these funds complies with the following: applicable state law; federal law, including federal reporting requirements under Section 1512 of the Act, if applicable; rules; regulations; and other relevant guidance. I further swear and affirm that all of the statements made and information provided herein, including statements made and information provided in any attachments are true, complete, and correct, to the best of my knowledge. I understand that I am receiving ARRA funding from the Texas Comptroller of Public Accounts, a [state agency, institution of higher education, governmental entity, political subdivision, or other entity] (circle one). I understand that non-compliance with reporting requirements could be treated as a violation of the award agreement resulting in the withholding of funds, debarment, or award termination or suspension, as appropriate. I understand that it is a federal crime under 18 U.S.C. Section 1001 to, in any matter within the jurisdiction of the executive branch of the U.S. Government, knowingly and willfully make any materially false, fictitious, or fraudulent statement or representation, or to make or use any false writing or document knowing that it contains the same. I understand that presenting a false or fraudulent claim, in whole or in part, or causing same, may subject me to civil penalties as provided for in 31 U.S.C. Section 3729. I understand that it is a felony offense under Section 37.10, Texas Penal Code, to knowingly make a false entry in, or false alteration of, a governmental record, or to make, present, or use a governmental record with knowledge of its falsity, when the actor has the intent to harm or defraud another. I understand that the offense of perjury, under Section 37.02, Texas Penal Code, is committed when a person, with intent to deceive and with knowledge of the statement's meaning, makes a false statement under oath or swears to the truth of a false statement previously made and the statement is required or authorized by law to be made under oath. I understand my obligation to track all ARRA funds and that ARRA funds cannot be comingled with Non-ARRA funds. I also understand my obligation to immediately report any known or suspected waste, fraud, and abuse of funds received under the Act to the United States Government Accountability Office at (800) 424-5454 and the Texas State Auditor's Office at (800) 892-8348. I further understand that I will require all sub-recipients with whom I contract using funds made available under the Act to sign a similar affidavit swearing to all of the above. I hereby swear and affirm that I have read the entire affidavit, and I understand its contents. _City of San Marcos Plecipient Name Affiant Signaturek./ _Susan Narvaiz Full Name _Mayor Title b a "" Sherry Mashbum Date : •;(,a? Poo••.: Notary Public Swo and subscribeAd efore me by the said ..: • State of Texas Lk6 A ti !1?4 11 ? j4 i My Commission Expires (Printed Name of Recipient's Authorized Representative) July 26, 2011 this ay of ??Tn13? l? 20Cq. Notary Public, State of Notary's printed nam WYWI`I?mission e: expires: (Seal)