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Exhibit C G10- UPA -82 <br /> CERTIFICATION <br /> I certify under penalty of perjury that the information I have entered on this application is true and complete to the <br /> best of my knowledge and that I am an employee of the applicant authorized to submit the application on behalf <br /> of the applicant. I further understand that any false, incomplete, or incorrect statements may result in the <br /> disqualification of this application. By signing this application, I waive any and all rights to privacy and <br /> confidentiality of the proposal on behalf of the applicant, to the extent provided in this program. <br /> ( f/ <br /> Applicant Sidi ature Date <br /> Chris Zapata / City Manager <br /> Printed Name / Title of Applicant <br /> Page 3 of 3 <br />