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<br />San Leandro Public Library <br />Memory Lab <br />2021-2022 <br />40-9281 <br />Page 30 of 40 <br /> <br /> <br />EXHIBIT D: CERTIFICATION OF COMPLIANCE FORM <br /> <br />1. AUTHORIZED REPESENTATIVE: I certify that the authorized representative named <br />below is the legally designated representative of the Subrecipient for this Award <br />Agreement and project, and is authorized to receive and expend funds in order <br />to administer this award program. <br /> <br />I certify that all information provided to the California State Library for review in <br />association with this award is correct and complete to the best of my <br />knowledge, and as the authorized representative of the Subrecipient, I commit <br />to the conditions of this award, and I have the legal authority to do so. <br /> <br />I certify that any or all other subrecipients participating in the program have <br />agreed to the terms of the application/grant award, and have entered into an <br />agreement(s) concerning the final disposition of equipment, facilities, and <br />materials purchased for this program from the funds awarded for the activities <br />and services described in the attached, as approved and/or as amended in the <br />application by the California State Librarian. <br /> <br />The authorized representative, on behalf of the Subrecipient, certifies that the <br />Subrecipient will comply with all applicable requirements of all State and Federal <br />laws, regulations, and policies governing this program, to include the <br />requirements listed below in this Certification of Compliance Form. <br /> <br />a. The organization receiving this LSTA award, as listed in the certification section <br />below, and all program staff, agree to comply with the Uniform Guidance for <br />Grants outlined in the Code of Federal Regulations established by the United <br />State Office of Management and Budget <br /> <br />b. The organization receiving this LSTA award, as listed in the certification section <br />below, and all program staff, agree to comply with the rules, regulations and <br />guidance provided by the following: <br />IMLS LSTA Administration Guidance <br />California Code of Regulations established by the California Office of <br />Administrative Law <br />DocuSign Envelope ID: BFA82BFD-E288-4CA3-B9FB-BAC4531C0FB0 <br />In Process