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[{"$nulls":3},"CERTIFICATE OF COMPLIANCE"]
[{"$nulls":3},"for the"]
[{"$nulls":3},"Public Assistance Disaster Program"]
[]
[]
[]
[{"$nulls":3},"Disaster Name and Number:"]
[]
[]
[{"$nulls":3},"(Name of Applicant)"]
[]
[]
[{"$nulls":3},"I",{"$nulls":3},", certify that "]
[{"$nulls":4},"(Name)",{"$nulls":4},"(Community or Agency)"]
[]
[{"$nulls":3},"has completed all work as identified in the Project Worksheet Scope of Work and all costs claimed"]
[]
[]
[{"$nulls":3},"are eligible and in accordance with the grant conditions and have been paid in full.  Furthermore, I "]
[]
[]
[{"$nulls":3},"certify that the ",{"$nulls":6},"has obtained and adhered to all mandatory"]
[{"$nulls":6},"(Community or Agency)"]
[]
[{"$nulls":3},"local, state and federal requirements required for completion of Project Worksheet #"]
[]
[]
[{"$nulls":3},"(to include permits, procurement, and codes/standards)."]
[]
[]
[]
[{"$nulls":3},"Typed Name and title of Certifying Official"]
[]
[]
[]
[]
[{"$nulls":3},"Certifying Official's Signature *",{"$nulls":8},"Date"]
[]
[]
[]
[{"$nulls":3},"*","Certifying Official must be one of the Agents listed on the Designation of Applicant's Agent"]
[{"$nulls":3},"form (DHS&EM FORM 30-5)"]

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