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ATTY/AGR/2016.249/STATE OF CALIFORNIA DEPARTMENT OF PARKS & RECREATION DIVISION OR BOATING & WATERWAYS <br />REV: 09-01-16 RL <br />Page 33 of 33 <br /> EXHIBIT G - Grant Application: Letter of Intent, Scope of Work and Work Plan <br /> <br /> <br />1. Applicant Certification <br /> <br />Per Harbors and Navigation Code 525 (C) “A grant awarded by the department pursuant to subparagraph (A) shall <br />be matched by a 10% contribution from the local agency receiving the grant.” This matching fund may be rendered <br />in cash, or through in-kind contributions which must be verified, and are at the discretion of DBW. These <br />contributions may include (but are not limited to) the following: administrative costs, personnel hours, removal, <br />and/or storage. <br /> <br />Grant monies WILL NOT be reimbursed by DBW unless 10% of each reimbursement claim is met. <br /> <br />a. Under penalty of perjury, I certify that I have examined this application and the document(s), proposal(s), <br />and statement(s) submitted in conjunction herewith, and that to the best of my information and belief, <br />the information contained herein is true, accurate, correct, and complete. <br />b. I certify that I am the person authorized to submit this application on behalf of the applicant. <br /> <br />Prepared by: Name: Vicki Sherman Date: 04/29/2016 <br />Reviewed by: Name: Brandon Gilmore Date: 04/29/2016 <br />Approving <br />Officer: <br />Name: Terence Kyaw Date: 04/29/2016 <br /> <br />6.1.M. - Page 35