ࡱ> KNJ; z"bjbj%% 7,GdGdG  AAAAAUUU8,$U<.6 -------$03--A-AA-FAA--w+|,p $4\R+- .0<.,"4"4$,"4A,--<."4 : STATE OF NEW JERSEY DEPARTMENT OF LAW AND PUBIC STAFETY JUVENILE JUSTICE COMMISSION APPLICATION AUTHORIZATION Authorization to submit a grant application to the Juvenile Justice Commission, (JJC) for a project entitled:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       for a subaward in the approximate amount of $ FORMTEXT       FORMTEXT       with the Applicant providing a match of $ FORMTEXT       FORMTEXT       (if applicable), for an approximate total project cost of $ FORMTEXT       FORMTEXT      . The undersigned understands that the JJC will rely upon the following statements to provide these subaward funds: The undersigned has reviewed the contents of the application, it is accurate, and certifies that the factual statements and data set forth in the application and attachments are true to the best of his or her knowledge and belief. The undersigned has reviewed and is familiar with all statutory and regulatory requirements regarding the use of the funds being provided to undertake grant programs and activities. The undersigned, as a duly authorized representative of the Applicant, ensures the Applicant will use these subaward funds to carry out the project and activities specifically described in the application. The undersigned, as duly authorized representative of the Applicant, is responsible for authorizing expenditures and disbursements of subaward funds. The undersigned, as a duly authorized representative of the Applicant, will ensure that the Subrecipient will comply with any and all state, municipal, statute, regulation, circular, policy or code regarding the use of these funds. The undersigned acknowledges that Office of Justice Program grants, including certifications provided in connection with such grants, are subject to review by the Office of Justice Programs, and/or by the Department of Justices Office of the Inspector General. The Applicant certifies that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any   " $ 4 H J Z n p ķo_OjNh`h+0>*Ujh`h+0>*Ujbh`h+0>*Ujh`h+0>*Ujvh`h+0>*Ujh`h+0>*Uh`h+0>*jh`h+0>*Uh6 h6 >* hWElhWElhWElhWElhWElCJ hWElhAhWElhA5OJQJhWElhWEl5OJQJ(pr t ,.  $ & F `Ddh1$7$8$@&H$]Da$gdZ9$Ddh1$7$8$H$]D`a$gdZ9D1$7$8$H$]D`gdZ9$Dd]Da$gdZ9D]DgdZ9    , . > R T b d p v  ۻ۫ۛ㔍um]umMujh`h;>*Ujh`h;>*Uh`h;>*jh`h;>*UhUE hWElhUE hWElhWEl h6 h+0jh`h+0>*Uj&h`h+0>*Ujh`h+0>*Uj:h`h+0>*Uh`h+0>*jh`h+0>*Ujh`h+0>*U 0 ^ ` t v " $ 8 : J ^ ` n p r t $%&+,69>?!&'j}}s}hWElhWEl5\hQhUE hWElhUEhZ9 h;>*j`h`h;>*Ujh`h;>*UhnbhWElCJaJjth`h;>*Ujh`h;>*Uh`h;>*jh`h;>*U hWElhWElh6 -js&12 ) , 6 w !!!!!!!!! " " ""8":"M"W"Y"Z"["]"^"`"a"c"d"f"g"ʸ¬hh,jh,UhWElhACJhWElhQPJ\ hs\ hQ\ hQPJ\hWElhWElPJ\hWElhQ\hWElhWEl\h6 U hWElhAh19 hWElhQhUE hWElhUE hWElhWElhQ3department or agency. This application minimally consists of the following attachments in addition to this form: Cover Page Description of Project Projected Budget and Budget Narrative As the duly authorized representative of the Applicant, I hereby certify that we will comply with the above-referenced provisions. ________________________________________ ______________________________ Signature of Authorized Official Title ________________________________________ Printed Name of Authorized Official ________________________________________ Organization/Agency/Applicant     Rev: 9.24.14   v w D!E!F!rrDd1$7$8$H$]D`gdZ9$Ddh1$7$8$H$]D`a$gdZ9$Dd]D`a$gdZ9$ & FDd]Da$gdZ9$Dd]Da$gdZ9$Dd]D`a$gdZ9$ `Dd]D`a$gdZ9 F!G!H!!!!!! 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