CERTIFICATION

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State of Connecticut 

Sample Agency 

This is to certify that I have reviewed the indirect cost proposal submitted herewith and to the best of my knowledge and belief:

  1. All costs included in this proposal are based on the fiscal year ended June 30, 20xx to establish billing or final indirect cost rates for the fiscal year from July 1, 20xx to June 30,20xx are allowable in accordance with the requirements of the federal award(s) to which they apply and OMB Circular A-87, "Cost Principles for State, Local, and Indian Tribal Governments". Unallowable costs have been adjusted for in allocating costs as indicated in the cost allocation plan.
  1. All costs included in this proposal are properly allocable to Federal awards on the basis of a beneficial or causal relationship between the expenses incurred and the agreements to which they are allocated in accordance with applicable requirements. Further, the same costs that have been treated as indirect costs have not been claimed as direct costs. Similar types of costs have been accounted for consistently and the Federal government will be notified of any accounting changes that would affect the predetermined rate.

I declare that the foregoing is true and correct.  

Governmental Unit:
Signature:
Name of Official:
Title:
Date of Execution:

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