ARP Funds Application

I have read and understand the Submission Deadline and Application Submission information.

By signing this application, I understand and affirm that: (read each statement, and check the corresponding box)

* City of Monroe ARP awards will be distributed on a reimbursement basis. The City of Monroe will only reimburse those costs actually incurred and only after the expense is incurred, paid for, and a signed Request for Reimbursement form (or other form acceptable to the City) has been submitted to the City, including copies of the invoices and payment documents. Purchases/expenses made prior to contract execution are not eligible.

* Business/nonprofit applicants, or an identified partner, must have a Monroe Business License or a documented 501(c)3 or (c)6 designation. Such status is required to be eligible for receipt of ARP funds. My organization will provide proof of or obtain a City of Monroe business license. I understand it may take 30-60 days from the date of City Council approval for a contract to be fully executed, and that I cannot expend monies on reimbursable expenses until that time.

* Applicants may apply for multiple projects, but only one application per project.

* If awarded, funds will be used only for purposes described in this application. I understand that any award is a one-time award which does not create an obligation or guarantee of continued funding by the City, and the use of funds is subject to audit by the Washington State Auditor.

* If awarded, I or my organization intends to enter into a municipal services contract with the City of Monroe, provide liability insurance and additional insured endorsement documentation as may be required for the duration of the contract naming the City of Monroe as an additional insured and in an amount determined by the City.

* I have attended or watched the recording of the applicant workshop, and if awarded funds, will attend the receipt workshop. Workshop information will be available at monroewa.gov/1050.

* I have reviewed, and if awarded funds, will abide by federal and City procurement policies. Policy documents available at monroewa.gov/1050.

* Awards will be determined by the City of Monroe in its sole discretion. Applications may be awarded for the full or a partial amount of the total requested, or declined. If not awarded the full requested amount, applicant can decline the award; if not declined, applicant will provide additional information of how a partial award will be expended.

* I certify that I have the legal authority of the individual or organization represented herein to submit this request for funding on its/their behalf, and I further certify that the information submitted is true and correct to the best of my knowledge. I understand that the City of Monroe will rely on the accuracy of the submittals and certifications made in conjunction with this application. Any misrepresentation of inaccurate information may result in a repayment of funds.

This checklist is provided as a tool to assist you in the completion of your application. Remember, late and/or incomplete applications will not be accepted. If you have questions regarding your application, please contact Rich Huebner at (360) 722-1684 or RHuebner@MonroeWA.gov. (Check the box for each statement after reading)

By checking this box, I am consenting to the use of my above-printed name as my electronic signature, and certify that it is valid and has the same effect as if an actual written signature on a paper copy of this application.