Free ann- 10- 0388- 10- form.xdp - Federal

CERTIFICATION OF COMPLIANCE WITH FEDERAL REQUIREMENTS STATE OR TRIBAL GOVERNMENT CONSTRUCTION GRANT (38 CFR Part 39)
CERTIFICATION: I certify that to the best of my knowledge and belief that (1) all Federal requirements outlined in 38 Code of Federal Regulations Part 39 as they pertain to this State or Tribal Government Cemetery project; (2) assurances outlined in SF 424D; and (3) all mandatory comments resulting from the design development review by the U.S. Department of Veterans Affairs (VA) have been incorporated into construction contact(s) for this State or Tribal Government Veterans Cemetery project to be located at:
STATE OR TRIBAL GOVERNMENT CEMETERY PROJECT LOCATED AT: PROJECT FAI (Federal Application Identifier) NO.

NAME OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

TITLE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

SIGNATURE OF AUTHORIZED STATE OR TRIBAL GOVERNMENTOFFICIAL

DATE SIGNED (mm/dd/yyyy)

VA FORM JUL 2009

40-0895-10

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