Editing A3-Coordinating beneficiary declaration

'''A3 - COORDINATING BENEFICIARY DECLARATION'''

The undersigned hereby certifies that:<br>
1. The specific actions listed in this proposal do not and will not receive aid from the Structural Funds
or other European Union financial instruments. In the event that any such funding will be made
available after the submission of the proposal or during the implementation of the project, my
organisation will immediately inform the European Commission.<br>
2. My organisation
has not been served with bankruptcy orders, nor has it received a formal summons from creditors.
My organisation is not in any of the situations listed in Articles 93.1 and 94 of Council Regulation
1605/2002 of 25/06/2002 (OJ L248 of 16/09/2002).<br>
3. My organisation (which is legally registered in the European Union) will contribute
€ to the project.
My organisation will participate in the implementation of the following actions:
The estimated total cost of my organisation's part in the implementation of the project is
€<br>
4. Should one or more associated beneficiary or co-financier reduce or withdraw its financial
contribution, my organisation will ensure that a corresponding additional contribution is made
available.<br>
5. My organisation will conclude with the associated beneficiaries and co-financiers any agreements
necessary for the completion of the work, provided these do not infringe on their obligations, as
stated in the grant agreement with the European Commission. Such agreements will be based on
the model proposed by the European Commission. They will describe clearly the tasks to be
performed by each associated beneficiary and define the financial arrangements.<br>
6. I am aware that my organisation is solely legally and financially responsible to the Commission for
the implementation of the project (Article 4 of the Common Provisions).<br>
I am legally authorised to sign this statement on behalf of my organisation.<br>
I have read in full the Common Provisions (attached to the Model Grant Agreement provided with the
LIFE+ application files).<br>
I certify to the best of my knowledge that the statements made in this proposal are true and the
information provided is correct.<br>
At.............. on.......<br>
Signature of the Coordinating Beneficiary: ......................................................
Name(s) and status of signatory:..............
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LIFE+ Environment Policy and Governance 2011- A3
COORDINATING BENEFICIARY DECLARATION
Signature of the Coordinating Beneficiary
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