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9/14/23, 1:00 PM Grant Package <br /> Legal Name Doing Business As <br /> CITY OF DECATUR <br /> UEI <br /> HCL3M P6L8XV5 <br /> Legal Addess <br /> Street 1 <br /> 1 GARY K ANDERSON PLZ <br /> Street 2 <br /> City State Zip/Postal Code <br /> DECATUR IL 62523 <br /> CongressionalDistrict Country <br /> 13 USA <br /> Certification <br /> The legal name + Doing Business As (DBA)and legal address define a unique entity in the system <br /> as represented in its entity profile. The profile legal name and address is applicable to ALL <br /> applications and awards associated to this fiscal agent. <br /> 1. If this information is correct confirm/acknowledge to continue with completion of this application. <br /> confirm this is the correct entity. <br /> Signer Name <br /> Janice Frankovich <br /> Certification Date / Time <br /> 08/24/2023 05:43 PM <br /> 2. If the information displayed does not accurately represent the legal entity applying for federal <br /> assistance: <br /> a. Contact your Entity Administrator. <br /> b. Contact the System for Award Management (SAM.gov)to update the entity legal <br /> name/address. <br /> https://justgrants.usdoj.gov/prweb/PRAuth/app/J GITS_/3yZ6Bxxi_1pDExTOT4XnAjzjAXmVNevW*/!TABTH READ6?pyActivity=%40baseclass.pzProe... 4/19 <br />