Project Number: -

I, (Name), duly authorized officer of (Legal name of recipient) certify that I have examined the FedNor Agreement dated (Offer date; i.e., YYYY-MM-DD). I have also examined the documents and information submitted in support of this claim and certify these to be correct and in accordance with the books and records of the business.

I hereby certify that no contractual commitments with respect to the project were made prior to (Application received or eligibility date; i.e., YYYY-MM-DD), the date the application was received by FedNor.

The costs claimed have been incurred by (Legal name of recipient) as direct costs related to the project effective (Eligibility date; i.e., YYYY-MM-DD).

Costs claimed include only the amount of the Harmonized Sales Tax (HST), net of any refund or eligible credits due from Canada Revenue Agency. Our input tax credit rate is %. Where applicable (Charity, Qualifying non-profit organization, Selected public service body), our Federal rebate of HST is % and the Provincial portion of the rebate is %.

No payment has been made to shareholders, associated companies or other related parties not dealing at arm’s length in respect of project costs claimed, with the exception of .

Finally, I certify that I have read and understand the Record Keeping outlined on the back of this certificate, and agree to maintain project records in accordance with these practices.

Name (Please Print)	Position
Signature	Date (YYYY-MM-DD)

RECORD KEEPING

Keep a separate set of records for your project.

Set up your accounting system (i.e., general ledger) by cost categories noted as eligible supported costs on the Annex 1 – Statement of Work of your FedNor Agreement.

Keep all invoices/receipts.

Keep all cancelled cheques.

Keep copies of all contracts related to the project.

Keep receipts for all expenses paid in cash.

If your FedNor Agreement includes assistance for travel costs, keep detailed records of all travel costs claims (dates, destinations, cost of accommodation, meals and transportation).

If your FedNor Agreement includes assistance for wages and salaries, keep payroll records.

If your FedNor Agreement includes assistance for capital costs, ensure that costs are capitalized in the appropriate capital accounts in your general ledger.

Please note that all FedNor assisted projects are subject to audit as per your FedNor Agreement. Failure to observe the record keeping practices outlined above may result in Recipients having to repay all or part of their FedNor Contribution.

Project records must be retained as per your FedNor Agreement and made available for audit upon request.