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MOUNo.: M-625-1& <br />SCAG PfojectIOWP No.: 225-356472.11 <br />Exhibit C <br />In -Kind Report Format <br />Use ILwarhead <br />.cue <br />IN -KIND (MATCH REPORT <br />Email In-Wrrd Report ta: _ <br />} .,T <br />s _. Date: <br />, } /E.sj $(i'AG t%WP �;� <br />---------------------- <br />—,. <br />dCCOVni5p2�}yi0�3C32.riLP9V _ <br />Haan rams <br />Chief Financial OfficerPerud:i <br />q� �� <br />Southern California Association of Goyemments <br />900 Wilshire Blvd, 17th Floor <br />' <br />Las Angeles, CA 90017 <br />Projcot Title: <br />Cost Categairs <br />Ratey <br />Douro <br />rlmetmt <br />Fringe Note <br />Fringe <br />Wilate* <br />IDC <br />.turount <br />Direct Lubgr MEsWcaflou(s <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />SE,En <br />$0.00 <br />$0,00 <br />$0.00 <br />$0,00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />50,00 <br />$0-00 <br />$OA0 <br />$0-00 <br />Subtotal- Direct Labor <br />50.00 <br />$0.00 <br />$"0 <br />$0.00 <br />Other Di Q t i ODCV <br />$0.00 <br />$0.00 <br />$0.00 <br />Sue <br />$0.00 <br />50,00 <br />Subtotal-ODCs: <br />$0.00 <br />$0.00 <br />TDTAL for IN -MEND h rCH <br />50.00 <br />$0.00 <br />________� <br />—m---- <br />I, XXXXX, certify that this in -kind match report and the Information attached is no and correct. I also certify that <br />all eligible and required documentation h on file for this report and that I am the person duly authorized to sign this certification on behalf of my agency. <br />I father certify that our agency is not using any federal funds to matob expenditure funds. <br />Tstle <br />I <br />Print Name _ <br />F [Date <br />-- <br />-- _.. <br />rlEeppivab�, fa[ aredss of induecl cos¢ for wockprovidedos mkvuicwhibutiar, a saRrecipient must svbinit an approved Indaeel Ca<I Al'xatmnNhn ((CAP) nr lMtrect Cost Rate <br />Ngro.l(1CRP)ta SCAG oa...thask for SCAtie review. IEa s:,bcecytkm tus nN receiveda acgotated nxieect cost role P,cyro jy, than C,e sob-recgsiemmsy ckct incharge a <br />do aitams r r.Ie of 101%ofmoMW (MIDC). <br />February26,2019 <br />Page 20 <br />25C-22 <br />