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Cal OES <br /> GOVERNOR'S OFFICE <br /> OF EMERGENCY SERVICES <br /> Federal Funding Accounting and Transparency Act (FFATA) <br /> Financial Disclosure <br /> The undersigned represents that he/she is authorized to enter into this agreement for <br /> and on behalf of the Applicant. <br /> Subrecipienf: <br /> Signature of Authorized Agent: <br /> Printed Name of Authorized Agent: <br /> Title: Date: <br /> Page 2 of 2 rev, December 2023 <br />