Common use of CONFIRMATION BY GRANT RECIPIENT Clause in Contracts

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 X012 J302 SCAG16005 ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP Grant Stream: COMMISSIONER’S GRANT Period From: 1st August 2017 to 31st January 2018 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: GO WILD IN WIRKSWORTH CIC Period From: 1st August 2017 From March 1, 2022 to 31st January 2018 May 31, 2022 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: SOUTH NORMANTON PARISH COUNCILꞏ Period From: 1st August 2017 From March 1, 2022 to 31st January 2018 May 31, 2022 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 J398 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: BELPER EARLY YEARS FUN Period From: 1st August 2017 From March 1, 2022 to 31st January 2018 May 31, 2022 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: CRICH YOUTH CLUB MANAGEMENT COMMITTEE Period From: 1st August 2017 From March 1, 2022 to 31st January 2018 May 31, 2022 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 X012 J302 SCAG16005 ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 2019/20 Grant Recipient: HILTON YOUTH GROUP Grant HMP XXXXXX XXXX Xxxxx Stream: COMMISSIONER’S GRANT Period From: 1st August 2017 March 2020 to 31st January 2018 August 2020 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 J398 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: BRIMINGTON PARISH COUNCIL Period From: 1st August 2017 From June 1, 2022 to 31st January 2018 November 30, 2022 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 X012 J302 SCAG16005 ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 2020/21 Grant Recipient: HILTON YOUTH GROUP Grant THE FRIENDS OF STAVELEY KING XXXXXX X XXXX Xxxxx Stream: COMMISSIONER’S GRANT Period From: 1st August 2017 September 2020 to 31st January 2018 28th February 2021 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 J398 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: XXXXXX BRIDGE TOWN COUNCIL Period From: 1st August 2017 From June 1, 2022 to 31st January 2018 November 30, 2022 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: YOUTH MATTERS NEW XXXXX CIC Period From: 1st August 2017 From March 1, 2022 to 31st January 2018 May 31, 2022 (£)

CONFIRMATION BY GRANT RECIPIENT. I confirm that on the basis of the information provided in this report, progress and costs are accurate and in compliance with the terms and conditions of the Grant Agreement: Signature: Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Signature: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code 4891 4892 X012 J302 SCAG16005 J398 ASB Fund ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2017/18 Grant Recipient: HILTON YOUTH GROUP 2022/2023 Grant Stream: COMMISSIONER’S GRANT XXXXX Xxxxx Recipient: TUPTON PARISH COUNCIL Period From: 1st August 2017 From June 1, 2022 to 31st January 2018 November 30, 2022 (£)