EXHIBIT “E” 

CERTIFICATION OF (REGIONAL WORKFORCE BOARD)

______________________________, Chair and  _____________________________, 

Executive Director, on behalf of the _____________________________________ 

Regional Workforce Board, Region # _____, certify that the Board’s Five Year Plan on file with Workforce Florida, Inc. is current. Additionally, all certifications and assurances on file with the Plan are current. This certification is incorporated and made a part of the Master Cooperative Agreement which the Board has executed and agreed to on ____________________________.

 						_______________________________________
						Chair of Regional Workforce Board

						_______________________________________
						Executive Director

State of 		

County of 		

On this 	 day of 		 20	, before me, the undersigned notary public, personally appeared 				, known to me to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained.

										
						Notary Public

SEAL

				 Personally Known OR
			
				 Produced ID – Type of ID 			
An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. All voice telephone numbers on this document may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.